Evidence map›Paper›PMID 39104950›Full record

ArticleERJ open research2024

Prognostic role of haemodynamics at follow-up in patients with pulmonary arterial hypertension: a challenge to current European Society of Cardiology/European Respiratory Society risk tools.

Fabio Dardi, Daniele Guarino, Alberto Ballerini, Riccardo Bertozzi, Federico Donato, Francesco Cennerazzo, Monica Salvi, Elena Nardi, Ilenia Magnani, Alessandra Manes and 2 more

Abstract read
In one paragraph

Article in ERJ open research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 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

12 authors.

Fabio DardiCardiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.ORCID https://orcid.org/0000-0001-9611-6021
Daniele GuarinoDipartimento DIMEC (Dipartimento di scienze mediche e chirurgiche), Università di Bologna, Bologna, Italy.
Alberto BalleriniDipartimento DIMEC (Dipartimento di scienze mediche e chirurgiche), Università di Bologna, Bologna, Italy.
Riccardo BertozziDipartimento DIMEC (Dipartimento di scienze mediche e chirurgiche), Università di Bologna, Bologna, Italy.ORCID https://orcid.org/0009-0001-2851-8712
Federico DonatoDipartimento DIMEC (Dipartimento di scienze mediche e chirurgiche), Università di Bologna, Bologna, Italy.
Francesco CennerazzoDipartimento DIMEC (Dipartimento di scienze mediche e chirurgiche), Università di Bologna, Bologna, Italy.
Monica SalviDipartimento DIMEC (Dipartimento di scienze mediche e chirurgiche), Università di Bologna, Bologna, Italy.
Elena NardiResearch and Innovation Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Ilenia MagnaniDipartimento DIMEC (Dipartimento di scienze mediche e chirurgiche), Università di Bologna, Bologna, Italy.
Alessandra ManesCardiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Nazzareno GalièCardiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Massimiliano PalazziniCardiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Haemodynamic variables like right atrial pressure (RAP), cardiac index (CI), stroke volume index (SVI) and mixed venous oxygen saturation ( Methods: This cohort study includes treatment-naïve patients assessed at baseline and after first-line PAH therapy with clinical, functional, exercise, laboratory and haemodynamic evaluations. Using a stepwise multivariate Cox regression analysis, independent prognostic haemodynamic parameters were identified and stratified according to cut-offs already defined in the European Society of Cardiology (ESC)/European Respiratory Society (ERS) risk table or defined based on the highest Chi-squared of the log-rank test. Their discriminatory power was tested for all-cause death and a combined end-point of death, hospitalisation and need of treatment escalation. Results: 794 patients with PAH were enrolled. At first follow-up, RAP and pulmonary artery elastance were independently associated with death. Because of high correlations between haemodynamic parameters, different multivariable analyses were done identifying six other variables (pulmonary arterial compliance, cardiac efficiency, pulmonary vascular resistance, Conclusion: Haemodynamics' discriminative ability for clinical worsening is comparable to current ESC/ERS risk tools and is of added value to non-invasive parameters.

Identifiers

PMID39104950
PMCPMC11298999

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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.