Evidence map›Paper›PMID 41529142›Full record

Observational studyAnesthesiology2026

Severe Postoperative Bleeding after Heart Transplantation.

Alexandre Mansour, Adrien Bougle, Marion Turpin, Adel Zaouini, Nicolas Patou Parvedy, Céline Chabanne, Geoffroy Hariri, Guillaume Coutance, Erwan Flecher, Pascal Leprince and 1 more

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Anesthesiology, 2026. 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

11 authors.

Alexandre MansourDepartment of Anesthesia and Critical Care, Pontchaillou, University Hospital of Rennes, Univ Rennes, CHU Rennes, CIC 1414 (Centre d'Investigation Clinique de Rennes), Inserm, IRSET, UMR_S 1085, FHU SUPORT, F35000 Rennes, France.ORCID 0000-0001-8955-2407
Adrien BougleDepartment of Anesthesiology and Critical Care Medicine, Cardiology Institute, GRC 29, Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Sorbonne University, Paris, France.
Marion TurpinDepartment of Anesthesia and Critical Care, Pontchaillou, University Hospital of Rennes, Univ Rennes, CHU Rennes, Rennes, France.
Adel ZaouiniDepartment of Anesthesiology and Critical Care Medicine, Cardiology Institute, GRC 29, Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Sorbonne University, Paris, France.
Nicolas Patou ParvedyDepartment of Anesthesia and Critical Care, Pontchaillou, University Hospital of Rennes, Univ Rennes, CHU Rennes, Inserm, Institut NUMECAN-UMR_A 1341, UMR_S 1241, F-35000 Rennes, France.
Céline ChabanneDepartment of Thoracic and Cardiovascular Surgery, Pontchaillou, University Hospital of Rennes, Rennes, France.
Geoffroy HaririDepartment of Anesthesiology and Critical Care Medicine, Cardiology Institute, GRC 29, Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Sorbonne University, Paris, France.
Guillaume CoutanceDepartment of Cardiac and Thoracic Surgery, Cardiology Institute, Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Sorbonne University, Paris, France.
Erwan FlecherDepartment of Thoracic and Cardiovascular Surgery, Pontchaillou, University Hospital of Rennes, University of Rennes 1, Signal and Image Treatment Laboratory, Inserm U1099, Rennes, France.
Pascal LeprinceDepartment of Cardiac and Thoracic Surgery, Cardiology Institute, Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Sorbonne University, IHU ICAN, Foundation for Innovation in Cardiometabolism and Nutrition, Paris, France.
Nicolas NesselerDepartment of Anesthesia and Critical Care, Pontchaillou, University Hospital of Rennes, Univ Rennes, CHU Rennes, Inserm, CIC 1414 (Centre d'Investigation Clinique de Rennes), Inra, Institut NUMECAN-UMR_A 1341, UMR_S 1241, FHU SUPORT, F-35000 Rennes, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative bleeding is frequent in cardiac surgery, but its incidence, risk factors, and consequences remain largely unknown after heart transplantation. The main objective of this study was to describe the incidence of severe bleeding complications after adult heart transplantation.

methodsThe authors conducted an observational study including all adult patients who received a heart transplant between 2015 and 2022 in two French referral centers. The primary endpoint was the incidence of severe bleeding complications defined by a Universal Definition of Perioperative Bleeding score of 3 or greater. Multivariable logistic regression was used to identify variables associated with the incidence of severe postoperative bleeding. The impact of severe postoperative bleeding on 1-yr mortality was evaluated using a multivariable Cox regression model.

resultsAmong the 446 patients included, 112 (25%) developed severe bleeding. In multivariable analysis, long-term mechanical cardiac support (adjusted odds ratio [adjOR; 95% CI], 2.21 [1.01 to 4.88]), preoperative hemoglobin (adjOR, 0.85 [0.76 to 0.95]) and the duration of cardiopulmonary bypass (per 10-min increase; adjOR, 1.08 [1.03 to 1.15]) were associated with severe bleeding. Severe postoperative bleeding was associated with an increased mortality at 1 yr (35% vs. 13%; P < 0.001), with an adjusted hazard ratio of 1.91 (95% CI, 1.18 to 3.09; P = 0.008).

conclusionsThis study reports a high incidence of severe hemorrhagic complications after heart transplantation, particularly in patients with mechanical circulatory support. Bleeding complications were associated with a significant increase in morbidity and mortality. Larger-scale studies are needed to identify and evaluate potential prevention strategies.

Indexed as

Heart TransplantationPostoperative HemorrhageSeverity of Illness IndexAdultAgedFemaleFranceHumansIncidenceMaleMiddle AgedRisk Factors

Identifiers

PMID41529142
PMCPMC13089849

What OpenQuestion holds

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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.