Evidence map›Paper›PMID 42001144›Full record

ArticleJournal of cardiothoracic surgery2026

Impact of cardiohepatic syndrome on postoperative mortality in heart failure patients with reduced ejection fraction undergoing coronary artery bypass grafting.

Şahin Yılmaz, Gönül Zeren, Fatma Can, Mehmet Fatih Yılmaz, Aylin Sungur, Osman Eren Karpuzoğlu, Tuğba Pelit, Türkan Çoruh, İbrahim Halil Tanboğa, Can Yücel Karabay

Abstract read
In one paragraph

Article in Journal of cardiothoracic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Şahin YılmazDepartment of Anesthesiology, Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey.
Gönül ZerenDepartment of Cardiology, Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey. gonulzeren@hotmail.com.ORCID http://orcid.org/0000-0002-0115-3266
Fatma CanDepartment of Cardiology, Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey.
Mehmet Fatih YılmazDepartment of Cardiology, Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey.
Aylin SungurDepartment of Cardiology, Süreyyapaşa Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey.
Osman Eren KarpuzoğluDepartment of Cardiovascular Surgery, Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey.
Tuğba PelitDepartment of Anesthesiology, Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey.
Türkan ÇoruhDepartment of Anesthesiology, Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey.
İbrahim Halil TanboğaDepartment of Cardiology, Hisar Intercontinental Hospital, Nişantaşı University, Istanbul, None, Turkey.
Can Yücel KarabayDepartment of Cardiology, Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimCardiohepatic syndrome (CHS) is a parameter used to define liver dysfunction in heart failure patients and has been shown to be associated with poor prognosis. In this study, we investigated the relationship between the presence of preoperative CHS and postoperative mortality in heart failure patients with reduced ejection fraction (HFrEF) undergoing coronary artery bypass grafting (CABG). MATERIALS AND

methodsWe retrospectively included patients who were evaluated in anesthesia outpatient clinic of our hospital before first-time elective isolated CABG and had HFrEF (left ventricular ejection fraction [LVEF] ≤ 40%) between 2019 and 2023 years. Patients’ demographic, clinical and laboratory parameters were recorded and patients were divided into two according to the presence of CHS. Primary outcome of the study was long-term all-cause mortality. The median follow-up duration was 607 days (interquartile range [IQR]: 484–773 days).

resultsA total of 299 patients with a median age 62 years (IQR: 56–69 years) were enrolled. 80% (n = 240) of the study group were men and CHS was observed in 8% (n = 24) of the patients. All-cause mortality occurred in 50 patients (16.7%) during the follow-up. CHS was more common in mortality (+) group (14% vs. 6.8%, p = 0.049). Presence of CHS was associated with a significant increase in all-cause mortality (adjusted hazard ratio: 2.93; 95% confidence interval: 1.18–7.24; p = 0.02) along with advanced age, high creatinine, low albumin and LVEF values.

conclusionPresence of preoperative CHS was independently associated with long term all-cause mortality in HFrEF patients undergoing CABG.

Indexed as

Coronary Artery BypassHeart FailureLiver DiseasesPostoperative ComplicationsStroke VolumeAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesSyndromeCardiohepatic syndromeCoronary artery bypass graftingHeart failure patients with reduced ejection fraction

Identifiers

PMID42001144
PMCPMC13231609

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.