Evidence map›Paper›PMID 35204569›Full record

ArticleDiagnostics (Basel, Switzerland)2022

Improving the EHMRG Prognostic Evaluation of Acute Heart Failure with TAPSE/PASp: A Sequential Approach.

Lorenzo Falsetti, Vincenzo Zaccone, Giovanna Viticchi, Agnese Fioranelli, Ilaria Diblasi, Emanuele Guerrieri, Consuelo Ferrini, Mattia Scarponi, Luca Giuliani, Caterina Scalpelli and 6 more

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2022. 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
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  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

16 authors.

Lorenzo FalsettiInternal and Subintensive Medicine Department, Azienda Ospedaliero-Universitaria "Ospedali Riuniti", 60126 Ancona, Italy.ORCID 0000-0003-3411-2388
Vincenzo ZacconeInternal and Subintensive Medicine Department, Azienda Ospedaliero-Universitaria "Ospedali Riuniti", 60126 Ancona, Italy.
Giovanna ViticchiNeurologic Clinic, Università Politecnica delle Marche, 60126 Ancona, Italy.
Agnese FioranelliInternal Medicine Department, INRCA-IRCCS di Osimo (Ancona), 60027 Ancona, Italy.
Ilaria DiblasiEmergency Medicine Residency Program, Università Politecnica delle Marche, 60126 Ancona, Italy.
Emanuele GuerrieriEmergency Medicine Residency Program, Università Politecnica delle Marche, 60126 Ancona, Italy.
Consuelo FerriniEmergency Medicine Residency Program, Università Politecnica delle Marche, 60126 Ancona, Italy.
Mattia ScarponiEmergency Medicine Residency Program, Università Politecnica delle Marche, 60126 Ancona, Italy.
Luca GiulianiEmergency Medicine Residency Program, Università Politecnica delle Marche, 60126 Ancona, Italy.ORCID 0000-0002-2608-3479
Caterina ScalpelliInternal Medicine Department, INRCA-IRCCS di Osimo (Ancona), 60027 Ancona, Italy.
Marianna MartinoInternal Medicine Department, INRCA-IRCCS di Osimo (Ancona), 60027 Ancona, Italy.
Adolfo PansoniEmergency Department, INRCA-IRCSS Osimo, 60027 Ancona, Italy.
Marinella LuccariniInternal Medicine Department, INRCA-IRCCS di Osimo (Ancona), 60027 Ancona, Italy.
Maurizio BurattiniInternal Medicine Department, INRCA-IRCCS di Osimo (Ancona), 60027 Ancona, Italy.
Gianluca MoronciniClinica Medica, Università Politecnica delle Marche, 60126 Ancona, Italy.
Nicola TarquinioInternal Medicine Department, INRCA-IRCCS di Osimo (Ancona), 60027 Ancona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Emergency Heart Failure Mortality Risk Grade (EHMRG) can predict short-term mortality in patients admitted for acute heart failure (AHF) in the emergency department (ED). This paper aimed to evaluate if TAPSE/PASp, an echocardiographic marker of ventricular desynchronization, can improve in-hospital death prediction in patients at moderate-to-high risk, according to EHMRG score classification. From 1 January 2018 to 30 December 2019, we retrospectively enrolled all the consecutive subjects admitted to our Internal Medicine Department for AHF from the ED. We performed bedside echocardiography within the first 24 h of admission. We evaluated EHMRG and NYHA in the ED, days of admission in Internal Medicine, and in-hospital mortality. We assessed cutoffs with ROC curve analysis and survival with Kaplan-Meier and Cox regression. We obtained a cohort of 439 subjects; 10.3% underwent in-hospital death. Patients with normal TAPSE/PASp in EHMRG Classes 4, 5a, and 5b had higher survival rates (100%, 100%, and 94.3%, respectively), while subjects with pathologic TAPSE/PASp had lower survival rates (81.8%, 78.3%, and 43.4%, respectively) (

Indexed as

acute heart failureclinical scoreechocardiographyEHMRG scoreprognosisTAPSE/PASp

Identifiers

PMID35204569
PMCPMC8871471

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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.