Evidence map›Paper›PMID 37318422›Full record

ArticleJACC. Heart failure2023

Pulmonary Artery Catheter Use and Mortality in the Cardiac Intensive Care Unit.

Bernard S Kadosh, David D Berg, Erin A Bohula, Jeong-Gun Park, Vivian M Baird-Zars, Carlos Alviar, James Alzate, Christopher F Barnett, Gregory W Barsness, James Burke and 31 more

Registry-linked trialOpen access · greenAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in JACC. Heart failure, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07062744 (The Role of Swan-Ganz Catheter in Hemodynamic Resuscitation for Patients With Cardiogenic Shock), which is not on this map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
29.5field-weighted citation impact, top 1% 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.

NCT07062744 narecruitingnot on this mapstarted 2025, after this paper: background citation

The Role of Swan-Ganz Catheter in Hemodynamic Resuscitation for Patients With Cardiogenic Shock

TypeinterventionalSponsorBach Mai HospitalRan2025 to 2027Enrolled108ConditionsCardiogenic Shock, Pulmonary Artery Catheter Waveform Interpretation, Hemodynamic Management, Hemodynamic OptimizationArmsSwan-Ganz IQ Pulmonary Arterial catheter, Swan-Ganz IQ catheter
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 93 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

41 authors at 20 institutions in 2 countries.

Bernard S KadoshLeon H. Charney Division of Cardiology, New York University Grossman School of Medicine, New York University Langone Health, New York, New York, USA; Lenox Hospital, Northwell Health, New York, New York, USA. Electronic address: bernard.kadosh@nyulangone.org.
David D BergLevine Cardiac Intensive Care Unit, TIMI Study Group, Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Erin A BohulaLevine Cardiac Intensive Care Unit, TIMI Study Group, Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Jeong-Gun ParkLevine Cardiac Intensive Care Unit, TIMI Study Group, Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Vivian M Baird-ZarsLevine Cardiac Intensive Care Unit, TIMI Study Group, Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Carlos AlviarDepartment of Medicine at New York University Grossman School of Medicine, Bellevue Hospital, New York, New York, USA.
James AlzateLenox Hospital, Northwell Health, New York, New York, USA.
Christopher F BarnettDivision of Cardiology, Department of Medicine, University of California San Francisco, San Francisco, California, USA.
Gregory W BarsnessDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
James BurkeLehigh Valley Heart Institute, Allentown, Pennsylvania, USA.
Sunit-Preet ChaudhrySaint Vincent Heart Center, Indianapolis, Indiana, USA.
Lori B DanielsDivision of Cardiovascular Medicine, Department of Medicine, University of California, San Diego, La Jolla, California, USA.
Andrew DeFilippisCardiovascular Division, Vanderbilt University, Tennessee, USA.
Anthony DelicceLenox Hospital, Northwell Health, New York, New York, USA.
Christopher B FordyceUniversity of British Columbia, University of British Columbia Centre for Cardiovascular Innovation, Cardiovascular Health Program, University of British Columbia Centre for Health Evaluation and Outcomes Sciences, Vancouver, British Columbia, Canada.
Shahab GhafghaziDivision of Cardiovascular Medicine, University of Louisville, Louisville, Kentucky, USA.
Umesh GidwaniDepartment of Critical Care Medicine, Icahn School of Medicine at Mount Sinai, The Mount Sinai Hospital, New York, New York, USA.
Michael GoldfarbDivision of Cardiology, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
Jason N KatzDivision of Cardiology, Duke University School of Medicine, Durham, North Carolina, USA.
Ellen C KeeleyDivision of Cardiology, Department of Medicine, University of Florida, Gainesville, Florida, USA.
Benjamin KenigsbergDepartments of Cardiology and Critical Care Medicine, MedStar Washington Hospital Center, Washington, DC, USA.
Michael C KontosDivision of Cardiology, Virginia Commonwealth University, Richmond, Virginia, USA.
Patrick R LawlerPeter Munk Cardiac Centre, Toronto General Hospital, University of Toronto, Ontario, Canada.
Evan LeibnerDepartment of Critical Care Medicine, Icahn School of Medicine at Mount Sinai, The Mount Sinai Hospital, New York, New York, USA; Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, The Mount Sinai Hospital, New York, New York, USA.
Venu MenonCardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Thomas S MetkusDivisions of Cardiology and Cardiac Surgery, Departments of Medicine and Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
P Elliott MillerDepartment of Cardiovascular Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Connor G O'BrienDivision of Cardiology, Department of Medicine, University of California San Francisco, San Francisco, California, USA.
Alexander I PapolosDepartments of Cardiology and Critical Care Medicine, MedStar Washington Hospital Center, Washington, DC, USA.
Rajnish PrasadWellstar Cardiovascular Medicine, Marietta, Georgia, USA.
Kevin S ShahUniversity of Utah Health Sciences Center, Salt Lake City, Utah, USA.
Shashank S SinhaInova Heart and Vascular Institute, Inova Fairfax Medical Center, Falls Church, Virginia, USA.
R Jeffrey SnellRush University Medical Center, Chicago, Illinois, USA.
Derek SoUniversity of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Michael A SolomonCritical Care Medicine Department, National Institutes of Health Clinical Center and Cardiovascular Branch, National Heart, Lung, and Blood Institute of the National Institutes of Health, Bethesda, Maryland, USA.
Bradley W TernusDivision of Cardiology, Department of Internal Medicine, University of Wisconsin, Madison, Wisconsin, USA.
Jeffrey J TeutebergDivision of Cardiovascular Medicine, Stanford University Medical Center, Palo Alto, California, USA.
Joseph TooleLenox Hospital, Northwell Health, New York, New York, USA.
Sean van DiepenDivision of Cardiology, Department of Critical Care Medicine, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
David A MorrowLevine Cardiac Intensive Care Unit, TIMI Study Group, Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Robert O RoswellLenox Hospital, Northwell Health, New York, New York, USA.
Brigham and Women's Hospital · USNorthwell Health · USJewish General Hospital · CAMedStar Washington Hospital Center · USMount Sinai Hospital · USUniversity of Louisville · USBellevue Hospital Center · USCleveland Clinic · USDuke University · USInova Fairfax Hospital · USJohns Hopkins University · USLehigh Valley Hospital-Pocono · USMayo Clinic · USRush University Medical Center · USStanford Medicine · USSt Vincent Hospital · USUniversity of Alberta · CAUniversity of British Columbia · CAUniversity of California San Diego · USUniversity of California, San Francisco · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
An Observational Study of Cardiac Critical Care Management in Multidisciplinary and Cardiac Intensive Care UnitsZIACL009027 · CLC · CLINICAL CENTER · PI SOLOMON, MICHAEL · 2018 to 2025
$0k
Intramural NIH HHS Z99 CL999999Intramural NIH HHS ZIA CL009027NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundThe appropriate use of pulmonary artery catheters (PACs) in critically ill cardiac patients remains debated.

objectivesThe authors aimed to characterize the current use of PACs in cardiac intensive care units (CICUs) with attention to patient-level and institutional factors influencing their application and explore the association with in-hospital mortality.

methodsThe Critical Care Cardiology Trials Network is a multicenter network of CICUs in North America. Between 2017 and 2021, participating centers contributed annual 2-month snapshots of consecutive CICU admissions. Admission diagnoses, clinical and demographic data, use of PACs, and in-hospital mortality were captured.

resultsAmong 13,618 admissions at 34 sites, 3,827 were diagnosed with shock, with 2,583 of cardiogenic etiology. The use of mechanical circulatory support and heart failure were the patient-level factors most strongly associated with a greater likelihood of the use of a PAC (OR: 5.99 [95% CI: 5.15-6.98]; P < 0.001 and OR: 3.33 [95% CI: 2.91-3.81]; P < 0.001, respectively). The proportion of shock admissions with a PAC varied significantly by study center ranging from 8% to 73%. In analyses adjusted for factors associated with their placement, PAC use was associated with lower mortality in all shock patients admitted to a CICU (OR: 0.79 [95% CI: 0.66-0.96]; P = 0.017).

conclusionsThere is wide variation in the use of PACs that is not fully explained by patient level-factors and appears driven in part by institutional tendency. PAC use was associated with higher survival in cardiac patients with shock presenting to CICUs. Randomized trials are needed to guide the appropriate use of PACs in cardiac critical care.

Indexed as

Heart FailurePulmonary ArteryCathetersHospitalizationHospital MortalityHumansIntensive Care Unitscardiac intensive carepulmonary artery cathetershock

Identifiers

PMID37318422
PMCPMC10527413
OpenAlexW4380730514

What OpenQuestion holds

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Registered trials

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.