Evidence map›Paper›PMID 40087670›Full record

ArticleBMC pulmonary medicine2025

Overlap and correlation of reperfusion lung injury with postoperative pneumonia following pulmonary thromboendarterectomy: incidence, characteristics, and outcomes in chronic thromboembolic pulmonary hypertension.

Shardul N Rathod, Pamela Ropski, Jakub Glowala, Charles M Quinn, Alyssa Stamper, Maureen K Bolon, Daniel Schimmel, Stephen F Chiu, S Chris C Malaisrie, Mike J Cuttica and 1 more

Abstract read
In one paragraph

Article in BMC pulmonary medicine, 2025. 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

11 authors.

Shardul N RathodDepartment of Healthcare Epidemiology and Infection Prevention, Northwestern Memorial Hospital, Chicago, IL, USA.
Pamela RopskiDepartment of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Jakub GlowalaDepartment of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Charles M QuinnDivision of Pulmonary and Critical Care, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Alyssa StamperDivision of Pulmonary and Critical Care, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Maureen K BolonDivision of Infectious Diseases, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Daniel SchimmelDivision of Cardiology, Blum Cardiovascular Institute, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Stephen F ChiuDivision of Cardiovascular Surgery, Blum Cardiovascular Institute, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
S Chris C MalaisrieDivision of Cardiovascular Surgery, Blum Cardiovascular Institute, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Mike J CutticaDivision of Pulmonary and Critical Care, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Ruben MylvaganamDivision of Pulmonary and Critical Care, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. Ruben.mylvaganam@northwestern.edu.ORCID http://orcid.org/0000-0002-7203-7609

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic thromboembolic pulmonary hypertension (CTEPH) can be treated with pulmonary thromboendarterectomy (PTE) which may lead to reperfusion lung injury (RPLI) and postoperative pneumonia. We aimed to describe the incidence, diagnostic characteristics, and clinical outcomes of post-PTE pneumonia compared to RPLI. A retrospective study involving CTEPH subjects who underwent PTE at a large referral center was conducted. Data included demographics, hemodynamics, microbiologic diagnostics, and clinical outcomes. Post-PTE pneumonia was diagnosed based on documentation, signs/symptoms, or microbiologic sampling within seven days of surgery. Among 75 PTE subjects, 21 (28%) had RPLI, and 18 (24%) had post-PTE pneumonia. Of those with RPLI, 48% had pneumonia, suggesting overlap. Eight of 75 (11%) subjects underwent bronchoscopic sampling, and five (63%) samples yielded positive results indicative of infection. Subjects with post-PTE pneumonia and RPLI had longer hospital and ICU lengths of stay and mechanical ventilation duration than either group alone. Post-PTE pneumonia is prevalent and overlaps with RPLI in CTEPH subjects. The study highlights the importance of systematic evaluation and early detection of pneumonia in subjects with RPLI post-PTE. Timely diagnosis and management of pneumonia may improve outcomes. Further research is needed to understand risk factors and develop preventive strategies for post-PTE pneumonia.

Indexed as

EndarterectomyHypertension, PulmonaryPneumoniaPostoperative ComplicationsPulmonary EmbolismReperfusion InjuryAgedChronic DiseaseFemaleHumansIncidenceLength of StayMaleMiddle AgedRespiration, ArtificialRetrospective StudiesChronic thromboembolic pulmonary hypertension (CTEPH)Outcome assessmentPostoperative pneumoniaPulmonary thromboendarterectomy (PTE)Reperfusion lung injury (RPLI)

Identifiers

PMID40087670
PMCPMC11909894

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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.