Evidence map›Paper›PMID 33815919›Full record

ArticleAmerican journal of cardiovascular disease2021

Proteinuria versus albuminuria in 24-hour urine collection: prevalence and clinical outcome in non-hypoxemic adult patients with congenital heart disease.

Efrén Martínez-Quintana, Alejandro Barreto-Martín, Hiurma Estupiñán-León, Ana Beatriz Rojas-Brito, Liuva Déniz-Déniz, Fayna Rodríguez-González

Open access · greenAbstract read
In one paragraph

Article in American journal of cardiovascular disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
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

6 authors at 1 institution in 1 country.

Efrén Martínez-QuintanaCardiology Service, Complejo Hospitalario Universitario Insular-Materno Infantil Las Palmas de Gran Canaria, Spain.
Alejandro Barreto-MartínMedical and Surgical Sciences Department, Faculty of Health Sciences, Universidad de Las Palmas de Gran Canaria Las Palmas de Gran Canaria, Spain.
Hiurma Estupiñán-LeónMedical and Surgical Sciences Department, Faculty of Health Sciences, Universidad de Las Palmas de Gran Canaria Las Palmas de Gran Canaria, Spain.
Ana Beatriz Rojas-BritoMedical and Surgical Sciences Department, Faculty of Health Sciences, Universidad de Las Palmas de Gran Canaria Las Palmas de Gran Canaria, Spain.
Liuva Déniz-DénizMedical and Surgical Sciences Department, Faculty of Health Sciences, Universidad de Las Palmas de Gran Canaria Las Palmas de Gran Canaria, Spain.
Fayna Rodríguez-GonzálezHospital Universitario de Gran Canaria Dr. Negrín Las Palmas de Gran Canaria, Spain.
Universidad de Las Palmas de Gran Canaria · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Congenital heart disease (CHD) patients, especially cyanotic ones, usually have renal function impairment. However, little information exists in non-cyanotic CHD patients. The objective of this study is to determine renal failure in non-hypoxemic CHD patients by measuring the amount of protein and albumin released in urine over a 24-hour period and determining the glomerular filtration rate (GFR). Prospective study of consecutive outpatient non-hypoxemic CHD patients followed up in a single tertiary referral hospital. Demographic, clinical, blood test and 24-hour urine collection were recorded. 264 CHD patients, 22 (18-343) years old and 160 (61%) males, were followed up during 9.2 (5.9-11.1) years. 137 (52%), 96 (36%) and 31 (18%) CHD patients had mild, moderate, and great anatomical CHD defects. 44 (17%) and 32 (12%) CHD patients showed proteinuria (≥ 150 mg/24 hours) and albuminuria (> 30 mg/24 hours) respectively. 35 out of 44 (79%) CHD patients with proteinuria (≥ 150 mg/24 hours) showed normal to mild albuminuria levels (< 30 mg/24 hours). Variables associated with proteinuria were male sex, body mass index, auricular fibrillation/flutter, arterial hypertension, diabetes mellitus and being under angiotensin-converting enzyme (ACE) inhibitor and an angiotensin receptor blocker (ARB), loop diuretics or anti-aldosterone treatment. Major adverse cardiovascular events (MACE), defined as cardiovascular and non-cardiovascular deaths, stroke, myocardial infarction and heart failure requiring hospitalization, occurred in 16 (6%) patients during the follow up time. Multivariate Cox regression analysis showed that older patients, patients with a great CHD complexity and patients with proteinuria [6.99 (1.90-24.74), P=0.003] had a significant higher risk of MACE. Proteinuria is frequent among non-hypoxemic CHD patients and occurs mostly in those with a GFR above 60 ml/min/1.73 m

Indexed as

Chronic kidney diseasecongenital heart diseasecyanosisglomerular filtration ratesurvival

Identifiers

PMID33815919
PMCPMC8012297
OpenAlexW3141664326

What OpenQuestion holds

Textmetadata
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.