Evidence map›Paper›PMID 35328187›Full record

ArticleDiagnostics (Basel, Switzerland)2022

The Significance of Systemic Immune-Inflammatory Index for Mortality Prediction in Diabetic Patients Treated with Off-Pump Coronary Artery Bypass Surgery.

Tomasz Urbanowicz, Michał Michalak, Ahmed Al-Imam, Anna Olasińska-Wiśniewska, Michał Rodzki, Anna Witkowska, Assad Haneya, Piotr Buczkowski, Bartłomiej Perek, Marek Jemielity

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 3% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

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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 at 2 institutions in 3 countries.

Tomasz UrbanowiczCardiac Surgery and Transplantalogy Department, Poznan University of Medical Sciences, 61-848 Poznan, Poland.ORCID 0000-0001-8080-2764
Michał MichalakDepartment of Computer Science and Statistics, Poznan University of Medical Sciences, 61-806 Poznan, Poland.ORCID 0000-0002-2852-3984
Ahmed Al-ImamDepartment of Computer Science and Statistics, Poznan University of Medical Sciences, 61-806 Poznan, Poland.ORCID 0000-0003-1846-9424
Anna Olasińska-WiśniewskaCardiac Surgery and Transplantalogy Department, Poznan University of Medical Sciences, 61-848 Poznan, Poland.ORCID 0000-0002-4213-8708
Michał RodzkiCardiac Surgery and Transplantalogy Department, Poznan University of Medical Sciences, 61-848 Poznan, Poland.
Anna WitkowskaCardiac Surgery and Transplantalogy Department, Poznan University of Medical Sciences, 61-848 Poznan, Poland.ORCID 0000-0002-1642-2342
Assad HaneyaHerz and Gefaschirurgie, Universitatklinikum Schleswig-Holstein, 24105 Kiel, Germany.
Piotr BuczkowskiCardiac Surgery and Transplantalogy Department, Poznan University of Medical Sciences, 61-848 Poznan, Poland.
Bartłomiej PerekCardiac Surgery and Transplantalogy Department, Poznan University of Medical Sciences, 61-848 Poznan, Poland.ORCID 0000-0003-2398-9571
Marek JemielityCardiac Surgery and Transplantalogy Department, Poznan University of Medical Sciences, 61-848 Poznan, Poland.
Poznan University of Medical Sciences · PLUniversity Hospital Schleswig-Holstein · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetes mellitus (DM) represents a complex carbohydrate metabolism disorder characterized by inflammatory over-reactivity. The study aimed to investigate the potential influence of postoperative inflammatory activation on mortality risk after off-pump coronary artery bypass grafting in diabetic patients. There were 510 patients treated with off-pump coronary artery bypass grafting due to stable complex coronary artery disease, including 175 patients with type-2 DM (T2DM.) The mean follow-up time was 3.7 +/− 1.5 years with a 9% all-cause mortality rate in the diabetic group. In multivariable analysis, preoperative comorbidities (stroke, peripheral artery disease, postoperative systemic inflammatory index >952, and postoperative left ventricle ejection fraction (LVEF) < 45%) were revealed as prognostic factors. The receiver operator characteristics curve analysis for postoperative calculations of systemic immune-inflammatory index (SII) appeared significant (AUC = 0.698, p = 0.008), yielding sensitivity of 68.75% and specificity of 71.07%. Systemic immune-inflammatory index (SII) can be regarded as a predictive marker for long-term prognosis in diabetic patients after off-pump coronary artery bypass grafting. The role of perioperative inflammatory activation may play a crucial role in mortality prediction.

Indexed as

off-pump coronary artery bypass (OPCAB)survival analysissystemic immune-inflammatory index (SII)type 2 diabetes mellitus

Identifiers

PMID35328187
PMCPMC8947274
OpenAlexW4220748352

What Socratic holds

Textmetadata
LicenceCC BY
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.