Evidence map›Paper›PMID 39850044›Full record

ArticleJACC. Advances2025

Hepatic Biomarker Abnormalities in the Cardiac Intensive Care Unit: Proposed Criteria for Cardiohepatic Syndrome.

Ahsan Butt, Mitchell Padkins, Ruben Crespo-Diaz, Dustin Hillerson, Jason N Katz, Patrick S Kamath, P Elliott Miller, Andrew N Rosenbaum, Marc D Samsky, Kianoush Kashani and 1 more

Abstract read
In one paragraph

Article in JACC. Advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Prevalence and prognostic relevance of abnormal liver function tests in critically ill patients with cardiac arrest.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Article
  4. Review
  5. Observational
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

11 authors.

Ahsan ButtDepartment of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Mitchell PadkinsDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Ruben Crespo-DiazDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Dustin HillersonDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Jason N KatzDivision of Cardiology, NYU Grossman School of Medicine & Bellevue Hospital Center, New York, New York, USA.
Patrick S KamathDivision of Gastroenterology and Hepatology, Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA.
P Elliott MillerSection of Cardiovascular Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Andrew N RosenbaumDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Marc D SamskySection of Cardiovascular Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Kianoush KashaniDivision of Nephrology and Hypertension and Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Jacob C JentzerDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Mayo Clinic StARR ProgramR38HL150086 · NHLBI · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC, KARL A. NATH · 2020 to 2026
$2.5M
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS R38 HL150086
6 · The paper itself

Abstract

Background: Liver synthetic dysfunction predicts outcomes in cardiac intensive care unit (CICU) patients. Objectives: The purpose of this study was to evaluate the associations between the severity and extent of admission liver function test (LFT) abnormalities and mortality in a mixed CICU population. Methods: This historical cohort study included unique CICU patients from 2007 to 2018 with available data for admission LFT values. We categorized each LFT from grade 0 to grade 4 based on multiples of the upper limit of normal. We evaluated in-hospital mortality using logistic regression and 1-year mortality using Cox proportional hazards regression. Results: We included 7,284 patients, and 3,477 (47.7%) had at least 1 LFT with grade 1 or greater. In-hospital mortality was higher for patients with 1 or more abnormal LFTs (17.9% vs 6.4%; adjusted OR: 1.54 [95% CI: 1.27-1.86]; Conclusions: The severity and extent of LFT abnormalities are positively associated with in-hospital and 1-year mortality in CICU patients. Cardiohepatic syndrome is an important predictor of prognosis in CICU patients, and inclusion of LFTs in future risk-prediction tools could enhance prognostication.

Indexed as

coronary care unitsheart failureliver diseasesliver function testsmyocardial infarctionshock

Identifiers

PMID39850044
PMCPMC11755386

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.