Evidence map›Paper›PMID 37240571›Full record

ArticleJournal of clinical medicine2023

Thromboembolic Complications in Adult Patients Following Fontan Procedure-A Multicenter Study.

Maciej Skubera, Aleksandra Gołąb, Tomasz Sternalski, Olga Trojnarska, Dariusz Plicner, Monika Smaś-Suska, Anna Mazurek-Kula, Agnieszka Bartczak-Rutkowska, Jacek Pająk, Piotr Podolec and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 29% 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, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  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

11 authors at 5 institutions in 1 country.

Maciej SkuberaDepartment of Cardiac and Vascular Diseases, John Paul II Hospital, 31-202 Krakow, Poland.
Aleksandra GołąbFaculty of Medicine and Dentistry, Pomeranian Medical University in Szczecin, 70-204 Szczecin, Poland.ORCID 0000-0003-4773-7512
Tomasz SternalskiFaculty of Medicine, Collegium Medicum Jagiellonian University, 31-008 Krakow, Poland.ORCID 0000-0002-6166-3460
Olga Trojnarska1st Department of Cardiology, Poznan University of Medical Sciences, 61-701 Poznan, Poland.
Dariusz PlicnerDepartment of Cardiovascular Surgery and Transplantation, John Paul II Hospital, 31-202 Krakow, Poland.ORCID 0000-0002-3687-512X
Monika Smaś-SuskaDepartment of Liver Diseases, John Paul II Hospital, 31-202 Krakow, Poland.
Anna Mazurek-KulaDepartment of Cardiology, Polish Mother's Memorial Hospital, Research Institute, 93-338 Lodz, Poland.
Agnieszka Bartczak-Rutkowska1st Department of Cardiology, Poznan University of Medical Sciences, 61-701 Poznan, Poland.ORCID 0000-0002-6607-9191
Jacek PająkInstitute of Medical Sciences, Department of Surgery, Medical College of Rzeszow University, 35-025 Rzeszow, Poland.ORCID 0000-0002-0138-411X
Piotr PodolecDepartment of Cardiac and Vascular Diseases, John Paul II Hospital, 31-202 Krakow, Poland.
Lidia Tomkiewicz-PająkDepartment of Cardiac and Vascular Diseases, John Paul II Hospital, 31-202 Krakow, Poland.
John Paul II Hospital · PLJagiellonian University · PLPoznan University of Medical Sciences · PLPolish Mother’s Memorial Hospital Research Institute · PLUniversity of Rzeszów · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMorbidity and mortality following Fontan (FO) surgery are primarily thromboembolic in nature. However, follow-up data regarding thromboembolic complications (TECs) in adult patients after FO procedure are inconsistent. In this multicenter study, we investigated the incidence of TECs in FO patients.

methodsWe studied 91 patients who underwent FO procedure. Clinical data, laboratory, and imaging investigations were collected prospectively during the scheduled medical appointments in 3 Adult Congenital Heart Disease Departments in Poland. TECs were recorded during a median follow-up of 31 months.

resultsFour patients (4.4%) were lost to follow-up. The mean age of patients was 25.3 (±6.0) years at enrollment, and the mean time between FO operation and investigation was 22.1 (±5.1) years. A total of 21 out of 91 patients (23.1%) had a history of 24 TECs since an FO procedure, mainly pulmonary embolism (PE;

conclusionsThis prospective study shows that TECs are common in FO patients, and a significant number of these events occur during adolescence and young adulthood. We also indicated how much TECs are underestimated in the growing adult FO population. The complexity of the problem requires more studies, especially to standardize the prevention of TECs in the whole FO population.

Indexed as

follow-upFontan procedurethromboembolic complications

Identifiers

PMID37240571
PMCPMC10219158
OpenAlexW4378516499

What OpenQuestion holds

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LicenceCC BY
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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.