Evidence map›Paper›PMID 39140558›Full record

Observational studyArquivos brasileiros de cardiologia2024

New Incremental Model for Predicting Mortality in Pre-Capillary Pulmonary Hypertension.

Andressa Alves de Carvalho, Wanessa Alves de Carvalho, Eliauria Rosa Martins, Agostinho Hermes de Medeiros Neto, Fernando Bacal, Marcelo Dantas Tavares de Melo

Abstract readObservational Study
In one paragraph

Observational study in Arquivos brasileiros de cardiologia, 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. 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

6 authors.

Andressa Alves de CarvalhoUniversidade Federal da Paraíba, João Pessoa, PB - Brasil.ORCID 0000-0003-2828-479X
Wanessa Alves de CarvalhoUniversidade Federal da Paraíba, João Pessoa, PB - Brasil.
Eliauria Rosa MartinsUniversidade Federal da Paraíba, João Pessoa, PB - Brasil.
Agostinho Hermes de Medeiros NetoUniversidade Federal da Paraíba, João Pessoa, PB - Brasil.ORCID 0000-0003-2351-6491
Fernando BacalUniversidade de São Paulo Faculdade de Medicina Hospital das Clínicas Instituto do Coração, São Paulo, SP - Brasil.
Marcelo Dantas Tavares de MeloUniversidade Federal da Paraíba, João Pessoa, PB - Brasil.ORCID 0000-0001-8809-8783

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn pulmonary hypertension (PH), the identification of easily obtainable prognostic markers associated with right ventricular (RV) dysfunction and survival is needed.

objectiveTo evaluate the association of red cell distribution width (RDW) with clinical, echocardiographic parameters and survival in patients with pre-capillary PH, with the development of a mortality prediction model.

methodsObservational, longitudinal, and prospective study conducted from May 2019 to December 2022. Thirty-four patients with pre-capillary PH underwent two-dimensional echocardiography and complete blood count. A cutoff point of 14.5% was considered to define RDW as altered (≥14.5%) or normal (<14.5%). P values <0.05 were considered significant.

resultsThe median RDW was 14.4%. There was a significant difference in peripheral arterial oxygen saturation (SpO2) (p=0.028), RV strain (p=0.047), and pericardial effusion (p=0.002) between the normal and elevated RDW groups. During a median follow-up of 15 months, 20.6% died. Patients with increased RDW had a shorter overall survival (44.7%, log-rank p=0.019), which was a predictor of mortality in univariate Cox regression (HR 8.55, p=0.048). The addition of RV strain <16% and SpO2 ≤93% to the model including RDW alone showed incremental value in predicting mortality (χ2=8.2, p=0.049; χ2=12.4, p=0.041), with increased area under the receiver operating characteristic curve (0.729 vs. 0.837 vs. 0.909) and decreased probability of survival (44.7% vs. 35.6% vs. 25%, log-rank p=0.019).

conclusionsRDW provides information on the severity of pre-capillary PH by correlating with echocardiographic parameters of RV dysfunction and mortality, which is best predicted by a model including RDW, RV strain and SpO2.

Indexed as

EchocardiographyErythrocyte IndicesHypertension, PulmonaryAdultAgedFemaleHumansLongitudinal StudiesMaleMiddle AgedPredictive Value of TestsPrognosisProspective StudiesROC CurveVentricular Dysfunction, Right

Identifiers

PMID39140558
PMCPMC11341211

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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.