Evidence map›Paper›PMID 37814710›Full record

ArticleTranslational pediatrics2023

Plasma proteoglycan 4: a novel biomarker for acute lung injury after pediatric cardiac surgery.

Ahmed Asfari, Erica A Doyle, Gregory D Jay, Natalia Aristizabal, Ananya Manchikalapati, A K M Fazlur Rahman, Kristal M Hock, Santiago Borasino, Namasivayam Ambalavanan, Tannin A Schmidt and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Translational pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 30% 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, 8 citations in OpenAlex.

  1. Article
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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

11 authors at 3 institutions in 1 country.

Ahmed AsfariSection of Cardiac Critical Care, Division of Cardiology, Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AL, USA.
Erica A DoyleBiomedical Engineering Department, School of Dental Medicine, UConn Health, Farmington, CT, USA.
Gregory D JayDepartment of Emergency Medicine, Warren Alpert Medical School, Brown University, Providence, RI, USA.
Natalia AristizabalSchool of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Ananya ManchikalapatiDivision of Critical Care, Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AL, USA.
A K M Fazlur RahmanDepartment of Biostatistics, University of Alabama at Birmingham, Birmingham, AL, USA.
Kristal M HockSection of Cardiac Critical Care, Division of Cardiology, Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AL, USA.
Santiago BorasinoSection of Cardiac Critical Care, Division of Cardiology, Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AL, USA.
Namasivayam AmbalavananDivision of Neonatology, Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AL, USA.
Tannin A SchmidtBiomedical Engineering Department, School of Dental Medicine, UConn Health, Farmington, CT, USA.
Leslie A RhodesSection of Cardiac Critical Care, Division of Cardiology, Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AL, USA.
University of Alabama at Birmingham · USUConn Health · USBrown University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Identification of biological molecules related to post cardiopulmonary bypass (CPB) lung injury could help diagnose, predict and potentially impact patient's clinical course after cardiac surgery. Proteoglycan 4 (PRG4) initially identified as potential biomarker for patients with prolonged mechanical ventilation following CPB in a prior study. To further validate these findings, we sought to understand the association of lower plasma PRG4 with prolonged mechanical ventilation and worse lung compliance in a larger cohort of pediatric patients post CPB. Methods: Retrospective chart review study. Pediatric Cardiac Intensive Care Unit, Tertiary Hospital. Infants <1 year old with tetralogy of Fallot, ventricular septal defect, or atrioventricular septal defect who underwent surgical repair 2012-2020 and had stored plasma samples in our biorepository were screened for inclusion. Patients with mechanical ventilation before surgery were excluded. Patients were divided into quartiles based on postoperative duration of mechanical ventilation (control <25 Results: Study group had lower lung compliance, higher mean airway pressure and higher oxygen need postoperative when compared to control group. Plasma PRG4 levels before surgery and 48 hours postoperative were lower in study group compared to control group (P=0.0232 preoperative; P=0.0016 postoperative). Plasma PRG4 levels were compared preoperative to PRG4 levels postoperative in both group, there was no statistically significant difference (study group: P=0.0869; control group: P=0.6500). Conclusions: Lower levels of plasma PRG4 is associated with longer duration of mechanical ventilation, worse ventilator compliance and higher oxygen requirement after cardiac surgery in our patient population. Further validation of this finding in a larger and more diverse patient population is necessary prior to its application at the bedside.

Indexed as

Acute lung injury (ALI)biomarkersinfantspediatric cardiac surgeryproteoglycan 4 (PRG4)

Identifiers

PMID37814710
PMCPMC10560364
OpenAlexW4386749764

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.