Evidence map›Paper›PMID 33804450›Full record

ArticleJournal of clinical medicine2021

Risk Scores in ST-Segment Elevation Myocardial Infarction Patients with Refractory Cardiogenic Shock and Veno-Arterial Extracorporeal Membrane Oxygenation.

Carl Semaan, Arthur Charbonnier, Jeremy Pasco, Walid Darwiche, Christophe Saint Etienne, Xavier Bailleul, Thierry Bourguignon, Laurent Fauchier, Denis Angoulvant, Fabrice Ivanes and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 38% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 6 countries.

Carl SemaanService de Cardiologie, Centre Hospitalier Régional, Universitaire de Tours, 37044 Tours, France.
Arthur CharbonnierService de Cardiologie, Centre Hospitalier Régional, Universitaire de Tours, 37044 Tours, France.
Jeremy PascoService d'Informatique Médicale, Épidémiologie et Économie de la Santé, Centre Hospitalier Régional, Universitaire de Tours, 37044 Tours, France.
Walid DarwicheService de Cardiologie, Centre Hospitalier Régional, Universitaire de Tours, 37044 Tours, France.
Christophe Saint EtienneService de Cardiologie, Centre Hospitalier Régional, Universitaire de Tours, 37044 Tours, France.
Xavier BailleulService de Chirurgie Cardiaque, Centre Hospitalier Régional, Universitaire de Tours, 37044 Tours, France.
Thierry BourguignonFaculté de Médecine, Université de Tours, 37032 Tours, France.
Laurent FauchierService de Cardiologie, Centre Hospitalier Régional, Universitaire de Tours, 37044 Tours, France.ORCID 0000-0002-9267-1658
Denis AngoulvantService de Cardiologie, Centre Hospitalier Régional, Universitaire de Tours, 37044 Tours, France.ORCID 0000-0003-0788-8092
Fabrice IvanesService de Cardiologie, Centre Hospitalier Régional, Universitaire de Tours, 37044 Tours, France.ORCID 0000-0003-2407-6387
Thibaud GenetService de Cardiologie, Centre Hospitalier Régional, Universitaire de Tours, 37044 Tours, France.ORCID 0000-0002-2829-7198
Université de Tours · FRCentre Hospitalier Universitaire de Tours · FRHeidelberg University · DEUniversität Greifswald · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although many risk models have been tested in patients implanted by veno-arterial extracorporeal membrane oxygenation (VA-ECMO), few scores assessed patients' prognosis in the setting of ST-segment elevation myocardial infarction (STEMI) with refractory cardiogenic shock. We aimed at assessing the performance of risk scores, notably the prEdictioN of Cardiogenic shock OUtcome foR AMI patients salvaGed by VA-ECMO (ENCOURAGE) score, for predicting mortality in this particular population. This retrospective observational study included patients admitted to Tours University Hospital for STEMI with cardiogenic shock and requiring hemodynamic support by VA-ECMO. Among the fifty-one patients, the 30-day and 6-month survival rates were 63% and 56% respectively. Thirty days after VA-ECMO therapy, probabilities of mortality were 12, 17, 33, 66, 80% according to the ENCOURAGE score classes 0-12, 13-18, 19-22, 23-27, and ≥28, respectively. The ENCOURAGE score (AUC of the Receiving Operating Characteristic curve = 0.83) was significantly better compared to other risk scores. The hazard ratio for survival at 30 days for each point of the ENCOURAGE score was 1.10 (CI 95% (1.06, 1.15);

Indexed as

acute myocardial infarctioncardiogenic shockextracorporeal membrane oxygenationoutcome assessment

Identifiers

PMID33804450
PMCPMC7957612
OpenAlexW3134159501

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.