Evidence map›Paper›PMID 38831637›Full record

ArticleESC heart failure2024

Platelet count in heart failure patients undergoing left ventricular assist device.

Jun Luo, Zhenhan Li, Yuxiang Luo, Tong Li, Rui Shi, Dan Chen, Qingchen Wu, Suxin Luo, Bi Huang, Hongtao Tie

Abstract readMulticenter Study
In one paragraph

Article in ESC heart failure, 2024. 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
–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

2 citing papers in PubMed.

  1. Fibrosis 4 Index Predicts Haemocompatibility-Related Adverse Events in Patients Using Left Ventricular Assist Devices.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025
    Article
  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

10 authors.

Jun LuoDepartment of Cardiothoracic Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Zhenhan LiDepartment of Endocrinology, Chongqing Traditional Chinese Medicine Hospital, Chongqing, China.
Yuxiang LuoDepartment of Cardiothoracic Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Tong LiDepartment of Cardiac Surgery, Heinrich-Heine-University Medical School, Duesseldorf, Germany.
Rui ShiDepartment of Critical Care Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Dan ChenDepartment of Cardiothoracic Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Qingchen WuDepartment of Cardiothoracic Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Suxin LuoDepartment of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Bi HuangDepartment of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Hongtao TieDepartment of Cardiothoracic Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Funding

Maintenance After Initiation of Nutrition TrAINing (MAINTAIN)I01HX000690 · VA · DURHAM VA MEDICAL CENTER · PI VOILS, CORRINE IONE, YANCY, WILLIAM S. · 2013 to 2013
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Chongqing Municipal Science and Health Joint Medical Research Project 2023QNXM002Chongqing Natural Science Foundation CSTB2022NSCQ-BHX0690Chongqing Postdoctoral Innovative Talents Support Program Fund CQBX202212CQMU Program for Youth Innovation in Future Medicine W0153CQMU Young Outstanding Scientific and Technological Talents Program ZYRC2022-04HSRD VA I01 HX000690Natural Science Foundation of Chongqing, China CSTB2022NSCQ-MSX0840
6 · The paper itself

Abstract

aimsLeft ventricular assist device (LVAD) implantation, a therapy for end-stage heart failure, is associated with platelet (PLT) activation. This study aims to evaluate the prognostic impact of PLT count in patients with LVAD implantation. METHODS AND

resultsData from the Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) registry were investigated, and patients were divided into three groups according to tertiles. The dynamic change of PLT counts and its associations with long-term outcomes were analysed. The primary outcome was long-term mortality. A total of 19 517 patients who received the first continuous-flow LVAD were identified from the INTERMACS registry. The PLT count underwent a dynamic change towards normalization after LVAD implantation. Compared with intermediate, both high (hazard ratio [HR], 1.09, 95% confidence interval [CI]: 1.01 to 1.17, P = 0.033) and low (HR, 1.18, 95% CI: 1.10 to 1.27, P < 0.001) pre-implant PLT counts were associated with an increased risk of 2 year mortality. Compared with intermediate, a high post-implant PLT count was associated with an increased risk of 4 year mortality (HR, 1.38, 95% CI: 1.26 to 1.52, P < 0.001). Besides, both pre- and post-implant PLT counts exhibit a U-shaped association with the risk of mortality.

conclusionsLVAD implantation could improve the PLT count towards normalization. Abnormal pre-/post-implant PLT counts were independently associated with increased risks of long-term mortality.

Indexed as

Heart-Assist DevicesHeart FailureRegistriesAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedPlatelet CountPrognosisRetrospective StudiesSurvival RateTime Factorsleft ventricular assist devicelong‐term outcomesplatelet countrisk stratification

Identifiers

PMID38831637
PMCPMC11424294

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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.