Evidence map›Paper›PMID 34768652›Full record

ArticleJournal of clinical medicine2021

Non-Invasive Risk Prediction Based on Right Ventricular Function in Patients with Pulmonary Arterial Hypertension.

Vazhma Qaderi, Jessica Weimann, Lars Harbaum, Benedikt N Schrage, Dorit Knappe, Jan K Hennigs, Christoph Sinning, Renate B Schnabel, Stefan Blankenberg, Paulus Kirchhof and 2 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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 39% 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, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  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

12 authors at 2 institutions in 3 countries.

Vazhma QaderiDepartment of Cardiology, University Heart & Vascular Centre Hamburg, 20246 Hamburg, Germany.
Jessica WeimannDepartment of Cardiology, University Heart & Vascular Centre Hamburg, 20246 Hamburg, Germany.
Lars HarbaumDepartment of Pulmonology, University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, Germany.
Benedikt N SchrageDepartment of Cardiology, University Heart & Vascular Centre Hamburg, 20246 Hamburg, Germany.
Dorit KnappeDepartment of Cardiology, University Heart & Vascular Centre Hamburg, 20246 Hamburg, Germany.
Jan K HennigsDepartment of Pulmonology, University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, Germany.ORCID 0000-0002-7784-8267
Christoph SinningDepartment of Cardiology, University Heart & Vascular Centre Hamburg, 20246 Hamburg, Germany.
Renate B SchnabelDepartment of Cardiology, University Heart & Vascular Centre Hamburg, 20246 Hamburg, Germany.ORCID 0000-0001-7170-9509
Stefan BlankenbergDepartment of Cardiology, University Heart & Vascular Centre Hamburg, 20246 Hamburg, Germany.
Paulus KirchhofDepartment of Cardiology, University Heart & Vascular Centre Hamburg, 20246 Hamburg, Germany.ORCID 0000-0002-1881-0197
Hans KloseDepartment of Pulmonology, University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, Germany.
Christina MagnussenDepartment of Cardiology, University Heart & Vascular Centre Hamburg, 20246 Hamburg, Germany.ORCID 0000-0002-5102-0955
University Cancer Center Hamburg · DEUniversität Hamburg · DE

Funding

British Heart Foundation PG/17/30/32961British Heart Foundation PG/20/22/35093
6 · The paper itself

Abstract

backgroundRight ventricular dysfunction is a major determinant of outcome in pulmonary arterial hypertension (PAH). We aimed to identify echocardiographic right heart parameters associated with adverse outcome and to develop a non-invasive, echocardiography-based risk score for PAH patients. METHODS AND

resultsIn 254 PAH patients we analyzed functional status, laboratory results, and echocardiographic parameters. We included these parameters to estimate all-cause death or lung transplantation using Cox regression models. The analyses included a conventional model using guideline-recommended variables and an extended echocardiographic model. Based on the final model a 12-point risk score was derived, indicating the association with the primary outcome within five years. During a median follow-up time of 4.2 years 74 patients died or underwent lung transplantation. The conventional model resulted in a C-Index of 0.539, whereas the extended echocardiographic model improved the discrimination (C-index 0.639,

conclusionIntegrating right heart function assessed by echocardiography improves prediction of death or lung transplantation in PAH patients. Independent validation of this finding is warranted.

Indexed as

echocardiographyfractional area changepulmonary arterial hypertensionrisk scoretricuspid annular plane systolic excursion

Identifiers

PMID34768652
PMCPMC8584811
OpenAlexW3209756133

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Registered trials

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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.