Evidence map›Paper›PMID 34640526›Full record

ArticleJournal of clinical medicine2021

Elevated Plasma Bioactive Adrenomedullin and Mortality in Cardiogenic Shock: Results from the OptimaCC Trial.

Koji Takagi, Bruno Levy, Antoine Kimmoun, Òscar Miró, Kévin Duarte, Ayu Asakage, Alice Blet, Benjamin Deniau, Janin Schulte, Oliver Hartmann and 4 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Influence of adrenomedullin on the enzymatic activity of dipeptidyl peptidase 3Journal of enzyme inhibition and medicinal chemistry · 2026
    Article
  2. Review
  3. Current and novel biomarkers in cardiogenic shock.European journal of heart failure · 2025
    Review
  4. 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

14 authors at 4 institutions in 4 countries.

Koji TakagiInserm UMR-S 942, Cardiovascular Markers in Stress Conditions (MASCOT), Université de Paris, 75010 Paris, France.ORCID 0000-0003-0213-1509
Bruno LevyService de Médecine Intensive et Réanimation Brabois, CHRU de Nancy, 54511 Vandœuvre-lès-Nancy, France.
Antoine KimmounInserm UMR-S 942, Cardiovascular Markers in Stress Conditions (MASCOT), Université de Paris, 75010 Paris, France.
Òscar MiróEmergency Department, Hospital Clínic, 08036 Barcelona, Catalonia, Spain.
Kévin DuarteU1116, Défaillance Circulatoire Aigue et Chronique, Faculté de Médecine de Nancy, 54500 Vandœuvre-lès-Nancy, France.
Ayu AsakageDepartment of Emergency and Critical Care Medicine, Yokohama City Minato Red Cross Hospital, Yokohama 2318682, Japan.ORCID 0000-0003-4654-4065
Alice BletInserm UMR-S 942, Cardiovascular Markers in Stress Conditions (MASCOT), Université de Paris, 75010 Paris, France.ORCID 0000-0003-3885-9569
Benjamin DeniauInserm UMR-S 942, Cardiovascular Markers in Stress Conditions (MASCOT), Université de Paris, 75010 Paris, France.ORCID 0000-0002-5879-6369
Janin SchulteSphingoTec, Neuendorfstraße 15A, 16761 Hennigsdorf, Germany.ORCID 0000-0002-6529-3882
Oliver HartmannSphingoTec, Neuendorfstraße 15A, 16761 Hennigsdorf, Germany.
Gad CotterInserm UMR-S 942, Cardiovascular Markers in Stress Conditions (MASCOT), Université de Paris, 75010 Paris, France.
Beth A DavisonInserm UMR-S 942, Cardiovascular Markers in Stress Conditions (MASCOT), Université de Paris, 75010 Paris, France.
Etienne GayatInserm UMR-S 942, Cardiovascular Markers in Stress Conditions (MASCOT), Université de Paris, 75010 Paris, France.
Alexandre MebazaaInserm UMR-S 942, Cardiovascular Markers in Stress Conditions (MASCOT), Université de Paris, 75010 Paris, France.
Inserm · FRCentre Hospitalier Régional et Universitaire de Nancy · FRHospital Clínic de Barcelona · ESYokohama Municipal Minato Red Cross Hospital · JP

Funding

Direction de l'Hospitalisation et de l'Organisation des Soins NAInstitut National de la Santé et de la Recherche Médicale NASphingotec GmbH NA
6 · The paper itself

Abstract

aimsBioactive adrenomedullin (bio-ADM) was recently shown to be a prognostic marker in patients with acute circulatory failure. We investigate the association of bio-ADM with organ injury, functional impairment, and survival in cardiogenic shock (CS).

methodsOptimaCC was a multicenter and randomized trial in 57 patients with CS. In this post-hoc analysis, the primary endpoint was to assess the association between bio-ADM and 30-day all-cause mortality. Secondary endpoints included adverse events and parameters of organ injury or functional impairment.

resultsBio-ADM values were higher in 30-day non-survivors than 30-day survivors at inclusion (median (interquartile range) 67.0 (54.6-142.9) pg/mL vs. 38.7 (23.8-63.6) pg/mL,

conclusionsIn CS patients, the values of bio-ADM are associated with some parameters of organ injury and functional impairment and are prognostic for the occurrence of refractory CS and 30-day mortality.

Indexed as

adrenomedullinbiomarkerscardiogenic shockoutcome

Identifiers

PMID34640526
PMCPMC8509471
OpenAlexW3202609686

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.