Evidence map›Paper›PMID 36017092›Full record

ArticleFrontiers in cardiovascular medicine2022

Base excess is associated with the risk of all-cause mortality in critically ill patients with acute myocardial infarction.

Chaodi Luo, Zhenzhen Duan, Tingting Zheng, Qian Li, Danni Wang, Boxiang Wang, Pengjie Gao, Dan Han, Gang Tian

Open access · goldAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 23% 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

9 citing papers in PubMed, 8 citations in OpenAlex.

  1. Base Excess and Beyond: Evolving Concepts in Acid-base Analysis.Turkish journal of anaesthesiology and reanimation · 2026
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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

9 authors at 2 institutions in 1 country.

Chaodi LuoDepartment of Cardiology, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Zhenzhen DuanDepartment of Peripheral Vascular Diseases, Honghui Hospital of Xi'an Jiaotong University, Xi'an, China.
Tingting ZhengDepartment of Cardiology, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Qian LiDepartment of Cardiology, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Danni WangDepartment of Cardiology, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Boxiang WangDepartment of Cardiology, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Pengjie GaoDepartment of Cardiology, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Dan HanDepartment of Cardiovascular Surgery, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Gang TianDepartment of Cardiology, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
First Affiliated Hospital of Xi'an Jiaotong University · CNXi'an Honghui Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Base excess (BE) represents an increase or decrease of alkali reserves in plasma to diagnose acid-base disorders, independent of respiratory factors. Current findings about the prognostic value of BE on mortality of patients with acute myocardial infarction (AMI) are still unclear. The purpose of this study was to explore the prognostic significance of BE for short-term all-cause mortality in patients with AMI. Methods: A total of 2,465 patients diagnosed with AMI in the intensive care unit from the Medical Information Mart for Intensive Care III (MIMIC-III) database were included in our study, and we explored the association of BE with 28-day and 90-day all-cause mortality using Cox regression analysis. We also used restricted cubic splines (RCS) to evaluate the relationship between BE and hazard ratio (HR). The primary outcomes were 28-day and 90-day all-cause mortality. Results: When stratified according to quantiles, low BE levels at admission were strongly associated with higher 28-day and 90-day all-cause mortality. Multivariable Cox proportional hazard models revealed that low BE was an independent risk factor of 28-day all-cause mortality [HR 4.158, 95% CI 3.203-5.398 (low vs. normal BE) and HR 1.354, 95% CI 0.896-2.049 (high vs. normal BE)] and 90-day all-cause mortality [HR 4.078, 95% CI 3.160-5.263 (low vs. normal BE) and HR 1.369, 95% CI 0.917-2.045 (high vs. normal BE)], even after adjustment for significant prognostic covariates. The results were also consistent in subgroup analysis. RCS revealed an "L-type" relationship between BE and 28-day and 90-day all-cause mortality, as well as adjusting for confounding variables. Meanwhile, Kaplan-Meier survival curves were stratified by combining BE with carbon dioxide partial pressure (PaCO Conclusion: Our study revealed that low BE was significantly associated with 28-day and 90-day mortality in patients with AMI and indicated the value of stratifying the mortality risk of patients with AMI by BE.

Indexed as

acute myocardial infarctionall-cause mortalitybase excessblood gas analysisprognosis

Identifiers

PMID36017092
PMCPMC9396255
OpenAlexW4292454375

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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.