Evidence map›Paper›PMID 36658589›Full record

ArticleThrombosis journal2023

Sex-specific associations between systolic, diastolic and pulse pressure and hemostatic parameters in the population-based KORA-Fit study: a cross-sectional study.

J Vogel von Falckenstein, D Freuer, A Peters, M Heier, J Linseisen, C Meisinger

Open access · goldAbstract read
In one paragraph

Article in Thrombosis journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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 3 institutions in 1 country.

J Vogel von FalckensteinEpidemiology, Faculty of Medicine, University of Augsburg, University Hospital of Augsburg, 86156, Augsburg, Germany.
D FreuerEpidemiology, Faculty of Medicine, University of Augsburg, University Hospital of Augsburg, 86156, Augsburg, Germany.
A PetersHelmholtz Zentrum München, Institute for Epidemiology, Ingolstädter Landstr. 1, 85764, Neuherberg, Germany.
M HeierHelmholtz Zentrum München, Institute for Epidemiology, Ingolstädter Landstr. 1, 85764, Neuherberg, Germany.
J LinseisenEpidemiology, Faculty of Medicine, University of Augsburg, University Hospital of Augsburg, 86156, Augsburg, Germany.
C MeisingerEpidemiology, Faculty of Medicine, University of Augsburg, University Hospital of Augsburg, 86156, Augsburg, Germany. christine.meisinger@med.uni-augsburg.de.ORCID http://orcid.org/0000-0002-9026-6544
University of Augsburg · DEHelmholtz Zentrum München · DEUniversity Hospital Augsburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral prior studies postulated an effect of hypertension on coagulation factors. However, population-based studies investigating the sex-specific associations between hypertension and hemostatic parameters are scarce. Therefore, we investigated the relationship between blood pressure and parameters of coagulation, namely activated partial thromboplastin time (aPTT), international normalized ratio (INR), fibrinogen, factor VIII, antithrombin III, protein C, protein S, and D-dimer in men and women from the general population.

methodsBased on 803 participants (376 men, 427 women) from the KORA-Fit Study the sex-specific relationship between systolic, diastolic, and pulse pressure and commonly measured coagulation factors were investigated using multivariable-adjusted linear regression models.

resultsHypertensive males had significantly higher median fibrinogen levels and factor VIII activity in comparison to normotensive males. There was a statistically significant difference between females with and without hypertension regarding the parameter fibrinogen, D-dimers, Protein S activity, and factor VIII activity. In multivariable linear regression analyses no significant association between systolic blood pressure, diastolic blood pressure, as well as pulse pressure and the investigated hemostatic parameters was found in men. In women, a significant positive association could be observed between systolic blood pressure and D-dimer level [β-estimate per mmHg increase 3.37 (95% CI 0.935-5.804; p = 0.007)] and between pulse pressure and D-dimer level [β-estimate per mmHg increase 5.351 (95% CI 1.772-8.930; p = 0.003)].

conclusionsIt appears that sex differences exist in the association between blood pressure parameters and commonly measured coagulation markers in the general population. Further studies are needed to identify the underlying causes.

Indexed as

Blood pressureCoagulationGeneral populationHypertensionKORA study

Identifiers

PMID36658589
PMCPMC9850515
OpenAlexW4317506517

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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.