Evidence map›Paper›PMID 42018974›Full record

ArticleChronic respiratory disease

Understanding exacerbation risk in BLVR: A logistic regression approach to complication prediction.

Johannes Wienker, Kaid Darwiche, Rüdiger Karpf-Wissel, Erik Büscher, Johannes Haubold, David Kersting, Hubertus Hautzel, Lukas van de Sand, Aymen Kassem, Kristin Mersmann and 3 more

Abstract read
In one paragraph

Article in Chronic respiratory disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

13 authors.

Johannes WienkerDepartment of Pulmonary Medicine, Division of Interventional Pneumology, University Medicine Essen-Ruhrlandklinik, Essen, Germany.ORCID 0009-0007-8392-4469
Kaid DarwicheDepartment of Pulmonary Medicine, Division of Interventional Pneumology, University Medicine Essen-Ruhrlandklinik, Essen, Germany.ORCID 0000-0003-0681-1325
Rüdiger Karpf-WisselDepartment of Pulmonary Medicine, Division of Interventional Pneumology, University Medicine Essen-Ruhrlandklinik, Essen, Germany.
Erik BüscherDepartment of Pulmonary Medicine, Division of Interventional Pneumology, University Medicine Essen-Ruhrlandklinik, Essen, Germany.
Johannes HauboldInstitute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany.
David KerstingDepartment of Nuclear Medicine, University Hospital Essen, Essen, Germany.
Hubertus HautzelDepartment of Nuclear Medicine, University Hospital Essen, Essen, Germany.
Lukas van de SandDepartment of Infectious Diseases, West German Centre of Infectious Diseases, University Hospital Essen, Essen, Germany.ORCID 0000-0001-5122-4213
Aymen KassemDepartment of Emergency Medicine, University Hospital Essen, Essen, Germany.
Kristin MersmannDepartment of Pulmonary Medicine, Division of Interventional Pneumology, University Medicine Essen-Ruhrlandklinik, Essen, Germany.
Christian TaubeDepartment of Pulmonary Medicine, University Medicine Essen-Ruhrlandklinik, Essen, Germany.
Marcel OpitzInstitute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany.
Marc StrußDepartment of Pulmonary Medicine, Division of Interventional Pneumology, University Medicine Essen-Ruhrlandklinik, Essen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundChronic obstructive pulmonary disease (COPD) with emphysema is associated with persistent airflow limitation and frequent exacerbations. Bronchoscopic lung volume reduction (BLVR) with endobronchial valves (EBVs) improves lung function and quality of life but carries a risk of postprocedural complications, including acute exacerbations and pneumonia. Predictors of these adverse events remain incompletely defined.PurposeTo identify clinical and inflammatory factors associated with postprocedural exacerbations in patients undergoing BLVR with EBVs, aiming to support individualized risk stratification.Patients and MethodsWe retrospectively analyzed 320 patients with advanced emphysema treated with EBVs between 2015 and 2022. Patients underwent comprehensive preprocedural evaluation, including pulmonary function testing, imaging, perfusion scintigraphy, 6-minute walk test and COPD Assessment Test. Postprocedural exacerbations within 8 weeks were documented clinically and radiographically. Binary logistic regression, including multivariable modeling, was used to identify independent predictors.ResultsThirty-five patients (10.9%) developed post-BLVR exacerbations, six of whom had pneumonia. Exacerbation risk was independently associated with diabetes mellitus type II (OR 11.0,

Indexed as

BronchoscopyPneumonectomyPneumoniaPostoperative ComplicationsPulmonary Disease, Chronic ObstructivePulmonary EmphysemaAgedC-Reactive ProteinDiabetes Mellitus, Type 2Disease ProgressionFemaleHumansLogistic ModelsMaleMiddle AgedRespiratory Function TestsC-Reactive Proteinbronchoscopic lung volume reductionchronic obstructive pulmonary diseaseemphysemaexacerbationinfectious complicationspneumoniavalves

Identifiers

PMID42018974
PMCPMC13111872

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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.