Evidence map›Paper›PMID 38993588›Full record

ArticleWorld journal of cardiology2024

Impact of D-dimer on in-hospital mortality following aortic dissection: A systematic review and meta-analysis.

Sashwath Srikanth, Shabnam Abrishami, Lakshmi Subramanian, Ashwini Mahadevaiah, Ankit Vyas, Akhil Jain, Sangeetha Nathaniel, Subramanian Gnanaguruparan, Rupak Desai

Abstract read
In one paragraph

Article in World journal of cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

9 authors.

Sashwath SrikanthDepartment of Medicine, ECU Health Medical Center, Greenville, NC 27834, United States.
Shabnam AbrishamiDepartment of Research, Independent Outcomes Research, Los Angeles, CA 90036, United States.
Lakshmi SubramanianDepartment of Medicine, ECU Health Medical Center, Greenville, NC 27834, United States.
Ashwini MahadevaiahHarvard T. H. Chan School of Public Health, Harvard University, Boston, MA 02115, United States.
Ankit VyasDepartment of Vascular Medicine, Ochsner Clinic Foundation, New Orleans, LA 70121, United States.
Akhil JainDepartment of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX 77079, United States.
Sangeetha NathanielDepartment of Cardiology, Heart and Vascular Clinic, Newark, DE 19713, United States.
Subramanian GnanaguruparanDepartment of Cardiology, Heart and Vascular Clinic, Newark, DE 19713, United States. sguruparan@yahoo.com.
Rupak DesaiIndependent Researcher, Atlanta, GA 30079, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe utility of D-dimer (DD) as a biomarker for acute aortic dissection (AD) is recognized. Yet, its predictive value for in-hospital mortality remains uncertain and subject to conflicting evidence.

aimTo conduct a meta-analysis of AD-related in-hospital mortality (ADIM) with elevated DD levels.

methodsWe searched PubMed, Scopus, Embase, and Google Scholar for AD and ADIM literature through May 2022. Heterogeneity was assessed using

resultsThirteen studies (3628 patients) were included in our study. The pooled prevalence of ADIM was 20% (95%CI: 15%-25%). Despite comparable demographic characteristics and comorbidities, elevated DD values were associated with higher ADIM risk (unadjusted effect size: 1.94, 95%CI: 1.34-2.8; adjusted effect size: 1.12, 95%CI: 1.05-1.19,

conclusionOur meta-analysis shows elevated DD increases in-hospital mortality risk in AD patients, highlighting the need for larger, prospective studies to improve risk prediction models.

Indexed as

Aortic dissectionBiomarkerD-dimerMeta-analysisMortalitySystematic review

Identifiers

PMID38993588
PMCPMC11235203

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