Evidence map›Paper›PMID 37713048›Full record

ArticleJournal of cardiovascular translational research2023

Inflammatory profiles define phenotypes with clinical relevance in acute type A aortic dissection.

Hong-Lei Zhao, Zhi-Wei Tang, Yi-Fei Diao, Xiu-Fan Xu, Si-Chong Qian, Hai-Yang Li, Yong-Feng Shao, Sheng Zhao, Hong Liu, on the behalf of the Additive Anti-inflammatory Action for Aortopathy, Arteriopathy (5A) Investigators

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Journal of cardiovascular translational research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04398992 (Chinese Registry of Additive Anti-inflammatory Action for Aortopathy & Arteriopathy), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.6field-weighted citation impact, top 10% 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.

NCT04398992 recruitingnot on this map

Chinese Registry of Additive Anti-inflammatory Action for Aortopathy & Arteriopathy (5A) Protocol: Rationale, Design and Methodology

TypeobservationalSponsorNanjing Medical UniversityRan2016 to 2030Enrolled10,000ConditionsAcute Aortic SyndromeArmsobservation
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Article
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  5. Review
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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 2 institutions in 1 country.

Hong-Lei ZhaoDepartment of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, People's Republic of China.
Zhi-Wei TangDepartment of Cardiovascular Surgery, the First Affiliated Hospital of Nanjing Medical University, Guangzhou Road 300#, Nanjing, 210029, People's Republic of China.
Yi-Fei DiaoDepartment of Cardiovascular Surgery, the First Affiliated Hospital of Nanjing Medical University, Guangzhou Road 300#, Nanjing, 210029, People's Republic of China.
Xiu-Fan XuDepartment of Cardiovascular Surgery, the First Affiliated Hospital of Nanjing Medical University, Guangzhou Road 300#, Nanjing, 210029, People's Republic of China.
Si-Chong QianDepartment of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, People's Republic of China.
Hai-Yang LiDepartment of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, People's Republic of China.
Yong-Feng ShaoDepartment of Cardiovascular Surgery, the First Affiliated Hospital of Nanjing Medical University, Guangzhou Road 300#, Nanjing, 210029, People's Republic of China.
Sheng ZhaoDepartment of Cardiovascular Surgery, the First Affiliated Hospital of Nanjing Medical University, Guangzhou Road 300#, Nanjing, 210029, People's Republic of China.
Hong LiuDepartment of Cardiovascular Surgery, the First Affiliated Hospital of Nanjing Medical University, Guangzhou Road 300#, Nanjing, 210029, People's Republic of China. dr.hongliu@foxmail.com.ORCID 0000-0002-8143-0912
on the behalf of the Additive Anti-inflammatory Action for Aortopathy, Arteriopathy (5A) Investigators
Jiangsu Province Hospital · CNCapital Medical University · CN

Funding

Jiangsu Province Capability Improvement Project through Science, Technology and Education ZDXK202230
6 · The paper itself

Abstract

Association of distinct inflammatory profiles with short-term mortality is little known in type A aortic dissection (TAAD). Latent class analysis was used to identify distinct inflammatory profiles based on leukocyte, neutrophils, monocyte, lymphocytes, platelet, fibrinogen, D-dimer, neutrophils-lymphocyte ratio, platelet-lymphocyte ratio, and lymphocyte-monocyte ratio. We identified 193 patients with median age of 56 (IQR 47-63) years and 146 males. Patients were divided as hyper-inflammatory profiles (84 [43.5%]) and hypo-inflammatory profiles (109 [56.5%]). Although baseline characteristics were not different, hyper-inflammatory patients had higher 6-month mortality (20 [23.8%] vs. 11 [10.1%]; P = 0.014) and 30-day mortality (18 [21.4%] vs. 9 [8.3%], P = 0.009) than hypo-inflammatory patients. After adjustment for potential confounders, hyper-inflammatory profiles remain associated with higher risk of 6-month mortality than hypo-inflammatory profiles (adjusted OR 2.427 [95%CI 1.154, 5.105], P = 0.019). Assessment of preoperative inflammatory profiles adds clarity regarding the extent of inflammatory response to TAAD aetiopathologies, highlighting individual anti-inflammatory pharmacotherapy for TAAD. ClinicalTrials.gov Identifier: NCT04398992.

Indexed as

Aortic DissectionClinical RelevanceAzidesDeoxyglucoseHumansLymphocytesMaleMiddle AgedPhenotypeRetrospective Studies1,3,4,6-tetra-O-acetyl-2-azido-2-deoxyglucopyranoseAzidesDeoxyglucoseInflammatory responseLatent class analysisMortalityType A aortic dissection

Identifiers

PMID37713048
OpenAlexW4386758378

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.