Evidence map›Paper›PMID 34013062›Full record

ArticleJGH open : an open access journal of gastroenterology and hepatology2021

Serum cystatin C as a predictor of 90-day mortality among patients admitted with complications of cirrhosis.

Anuchit Suksamai, Amnart Chaiprasert, Sakkarin Chirapongsathorn

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In one paragraph

Article in JGH open : an open access journal of gastroenterology and hepatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

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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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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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

3 authors.

Anuchit SuksamaiDivision of Gastroenterology and Hepatology, Department of Medicine Phramongkutklao Hospital and College of Medicine, Royal Thai Army Bangkok Thailand.
Amnart ChaiprasertDivision of Nephrology, Department of Medicine Phramongkutklao Hospital and College of Medicine, Royal Thai Army Bangkok Thailand.
Sakkarin ChirapongsathornDivision of Gastroenterology and Hepatology, Department of Medicine Phramongkutklao Hospital and College of Medicine, Royal Thai Army Bangkok Thailand.ORCID https://orcid.org/0000-0001-6924-8504

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimCystatin C (Cys) is not affected by age, sex, and muscle mass. We evaluated to compare the predictive performance of serum Cys level and model for end-stage liver disease (MELD) score and developed a new model to predict 90-day mortality among patients admitted with cirrhosis complications.

methodsA prospective cohort study was performed from December 2018 to December 2019. All cirrhotic patients admitted with acute decompensated liver cirrhosis or acute on chronic liver failure had laboratory values measured within 48 h of admission.

resultsA cohort of 225 patients with cirrhosis was admitted during the study period. Sixty-five patients were eligible for analysis. Twenty-seven of these patients (41.4%) died within 90 days of follow-up. The median of MELD score was 20.5 (15, 24). Serum Cys level of >1.45 mg/L had the highest 90-day mortality prediction with the sensitivity and specificity of 66.7% and 68.4%, respectively. Cys and MELD scores were predictive of 90-day mortality: Cys hazard ratio (HR) = 2.04 (95% CI 1.01-4.14,

conclusionSerum Cys is superior to MELD score, and the new MELD-Cys model is comparable to the MELD score in predicting mortality among patients with cirrhosis admitted with complications.

Indexed as

90‐day mortalitybiomarkerchronic liver diseasecirrhosiscreatininecystatin Cliver failuremodelmodel for end‐stage liver disease scoresurvival

Identifiers

PMID34013062
PMCPMC8114990

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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.