Evidence map›Paper›PMID 36088306›Full record

ArticleBMC cardiovascular disorders2022

Impact of lactate dehydrogenase on prognosis of patients undergoing cardiac surgery.

Yu Zeng, Yuhe Zhao, Shuren Dai, Yanyan Liu, Ruoyu Zhang, Hong Yan, Min Zhao, Yong Wang

Open access · goldAbstract read
In one paragraph

Article in BMC cardiovascular disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 14 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Yu Zeng *Department of Cardiology, Chongqing the Seventh People's Hospital, Chongqing, China.
Yuhe Zhao *Department of Cardiology, Chongqing the Seventh People's Hospital, Chongqing, China.
Shuren DaiDepartment of Cardiology, Chongqing the Seventh People's Hospital, Chongqing, China.
Yanyan LiuDepartment of Cardiology, Chongqing the Seventh People's Hospital, Chongqing, China.
Ruoyu ZhangDepartment of Cardiology, Chongqing the Seventh People's Hospital, Chongqing, China.
Hong YanDepartment of Cardiology, Chongqing the Seventh People's Hospital, Chongqing, China.
Min ZhaoDepartment of Cardiology, Chongqing the Seventh People's Hospital, Chongqing, China.
Yong WangDepartment of Cardiology, Chongqing the Seventh People's Hospital, Chongqing, China. wy15086816581@163.com.
Seventh People's Hospital of Shanghai · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLactate dehydrogenase (LDH) has been reported in multiple heart diseases. Herein, we explored the prognostic effects of preoperative LDH on adverse outcomes in cardiac surgery patients.

methodsRetrospective data analysis was conducted from two large medical databases: Medical Information Mart for Intensive Care (MIMIC) III and MIMIC IV databases. The primary outcome was in-hospital mortality, whereas the secondary outcomes were 1-year mortality, continuous renal replacement therapy, prolonged ventilation, and prolonged length of intensive care unit and hospital stay.

resultsPatients with a primary endpoint had significantly higher levels of LDH (p < 0.001). Multivariate regression analysis presented that elevated LDH was independently correlated with increased risk of primary and secondary endpoints (all p < 0.001). Subgroup analyses showed that high LDH was consistently associated with primary endpoint. Moreover, LDH exhibited the highest area under the curve (0.768) for the prediction of primary endpoint compared to the other indicators, including neutrophil-lymphocyte ratio (NLR), lymphocyte-monocyte ratio (LMR), platelet-lymphocyte ratio (PLR), lactate, and simplified acute physiology score (SAPS) II. The above results were further confirmed in the MIMIC IV dataset.

conclusionsElevated preoperative LDH may be a robust predictor of poor prognosis in cardiac surgery patients, and its predictive ability is superior to NLR, LMR, PLR, lactate, and SAPS II.

Indexed as

Cardiac Surgical ProceduresL-Lactate DehydrogenaseHumansLactatesPrognosisRetrospective StudiesLactatesL-Lactate DehydrogenaseCardiac surgeryComplicationsLactate dehydrogenaseMedical Information Mart for Intensive CareMortality

Identifiers

PMID36088306
PMCPMC9463775
OpenAlexW4295500604

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.