Evidence map›Paper›PMID 34626318›Full record

ArticleInternal and emergency medicine2022

Liver status and outcomes in patients without previous known liver disease receiving anticoagulant therapy for venous thromboembolism.

Diego Martínez-Urbistondo, Rocío G de la Garza, Paula Villares-Fernández, Carme Font, Sebastian Schellong, Juan José López-Núñez, Aída Gil-Díaz, María Del Carmen Díaz-Pedroche, Jana Hirmerova, Manuel Monreal and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Internal and emergency medicine, 2022. 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
0.1field-weighted citation impact, top 53% of its field
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 citations in OpenAlex.

  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 at 9 institutions in 3 countries.

Diego Martínez-UrbistondoInternal Medicine Department, HM Sanchinarro, HM Hospitales, C/Oña 10, 28050, Madrid, Spain. dmurbistondo@gmail.com.ORCID http://orcid.org/0000-0002-0530-7349
Rocío G de la GarzaInternal Medicine Department, HM Sanchinarro, HM Hospitales, C/Oña 10, 28050, Madrid, Spain.
Paula Villares-FernándezInternal Medicine Department, HM Sanchinarro, HM Hospitales, C/Oña 10, 28050, Madrid, Spain.
Carme FontDepartment of Medical Oncology, Hospital Clínic, Barcelona, Spain.
Sebastian SchellongDepartment of Medical Clinic, Municipal Hospital of Dresden Friedrichstad, Dresden, Germany.
Juan José López-NúñezDepartment of Internal Medicine, Hospital Germans Trias I Pujol, Badalona, Barcelona, Spain.
Aída Gil-DíazDepartment of Internal Medicine, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas, Spain.
María Del Carmen Díaz-PedrocheDepartment of Internal Medicine, Hospital Universitario 12 de Octubre, Madrid, Spain.
Jana HirmerovaDepartment of Internal Medicine, University Hospital Plzen, Plzen, Czech Republic.
Manuel MonrealDepartment of Internal Medicine, Hospital Germans Trias I Pujol, Badalona, Barcelona, Spain.
RIETE Investigators
Universidad Católica de Murcia · ESHospital Universitario 12 De Octubre · ESUniversity Hospital Plzen · CZHospital Clínic de Barcelona · ESStädtisches Klinikum Dresden · DEUniversitat Autònoma de Barcelona · ESHospital Universitario de Gran Canaria Doctor Negrín · ESHM Hospitales · ESHospital Universitari Germans Trias i Pujol · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The association between elevated liver enzymes or FIB-4 (fibrosis index 4) and outcome in patients with venous thromboembolism (VTE) has not been evaluated. Data from patients in RIETE (Registro Informatizado Enfermedad TromboEmbólica) were used to assess the association between elevated liver enzymes or FIB-4 levels and the rates of major bleeding or death in apparent liver disease-free patients with acute VTE under anticoagulation therapy. A total of 6206 patients with acute VTE and without liver disease were included. Of them, 92 patients had major bleeding and 168 died under anticoagulation therapy. On multivariable analysis, patients with elevated liver enzymes were at increased mortality risk (HR: 1.58; 95% CI: 1.10-2.28), while those with FIB-4 levels > 2.67 points were at increased risk for major bleeding (HR: 1.69; 95% CI: 1.04-2.74). Evaluation of liver enzymes and FIB-4 index at baseline in liver disease-free patients with VTE may provide additional information on the risk for major bleeding or death during anticoagulation.

Indexed as

Liver DiseasesVenous ThromboembolismAnticoagulantsHemorrhageHumansRecurrenceRegistriesAnticoagulantsAnticoagulation adverse eventsClinical VTEHealthy individualsNon-invasive liver assessmentVTE risk assessment

Identifiers

PMID34626318
PMCPMC8501936
OpenAlexW3202115443

What Socratic holds

Textmetadata
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 Socratic graph.