Evidence map›Paper›PMID 40026520›Full record

ArticleReviews in cardiovascular medicine2025

Incorporating Circulating Plasma Interleukin-10 Enhanced Risk Predictability of Mortality in Acute Type A Aortic Dissection Surgery.

Yi-Fei Diao, Zhi-Bin Chen, Jia-Xi Gu, Xin-Yang Xu, Wen-Feng Lin, Chun-Ze Yuan, Jia-Qi Xiong, Ming-Hui Li, Bu-Qing Ni, Sheng Zhao and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in Reviews in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04711889 (Protective Effect of Ulinastatin Against Negative Inflammatory Response and Organ Dysfunction After Acute Type a Aortic Dissection Surgery), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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.

NCT04711889 nacompletednot on this map

Protective Effect of Ulinastatin Against Negative Inflammatory Response and Organ Dysfunction After Acute Type a Aortic Dissection Surgery (PANDA I)

TypeinterventionalSponsorNanjing Medical UniversityRan2021 to 2022Enrolled203ConditionsAcute Aortic Syndrome, Type a Aortic DissectionArmsUlinastatin, Blank control
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  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

13 authors.

Yi-Fei DiaoDepartment of Cardiovascular Surgery, First Affiliated Hospital of Nanjing Medical University, 210029 Nanjing, Jiangsu, China.ORCID https://orcid.org/0009-0007-1762-3131
Zhi-Bin ChenDepartment of Cardiovascular Surgery, First Affiliated Hospital of Guangzhou Medical University, 510120 Guangzhou, Guangdong, China.
Jia-Xi GuDepartment of Cardiovascular Surgery, First Affiliated Hospital of Nanjing Medical University, 210029 Nanjing, Jiangsu, China.
Xin-Yang XuDepartment of Cardiovascular Surgery, First Affiliated Hospital of Nanjing Medical University, 210029 Nanjing, Jiangsu, China.
Wen-Feng LinDepartment of Cardiovascular Surgery, First Affiliated Hospital of Nanjing Medical University, 210029 Nanjing, Jiangsu, China.
Chun-Ze YuanDepartment of Cardiovascular Surgery, First Affiliated Hospital of Nanjing Medical University, 210029 Nanjing, Jiangsu, China.
Jia-Qi XiongDepartment of Cardiovascular Surgery, First Affiliated Hospital of Nanjing Medical University, 210029 Nanjing, Jiangsu, China.
Ming-Hui LiDepartment of Cardiovascular Surgery, First Affiliated Hospital of Nanjing Medical University, 210029 Nanjing, Jiangsu, China.
Bu-Qing NiDepartment of Cardiovascular Surgery, First Affiliated Hospital of Nanjing Medical University, 210029 Nanjing, Jiangsu, China.
Sheng ZhaoDepartment of Cardiovascular Surgery, First Affiliated Hospital of Nanjing Medical University, 210029 Nanjing, Jiangsu, China.
Yong-Feng ShaoDepartment of Cardiovascular Surgery, First Affiliated Hospital of Nanjing Medical University, 210029 Nanjing, Jiangsu, China.ORCID https://orcid.org/0000-0002-8186-4147
Ying-Yuan ZhangDepartment of Cardiovascular Surgery, First Affiliated Hospital of Guangzhou Medical University, 510120 Guangzhou, Guangdong, China.ORCID https://orcid.org/0009-0000-7469-6301
Hong LiuDepartment of Cardiovascular Surgery, First Affiliated Hospital of Nanjing Medical University, 210029 Nanjing, Jiangsu, China.ORCID https://orcid.org/0000-0002-8143-0912

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute type A aortic dissection (TAAD) is a life-threatening cardiovascular emergency with a high mortality rate. The peri-operative factors influencing in-hospital mortality among surgically treated TAAD patients remain unclear. This study aimed to identify key peri-operative risk factors associated with in-hospital mortality. Methods: Peri-operative laboratory data, surgical strategies, and TAAD-related risk factors, associated with mortality, were collected. Machine learning techniques were applied to evaluate the impact of various parameters on in-hospital mortality. Based on the findings, a nomogram model was developed and validated using area under the receiver operating characteristic curve (AUC) analysis, calibration plots, and internal validation methods. Results: A total of 199 patients with TAAD were included in the study cohort, which was divided into derivation and validation cohorts. Using the least absolute shrinkage and selection operator (LASSO) regression method, 66 features were narrowed down to six key predictors. These included age, lymphocyte count, use of continuous renal replacement therapy (CRRT), cardiopulmonary bypass (CPB) time, duration of mechanical ventilation, and postoperative interleukin-10 (IL-10) levels, all of which were identified as significant risk factors for in-hospital mortality following TAAD surgery. Conclusions: We developed and validated a predictive model, presented as a nomogram, to estimate in-hospital survival in patients with TAAD. Post-operative IL-10 was identified as an independent prognostic factor for patients with TAAD. The combination of IL-10 with five additional indicators significantly improved the predictive accuracy, demonstrating superiority over the use of any single variable alone. Clinical Trial Registration: This study protocol was registered at ClinicalTrials.gov (NCT04711889). https://clinicaltrials.gov/study/NCT04711889.

Indexed as

IL-10LASSOmortalitynomogramtype A aortic dissection

Identifiers

PMID40026520
PMCPMC11868896

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Registered trials

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.