Evidence map›Paper›PMID 34374458›Full record

ArticleJournal of veterinary internal medicine2021

Evaluation of serum cardiac troponin-I concentrations for diagnosis of infective endocarditis in dogs.

Eoin Kilkenny, Claire Watson, Joanna Dukes-McEwan, Elizabeth F Bode, Melanie J Hezzell, Jessie Rosie Payne, Kieran Borgeat

Open access · goldAbstract read
In one paragraph

Article in Journal of veterinary internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Infective endocarditis in dogs in the UK: 77 cases (2009-2019).The Journal of small animal practice · 2023
    Article
  7. 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

7 authors at 2 institutions in 2 countries.

Eoin KilkennyLangford Vets, University of Bristol, Bristol, UK.ORCID https://orcid.org/0000-0002-5343-4115
Claire WatsonLangford Vets, University of Bristol, Bristol, UK.
Joanna Dukes-McEwanDepartment of Small Animal Clinical Science, School of Veterinary Science, University of Liverpool, Liverpool, UK.
Elizabeth F BodeCVS Ltd, Norfolk, UK.
Melanie J HezzellBristol Veterinary School, University of Bristol, Bristol, UK.ORCID https://orcid.org/0000-0003-1890-6161
Jessie Rosie PayneLangford Vets, University of Bristol, Bristol, UK.
Kieran BorgeatLangford Vets, University of Bristol, Bristol, UK.ORCID https://orcid.org/0000-0001-9199-4941
University of Bristol · GBUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfective endocarditis (IE) in dogs is associated with severe disease and a high case fatality rate but often presents with nonspecific clinical signs. HYPOTHESIS/

objectivesSerum concentration of cardiac troponin-I (cTnI) is elevated in dogs with IE and can differentiate dogs with IE from dogs with other diseases with similar clinical features. Concentration of serum cTnI is negatively correlated with survival time in dogs with IE. ANIMALS: Seventy-two client-owned dogs; 29 with IE, 27 with stage-B myxomatous mitral valve disease (MMVD), and 16 with immune-mediated disease (IMD).

methodsRetrospective clinical cohort study. Concentration of serum cTnI was measured in all dogs at time of diagnosis. Clinical findings and echocardiographic interpretation were also recorded. Statistical analyses included Kruskal-Wallis test, pairwise Mann-Whitney U tests, receiver operator characteristic, and Cox proportional hazards.

resultsSerum concentration of cTnI was significantly higher in the IE group (0.69 ng/mL [0.03-80.8]) than in the MMVD (0.05 ng/mL [0.02-0.11], P < .001) and IMD groups (0.05 ng/mL [0.03-0.57], P < .001). Increased cTnI was a moderately accurate predictor of IE (area under the curve 0.857 (95% confidence interval [CI] 0.745-0.968, P < .001). A cTnI cutoff of 0.625 ng/mL had 100% specificity (95% CI 90%-100%) and 52% sensitivity (95% CI 33%-70%) in this study sample. There was no association between cTnI concentration and survival time in dogs with IE (hazard ratio 1.013, 95% CI 0.993-1.034, P = .2). CONCLUSIONS AND CLINICAL IMPORTANCE: Cardiac troponin-I concentrations are higher in dogs with IE compared to dogs with preclinical MMVD or IMD. In dogs with a compatible clinical presentation, serum cTnI concentrations >0.625 ng/mL are supportive of IE.

Indexed as

Dog DiseasesEndocarditisAnimalsBiomarkersCohort StudiesDogsRetrospective StudiesTroponin IBiomarkersTroponin Icardiac biomarkersclinical pathologyechocardiographygeneral practiceinflammation

Identifiers

PMID34374458
PMCPMC8478062
OpenAlexW3191355733

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.