Evidence map›Paper›PMID 37907847›Full record

SynthesisBMC cardiovascular disorders2023

Impact of body mass index on perioperative mortality of acute stanford type A aortic dissection: a systematic review and meta-analysis.

Wenyu Song, Jiani Liu, Guowei Tu, Lulu Pan, Yixiang Hong, Lieyang Qin, Lai Wei, Jinmiao Chen

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC cardiovascular disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

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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

8 authors.

Wenyu Song *Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Jiani Liu *School of Public Health, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong, China.
Guowei TuCardiac Intensive Care Center, Zhongshan Hospital, Fudan University, Shanghai, China.
Lulu PanDepartment of Biostatistics, School of Public Health, Nanjing Medical University, Nanjing, China.
Yixiang HongDepartment of Biostatistics, Emory University, Atlanta, GA, USA.
Lieyang QinDepartment of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Lai WeiDepartment of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, China. wei.lai@zs-hospital.sh.cn.
Jinmiao ChenDepartment of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, China. chen.jinmiao@zs-hospital.sh.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity may increase perioperative mortality of acute Stanford type A aortic dissection (ATAAD). However, the available evidence was limited. This study aimed to systematically review published literatures about body mass index (BMI) and perioperative mortality of ATAAD.

methodsElectronic literature search was conducted in PubMed, Medline, Embase and Cochrane Library databases. All observational studies that investigated BMI and perioperative mortality of ATAAD were included. Pooled odds ratio (OR) and 95% confidence interval (CI) were calculated using a random-effects model. Meta-regression analysis was performed to assess the effects of different clinical variables on BMI and perioperative mortality of ATAAD. Sensitivity analysis was performed to determine the sources of heterogeneity. Egger's linear regression method and funnel plot were used to determine the publication bias.

resultsA total of 12 studies with 5,522 patients were eligible and included in this meta-analysis. Pooled analysis showed that perioperative mortality of ATAAD increased by 22% for each 1 kg/m

conclusionsBMI is closely associated with perioperative mortality of ATAAD. Optimal perioperative management needs to be further explored and individualized for obese patient with ATAAD, especially in elderly and female populations.

trial registrationPROSPERO (CRD42022358619). BMI and perioperative mortality of ATAAD.

Indexed as

Aortic DissectionObesityAgedBody Mass IndexFemaleHumansAcute Stanford type A aortic dissectionBody mass indexMeta-analysisPerioperative mortalitySystematic review

Identifiers

PMID37907847
PMCPMC10617194

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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.