Evidence map›Paper›PMID 36360814›Full record

ArticleInternational journal of environmental research and public health2022

Carotid Plaque Features and Inflammatory Biomarkers as Predictors of Restenosis and Mortality Following Carotid Endarterectomy.

Raluca Niculescu, Eliza Russu, Emil Marian Arbănași, Réka Kaller, Eliza Mihaela Arbănași, Răzvan Marian Melinte, Cătălin Mircea Coșarcă, Iuliu Gabriel Cocuz, Adrian Horațiu Sabău, Andreea Cătălina Tinca and 4 more

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Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–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

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  20. Body Mass Index and Late Adverse Outcomes after a Carotid Endarterectomy.International journal of environmental research and public health · 2023
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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

14 authors.

Raluca NiculescuDoctoral School of Medicine and Pharmacy, George Emil Palade University of Medicine, Pharmacy, Sciences and Technology of Targu Mures, 540142 Targu Mures, Romania.
Eliza RussuClinic of Vascular Surgery, Mures County Emergency Hospital, 540136 Targu Mures, Romania.
Emil Marian ArbănașiDoctoral School of Medicine and Pharmacy, George Emil Palade University of Medicine, Pharmacy, Sciences and Technology of Targu Mures, 540142 Targu Mures, Romania.ORCID 0000-0002-1664-8130
Réka KallerDoctoral School of Medicine and Pharmacy, George Emil Palade University of Medicine, Pharmacy, Sciences and Technology of Targu Mures, 540142 Targu Mures, Romania.
Eliza Mihaela ArbănașiFaculty of Pharmacy, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540139 Targu Mures, Romania.
Răzvan Marian MelinteDepartment of Orthopedics, Regina Maria Health Network, 540098 Targu Mures, Romania.
Cătălin Mircea CoșarcăClinic of Vascular Surgery, Mures County Emergency Hospital, 540136 Targu Mures, Romania.
Iuliu Gabriel CocuzDoctoral School of Medicine and Pharmacy, George Emil Palade University of Medicine, Pharmacy, Sciences and Technology of Targu Mures, 540142 Targu Mures, Romania.ORCID 0000-0001-5985-2433
Adrian Horațiu SabăuDoctoral School of Medicine and Pharmacy, George Emil Palade University of Medicine, Pharmacy, Sciences and Technology of Targu Mures, 540142 Targu Mures, Romania.
Andreea Cătălina TincaDoctoral School of Medicine and Pharmacy, George Emil Palade University of Medicine, Pharmacy, Sciences and Technology of Targu Mures, 540142 Targu Mures, Romania.
Adina StoianDepartment of Pathophysiology, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540139 Targu Mures, Romania.ORCID 0000-0001-6862-4926
Vlad VunvuleaDepartment of Radiology, Mures County Emergency Hospital, 540136 Targu Mures, Romania.
Adrian Vasile MureșanClinic of Vascular Surgery, Mures County Emergency Hospital, 540136 Targu Mures, Romania.
Ovidiu Simion CotoiDepartment of Pathology, Mures Clinical County Hospital, 540011 Targu Mures, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCarotid endarterectomy (CEA) is the first-line surgical intervention for cases of severe carotid stenoses. Unfortunately, the restenosis rate is high after CEA. This study aims to demonstrate the predictive role of carotid plaque features and inflammatory biomarkers (monocyte-to-lymphocyte ratio (MLR), neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), systemic inflammatory index (SII), Systemic Inflammation Response Index (SIRI), and Aggregate Index of Systemic Inflammation (AISI)) in carotid restenosis and mortality at 12 months following CEA.

methodsThe present study was designed as an observational, analytical, retrospective cohort study and included all patients over 18 years of age with a minimum of 70% carotid stenosis and surgical indications for CEA admitted to the Vascular Surgery Clinic, Emergency County Hospital of Targu Mures, Romania between 2018 and 2021.

resultsAccording to our results, the high pre-operative values of inflammatory biomarkers-MLR (OR: 10.37 and OR: 6.11;

conclusionsOur data revealed that higher preoperative inflammatory biomarker values highly predict 12-month restenosis and mortality following CEA. Furthermore, age above 70, unstable plaque, cardiovascular disease, and dyslipidemia were risk factors for all outcomes. Additionally, AH, AF, smoking, and obesity were all independent predictors of restenosis but not of mortality in all patients. Antiplatelet and statin medication, on the other hand, were protective against restenosis but not against mortality.

Indexed as

Carotid StenosisEndarterectomy, CarotidHydroxymethylglutaryl-CoA Reductase InhibitorsAdolescentAdultBiomarkersConstriction, PathologicHumansInflammationObesityRecurrenceRetrospective StudiesBiomarkersHydroxymethylglutaryl-CoA Reductase InhibitorsAISIbiomarkerscarotid plaquecarotid restenosisMLRNLRPLRSIISIRI

Identifiers

PMID36360814
PMCPMC9654888

What Socratic 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 Socratic graph.