Evidence map›Paper›PMID 35846208›Full record

ArticleEJHaem2022

Complement activation during cardiopulmonary bypass and association with clinical outcomes.

Rengina Kefalogianni, Farah Kamani, Mihaela Gaspar, T C Aw, Jackie Donovan, Mike Laffan, Matthew C Pickering, Deepa J Arachchillage

Open access · diamondAbstract read
In one paragraph

Article in EJHaem, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Article
  3. Kidney Injury Following Cardiac Surgery: A Review of Our Current Understanding.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2025
    Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Risk factors for postoperative acute kidney injury after cardiac surgery.Archivos peruanos de cardiologia y cirugia cardiovascular
    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

8 authors at 3 institutions in 1 country.

Rengina KefalogianniDepartment of Immunology and Inflammation Imperial College London London UK.
Farah KamaniDepartment of Haematology Royal Brompton Hospital London UK.
Mihaela GasparDepartment of Haematology Royal Brompton Hospital London UK.
T C AwDepartment of Anesthesia and Critical Care Royal Brompton Hospital London UK.
Jackie DonovanDepartment of Biochemistry Royal Brompton Hospital London UK.
Mike LaffanCentre for Haematology Department of Immunology and Inflammation Imperial College London London UK.ORCID https://orcid.org/0000-0002-8268-3268
Matthew C PickeringDepartment of Immunology and Inflammation Imperial College London London UK.
Deepa J ArachchillageDepartment of Haematology Royal Brompton Hospital London UK.ORCID https://orcid.org/0000-0001-5993-4850
Royal Brompton Hospital · GBImperial College London · GBCentre for Inflammation Research · GB

Funding

Medical Research Council MR/V037633/1
6 · The paper itself

Abstract

In this prospective, single-centre observational study of 30 patients undergoing cardiopulmonary bypass (CPB), the effect of unfractionated heparin (UFH), CPB surgery and protamine sulphate on complement and on post-operative blood loss were assessed. Although C3 and C4 levels decreased significantly immediately following the administration of UFH, C3a, C5a, Bb fragment and SC5b-9 remained unchanged. During CPB, C3 and C4 continued to fall whilst both alternative and classical pathways activation markers, Bb, C3a, C5a and SC5b-9 increased significantly. Protamine sulphate had no effect on classical pathway components or activation markers but decreased alternative pathway activation marker Bb. Over the 12-24 h post-surgery, both classical and alternative pathway activation markers returned to baseline, whilst C3 and C4 levels increased significantly but not to baseline values. Total drain volume 24 h after the surgery showed a moderate inverse correlation with post-protamine C3 (

Indexed as

anaphylatoxinsbleedingcardiopulmonary bypasscomplementheparinprotamine sulphate

Identifiers

PMID35846208
PMCPMC9175769
OpenAlexW4205519460

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.