Evidence map›Paper›PMID 34733997›Full record

ArticleAnnals of translational medicine2021

Preoperative serum albumin: a promising indicator of early mortality after surgery for infective endocarditis.

Suiqing Huang, Zhuoming Zhou, Li Luo, Yuan Yue, Quan Liu, Kangni Feng, Jian Hou, Keke Wang, Jiantao Chen, Huayang Li and 5 more

Abstract read
In one paragraph

Article in Annals of translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Evaluation of parameters predicting in-hospital mortality and septic embolisms in patients with infective endocarditis.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2024
    Article
  8. Article
  9. Article
  10. 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

15 authors.

Suiqing HuangDepartment of Cardiac Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Zhuoming ZhouDepartment of Cardiac Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Li LuoDepartment of Cardiac Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Yuan YueDepartment of Cardiac Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Quan LiuDepartment of Cardiac Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Kangni FengDepartment of Cardiac Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Jian HouDepartment of Cardiac Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Keke WangDepartment of Emergency, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Jiantao ChenDepartment of Cardiac Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Huayang LiDepartment of Cardiac Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Lin HuangDepartment of Cardiac Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Guangguo FuDepartment of Cardiac Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Guangxian ChenDepartment of Cardiac Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Mengya LiangDepartment of Cardiac Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Zhongkai WuDepartment of Cardiac Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite novel improvements in the diagnosis and treatment of infective endocarditis (IE), there has been no significant improvement in the survival rate of IE, which indicates that many details still need to be optimized in the preoperative assessment. We sought to evaluate preoperative serum albumin as a biomarker for predicting early mortality after IE surgery.

methodsBetween October 2013 and June 2019, patients with a definite diagnosis of IE were enrolled in this study. Patients' albumin levels at admission were used as the preoperative albumin levels. Restricted cubic spline and multivariate logistic regression analyses were performed to evaluate the relationship between albumin and early mortality. Receiver operating characteristic curve analyses were performed to assess the role of albumin in predicting early mortality and compare the predictive capacity of traditional models with models that included albumin.

resultsOf the 276 IE patients, 20 (7.2%) died in hospital or within 30 days of surgery. Hypoalbuminemia (an albumin level <3.5 g/dL) was present in 109 (39.5%) patients. The multivariate logistic regression analysis showed that preoperative albumin was inversely associated with early mortality [adjusted odds ratio (OR) =0.22 per 1 g/dL, 95% confidence interval (CI): 0.07-0.65, P=0.006] after full adjustment. Preoperative albumin had value in predicting early mortality [area under the curve (AUC) =0.72, 95% CI: 0.61-0.84; P<0.01]. After adding albumin to the European System for Cardiac Operative Risk Evaluation (EuroSCORE) and Charlson score, the predictive ability of the model was further improved (EuroSCORE II: AUC =0.55; 95% CI: 0.42-0.67 to AUC =0.72; 95% CI: 0.61-0.84; Charlson score: AUC =0.73; 95% CI: 0.64-0.83 to AUC =0.78; 95% CI: 0.68-0.88).

conclusionsPreoperative serum albumin is inversely associated with early mortality after IE surgery, and is a promising prognostic indicator in preoperative risk stratification assessments of IE patients.

Indexed as

Albumin, infective endocarditis (IE)cardiac surgeryearly prognosis

Identifiers

PMID34733997
PMCPMC8506743

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.