Evidence map›Paper›PMID 36787036›Full record

ArticleClinical rheumatology2023

Associations of microcirculation damage on nailfold capillaroscopy with supra-aortic severe ischemic events in patients with Takayasu arteritis.

Li Wang, Huiyong Chen, Zhenqi Ding, Lingying Ma, Ying Sun, Lindi Jiang

Abstract read
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In one paragraph

Article in Clinical rheumatology, 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
0.8field-weighted citation impact, top 26% 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. Review
4 · The record

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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.

Li Wang *Department of Rheumatology, Zhongshan Hospital Fudan University, Shanghai, 200032, China.
Huiyong Chen *Department of Rheumatology, Zhongshan Hospital Fudan University, Shanghai, 200032, China.
Zhenqi DingDepartment of Rheumatology, Zhongshan Hospital Fudan University, Shanghai, 200032, China.
Lingying MaDepartment of Rheumatology, Zhongshan Hospital Fudan University, Shanghai, 200032, China.
Ying SunDepartment of Rheumatology, Zhongshan Hospital Fudan University, Shanghai, 200032, China. tingdeguan@163.com.ORCID https://orcid.org/0000-0002-3004-0105
Lindi JiangDepartment of Rheumatology, Zhongshan Hospital Fudan University, Shanghai, 200032, China. zsh-rheum@hotmail.com.ORCID http://orcid.org/0000-0001-5125-6178
Fudan University · CN

Funding

Clinical Cultivation Project of Shanghai Shenkang Science and Technology Development Center SHDC12019X05Clinical Research Project of Zhongshan Hospital No. 2020ZSLC14Shanghai Science and Technology Commission 21Y11909100the Smart Healthcare Project of Zhongshan Hospital No. 2020ZHZS11
6 · The paper itself

Abstract

objectiveTo evaluate the clinical characteristics and nailfold microcirculation and explore the associations with severe ischemic events (SIEs) in Takayasu arteritis (TA) with supra-aortic involvement.

methodsEighty-one patients with supra-aortic artery involvement who underwent nailfold video-capillaroscopy (NVC) of their hands were enrolled from the East China TA (ECTA) cohort between August and December 2021. Clinical features and capillaroscopy variables associated with supra-aortic SIEs were analyzed by multivariate logistic regression.

resultsOverall, 71 patients were female, and 42 experienced supra-aortic SIEs, among whom there was a higher prevalence of hypertension and the number of supra-aortic artery stenosis (P = 0.005, and 0.003, respectively). Furthermore, intergroup differences in capillary density (P < 0.001) and minor morphology abnormalities (P < 0.001) were significant. After adjustment for all confounders, multivariate logistic regression revealed hypertension (odds ratio [OR]: 7.3, 95% confidence interval [CI]: 1.6-33.7, P = 0.011), the number of supra-aortic arteries stenosis (≥4, OR: 6.8, 95% CI: 1.4-34.6, P = 0.020), capillary density (≤7.2/mm, OR: 43.0, 95% CI: 7.0-264.6, P < 0.001) and minor abnormalities (OR: 34.2, 95% CI: 3.6-325.1; P = 0.002) were independent risk factors for supra-aortic SIEs. capillary density (≤7.2/mm) and minor abnormalities or combined with at least two of the three items in the matrix model showed the probability of supra-aortic SIEs was 61.2-87.6%.

conclusionDecreased capillary density and morphologic abnormalities indicated that hypoperfusion was more likely to be observed in supra-aortic SIEs patients. Combined NVC indicators could be instrumental for early identification of supra-aortic SIEs. Key Points • Minor morphological abnormalities and hemorrhages were only observed in supra-aortic SIEs patients. • Capillaroscopic density and minor morphological abnormalities or combined with at least two of the three items in the matrix model showed the probability occurrence of supra-aortic SIEs was 61.2-87.6%.

Indexed as

HypertensionTakayasu ArteritisCapillariesConstriction, PathologicFemaleHumansMaleMicrocirculationMicroscopic AngioscopyNailsCapillaroscopySevere ischemic eventsSupra-aortic involvementTakayasu arteritis

Identifiers

PMID36787036
OpenAlexW4320709937

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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.