Evidence map›Paper›PMID 36354787›Full record

ArticleJournal of cardiovascular development and disease2022

A New Definition of Thrombocytopenia Following Transcatheter Aortic Valve Implantation: Incidence, Outcome, and Predictors.

Francesco Pollari, Stine Horna, Magnus Rottmann, Christian Langhammer, Thomas Bertsch, Theodor Fischlein

Open access · goldAbstract read
In one paragraph

Article in Journal of cardiovascular development and disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 38% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

6 authors at 1 institution in 1 country.

Francesco PollariCardiac Surgery, Cardiovascular Department, Klinikum Nürnberg-Paracelsus Medical University, 90480 Nuremberg, Germany.ORCID 0000-0003-1729-532X
Stine HornaCardiac Surgery, Cardiovascular Department, Klinikum Nürnberg-Paracelsus Medical University, 90480 Nuremberg, Germany.
Magnus RottmannCardiac Surgery, Cardiovascular Department, Klinikum Nürnberg-Paracelsus Medical University, 90480 Nuremberg, Germany.
Christian LanghammerLaboratory Medicine and Transfusion Medicine, Institute of Clinical Chemistry, Klinikum Nürnberg-Paracelsus Medical University, 90480 Nuremberg, Germany.
Thomas BertschLaboratory Medicine and Transfusion Medicine, Institute of Clinical Chemistry, Klinikum Nürnberg-Paracelsus Medical University, 90480 Nuremberg, Germany.
Theodor FischleinCardiac Surgery, Cardiovascular Department, Klinikum Nürnberg-Paracelsus Medical University, 90480 Nuremberg, Germany.
Nuremberg Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The aim of this study was to assess the incidence, outcomes, and risk factors associated with thrombocytopenia following TAVI according to a corrected platelet count (CPC), to avoid the bias of hemodilution/concentration. Methods: We analyzed patients who underwent TAVI in our center between 2009 and 2018. The study population were divided into three groups: none (NT), mild (MT), and severe (ST) postoperative thrombocytopenia. Primary outcomes were bleedings, length of hospital stay, and mortality. A multivariate logistic regression was performed to assess risk factors for ST. Results: A total of 907 patients were included in the analysis. MT was observed in 28.1% and ST in 2.6% of all patients. The following clinical outcomes were recorded: incidence of life-threatening and major bleeding (NT = 14.2%, MT = 20.8%, ST = 58.3%), the median length of hospital stay (NT = 8, MT = 10, ST = 14 days), in-hospital mortality (NT = 3.9%, MT = 6.3%, ST = 16.7%), and the overall significance in comparison with NT (p < 0.05). The logistic regression showed ST was associated with preoperative CPC, transapical access, diabetes mellitus, and the critical preoperative state. Conclusions: Worse clinical outcomes are associated with both MT and ST after TAVI. In particular, ST is associated with higher in-hospital and 30-day mortality. Management of modifiable baseline and procedural variables may improve this outcome.

Indexed as

aortic valve diseaseblood disordersTAVITAVRthrombocytopenia

Identifiers

PMID36354787
PMCPMC9697985
OpenAlexW4308770636

What OpenQuestion holds

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LicenceCC BY
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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.