Evidence map›Paper›PMID 36948637›Full record

ArticleJournal of atherosclerosis and thrombosis2023

Association between High Bleeding Risk and 2-Year Mortality in Patients with Chronic Limb-Threatening Ischemia.

Naoki Yoshioka, Takahiro Tokuda, Akio Koyama, Takehiro Yamada, Kiyotaka Shimamura, Ryusuke Nishikawa, Yasuhiro Morita, Itsuro Morishima

Open access · diamondAbstract read
In one paragraph

Article in Journal of atherosclerosis and thrombosis, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

3 citing papers in PubMed, 4 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

8 authors at 6 institutions in 1 country.

Naoki YoshiokaDepartment of Cardiology, Ogaki Municipal Hospital.
Takahiro TokudaDepartment of Cardiology, Nagoya Heart Center.
Akio KoyamaDepartment of Vascular Surgery, Ichinomiya Municipal Hospital.
Takehiro YamadaDepartment of Cardiology, Central Japan International Medical Center.
Kiyotaka ShimamuraDepartment of Cardiology, Shizuoka General Hospital.
Ryusuke NishikawaDepartment of Cardiovascular of Medicine, Kyoto University Graduate School of Medicine.
Yasuhiro MoritaDepartment of Cardiology, Ogaki Municipal Hospital.
Itsuro MorishimaDepartment of Cardiology, Ogaki Municipal Hospital.
Ogaki Municipal Hospital · JPIchinomiya Municipal City Hospital · JPKyoto University · JPNagoya Heart Center · JPSaitama International Medical Center · JPShizuoka General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimPatients with chronic limb-threatening ischemia (CLTI) have a high bleeding risk (HBR) and mortality rate. The 2-year life expectancy is an important factor in deciding the appropriate treatment strategy. This study aimed to assess the influence of HBR on the prognosis of patients with CLTI.

methodsA total of 259 patients with CLTI who underwent endovascular therapy (EVT) (mean age, 76.2 years; male, 62.9%) between January 2018 and December 2019 were evaluated. The Academic Research Consortium for HBR (ARC-HBR) criteria were applied to each patient, and the ARC-HBR scores were calculated. The cut-off score for predicting all-cause mortality within two years was derived using a survival classification and regression tree (CART) model. Causes of death and the association between ARC-HBR scores and major bleeding events within two years were also investigated.

resultsBased on the CART model, patients were divided into three groups (low HBR score 0-1.0, 48 patients; moderate HBR score 1.5-3.0, 176 patients; and high HBR score ≥ 3.5, 35 patients). During the study period, 82 patients (39.6%) died due to cardiac (n=23) and non-cardiac causes (n=59). All-cause mortality increased significantly with increasing ARC-HBR scores. Cox multivariate analysis revealed a significant association between high ARC-HBR scores and the risk of all-cause mortality within two years. Major bleeding events increased significantly with increasing ARC-HBR scores.

conclusionsThe ARC-HBR score could predict 2-year mortality in patients with CLTI who underwent EVT. Thus, this score can help determine the best revascularization strategy for patients with CLTI.

Indexed as

Endovascular ProceduresPeripheral Arterial DiseaseAgedChronic Limb-Threatening IschemiaHemorrhageHumansIschemiaLimb SalvageRetrospective StudiesRisk AssessmentRisk FactorsTreatment OutcomeChronic limb-threatening ischemiaEndovascular therapyHigh bleeding riskLower extremity artery diseaseMortality

Identifiers

PMID36948637
PMCPMC10627769
OpenAlexW4353004408

What Socratic holds

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LicenceCC BY-NC-SA
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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.