Evidence map›Paper›PMID 36590732›Full record

ArticleJTCVS open2022

Outcomes of total anomalous pulmonary venous drainage repair in neonates and the impact of pulmonary hypertension on survival.

Antonia Schulz, Damien M Wu, Shuta Ishigami, Edward Buratto, Duncan MacGregor, Matthew S Yong, Yaroslav Ivanov, Roberto Chiletti, Christian P Brizard, Igor E Konstantinov

Open access · goldAbstract read
In one paragraph

Article in JTCVS open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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  3. Article
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  5. 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

10 authors at 3 institutions in 1 country.

Antonia SchulzDepartment of Cardiothoracic Surgery, Royal Children's Hospital, Melbourne, Australia.
Damien M WuDepartment of Cardiothoracic Surgery, Royal Children's Hospital, Melbourne, Australia.
Shuta IshigamiDepartment of Cardiothoracic Surgery, Royal Children's Hospital, Melbourne, Australia.
Edward BurattoDepartment of Cardiothoracic Surgery, Royal Children's Hospital, Melbourne, Australia.
Duncan MacGregorDepartment of Anatomical Pathology, Royal Children's Hospital, Melbourne, Australia.
Matthew S YongDepartment of Cardiothoracic Surgery, Royal Children's Hospital, Melbourne, Australia.
Yaroslav IvanovDepartment of Cardiothoracic Surgery, Royal Children's Hospital, Melbourne, Australia.
Roberto ChilettiDepartment of Paediatric Intensive Care, Royal Children's Hospital, Melbourne, Australia.
Christian P BrizardDepartment of Cardiothoracic Surgery, Royal Children's Hospital, Melbourne, Australia.
Igor E KonstantinovDepartment of Cardiothoracic Surgery, Royal Children's Hospital, Melbourne, Australia.
Royal Children's Hospital · AUMurdoch Children's Research Institute · AUUniversity of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Mortality after repair of total anomalous pulmonary venous drainage (TAPVD) in neonates has remained high. Analysis of risk factors may help identify therapeutic targets to improve survival. Methods: Retrospective analysis of all neonates who underwent simple TAPVD repair. Results: Between 1973 and 2021, 175 neonates underwent TAPVD repair, at a median age of 6 days (interquartile range, 2-15 days) and a mean weight of 3.2 ± 0.6 kg. TAPVD was supracardiac in 42.3% of the patients (74 of 175), cardiac in 14.3% (25 of 175), infracardiac in 40% (70 of 175), and mixed type in 3.4% (6 of 175), with obstruction in 65.7% (115 of 175). Pulmonary hypertension (PHT) crisis occurred in 12% (21 of 175). Early mortality was 9.7% (17 of 175) and late mortality was 5.1% (8 of 158), with most deaths occurring within 1 year (75%; 6 of 8). Survival was 86.5% (95% CI, 80.3%-90.8%) at 1 year and 85.8% (95% CI, 79.6%-90.3%) at 5, 10, 15, and 20 years. Survival was lower in patients with obstructed TAPVD, patients with emergent surgery, and those with PHT crisis. PHT crisis (hazard ratio [HR], 4.93; 95% CI, 1.95-12.51; Conclusions: Mortality after TAPVD repair occurred mainly within the first year of life. Urgency of surgery and persistent PHT appears to be risk factors for mortality. Lung biopsy might be useful for identifying patients at risk and guiding newer treatment modalities.

Indexed as

ECMO, extracorporeal membrane oxygenationHI, hemodynamic indexHR, hazard ratioIQR, interquartile rangeMAP, mean systemic arterial pressureneonatal repairPAH, pulmonary arterial hypertensionPAP, mean pulmonary arterial pressurePHT, pulmonary hypertensionpulmonary arterial hypertensionTAPVCTAPVDTAPVD, total anomalous pulmonary venous drainageTAPVRtotal anomalous pulmonary venous connection

Identifiers

PMID36590732
PMCPMC9801291
OpenAlexW4302774004

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.