Evidence map›Paper›PMID 35053326›Full record

Trial reportCells2022

Biomarkers-in-Cardiology 8 RE-VISITED-Consistent Safety of Early Discharge with a Dual Marker Strategy Combining a Normal hs-cTnT with a Normal Copeptin in Low-to-Intermediate Risk Patients with Suspected Acute Coronary Syndrome-A Secondary Analysis of the Randomized Biomarkers-in-Cardiology 8 Trial.

Evangelos Giannitsis, Tania Garfias-Veitl, Anna Slagman, Julia Searle, Christian Müller, Stefan Blankenberg, Stephan von Haehling, Hugo A Katus, Christian W Hamm, Kurt Huber and 2 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Cells, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. 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 8 institutions in 3 countries.

Evangelos GiannitsisMedizinische Klinik III, Department of Cardiology, Angiology and Pulmology, University Hospital of Heidelberg, 69120 Heidelberg, Germany.
Tania Garfias-VeitlDepartment of Cardiology and Pneumology, University of Göttingen Medical Center, German Center for Cardiovascular Research (DZHK), Partner Site Göttingen, 37075 Göttingen, Germany.
Anna SlagmanDepartment of Emergency Medicine Campus Mitte and Virchow and Department of Cardiology, Charité-Universitätsmedizin, 13353 Berlin, Germany.
Julia SearleDepartment of Emergency Medicine Campus Mitte and Virchow and Department of Cardiology, Charité-Universitätsmedizin, 13353 Berlin, Germany.
Christian MüllerCardiovascular Research Institute Basel (CRIB) and Department of Cardiology, University Hospital Basel, University of Basel, 4031 Basel, Switzerland.ORCID 0000-0002-1120-6405
Stefan BlankenbergDepartment of Cardiology, University Heart and Vascular Centre Hamburg, 20251 Hamburg, Germany.
Stephan von HaehlingDepartment of Cardiology and Pneumology, University of Göttingen Medical Center, German Center for Cardiovascular Research (DZHK), Partner Site Göttingen, 37075 Göttingen, Germany.
Hugo A KatusMedizinische Klinik III, Department of Cardiology, Angiology and Pulmology, University Hospital of Heidelberg, 69120 Heidelberg, Germany.
Christian W HammDepartment of Cardiology, Campus Kerckhoff, University of Giessen, 61231 Bad Nauheim, Germany.
Kurt Huber3rd Department of Internal Medicine, Cardiology and Intensive Care Medicine, Wilhelminenhospital, 1060 Vienna, Austria.
Jörn O VollertBRAHMS GmbH Deutschland, 16761 Berlin, Germany.
Martin MöckelDepartment of Emergency Medicine Campus Mitte and Virchow and Department of Cardiology, Charité-Universitätsmedizin, 13353 Berlin, Germany.ORCID 0000-0002-7691-3709
Charité - Universitätsmedizin Berlin · DEHeidelberg University · DEUniversity of Göttingen · DEBeiersdorf (Germany) · DEJustus-Liebig-Universität Gießen · DEUniversity Cancer Center Hamburg · DEUniversity of Basel · CHWilhelminen Hospital · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Regarding the management of suspected Non-ST-segment-elevation acute coronary syndrome (ACS), the main Biomarker-in-Cardiology (BIC)-8 randomized controlled trial study had reported non-inferiority for the incidence of major adverse cardiac events at 30 days in the Copeptin group (dual marker strategy of copeptin and hs-cTnT at presentation) compared to the standard process (serial hs-cTnT testing). However, in 349 (38.7%) of the 902 patients, high-sensitivity cardiac troponin was not available for the treating physicians. High sensitivity cardiac troponin T was re-measured from thawed blood samples collected at baseline. This cohort qualified for a re-analysis of the 30-day incidence rate of MACE (death, survived cardiac death, acute myocardial infarction, re-hospitalization for acute coronary syndrome, acute unplanned percutaneous coronary intervention, coronary bypass grafting, or documented life-threatening arrhythmias), or components of the primary endpoint including death or death/MI. After re-measurement of troponin and exclusion of 9 patients with insufficient blood sample volume, 893 patients qualified for re-analysis. A total of 57 cases were detected with high sensitivity cardiac troponin T ≥ 14 ng/L who had been classified as "troponin negative" based on a conventional cardiac troponin T or I < 99th percentile upper limit of normal. Major adverse cardiac events rates after exclusion were non-inferior in the Copeptin group compared to the standard group (4.34% (95% confidence intervals 2.60-6.78%) vs. 4.27% (2.55-6.66%)). Rates were 53% lower in the per-protocol analysis (HR 0.47, 95% CI: 0.18-1.15,

Indexed as

Patient DischargeAcute Coronary SyndromeBiomarkersCohort StudiesEndpoint DeterminationFemaleGlycopeptidesHumansMaleMiddle AgedPatient CareRisk FactorsTreatment OutcomeTroponin TBiomarkerscopeptinsGlycopeptidesTroponin Tacute coronary syndromecopeptinhigh sensitivity troponin Trandomized trialrisk stratificationsafe discharge

Identifiers

PMID35053326
PMCPMC8773592
OpenAlexW4206725816

What OpenQuestion holds

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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.