Evidence mapPaperPMID 39076522Full record

ArticleERJ open research2024

Pulmonary perfusion defects or residual vascular obstruction and persistent symptoms after pulmonary embolism: a systematic review and meta-analysis.

Ludovica Anna Cimini, Dieuwke Luijten, Stefano Barco, Waleed Ghanima, Øyvind Jervan, Susan R Kahn, Stavros Konstantinides, Daniel Lachant, Yoshihisa Nakano, Maarten Ninaber and 5 more

Abstract read
In one paragraph

Article in ERJ open research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
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

7 citing papers in PubMed.

  1. Observational
  2. Article
  3. Observational
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  5. Review
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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

15 authors.

Ludovica Anna CiminiVascular and Emergency Medicine, University of Perugia, Perugia, Italy.
Dieuwke LuijtenDepartment of Medicine - Thrombosis and Hemostasis, Leiden University Medical Centre, Leiden, The Netherlands.ORCID https://orcid.org/0000-0003-4776-0587
Stefano BarcoDepartment of Angiology, University Hospital Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0002-2618-347X
Waleed GhanimaDepartment of Internal Medicine, Østfold Hospital Trust, Grålum, Norway.
Øyvind JervanDepartment of Internal Medicine, Østfold Hospital Trust, Grålum, Norway.
Susan R KahnDepartment of Medicine, McGill University, Montreal, QC, Canada.
Stavros KonstantinidesCenter for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.ORCID https://orcid.org/0000-0001-6359-7279
Daniel LachantDivision of Pulmonary and Critical Care Medicine, University of Rochester Medical Center, Rochester, NY, USA.ORCID https://orcid.org/0000-0003-3441-8264
Yoshihisa NakanoDepartment of Cardiology, Nagoya University Hospital, Nagoya, Japan.
Maarten NinaberDepartment of Pulmonology, Leiden University Medical Center, Leiden, The Netherlands.
Josien van EsDepartment of Pulmonology, Amsterdam UMC, Cardiovascular sciences, VU University Amsterdam, Amsterdam, The Netherlands.
Thijs van MensDepartment of Medicine - Thrombosis and Hemostasis, Leiden University Medical Centre, Leiden, The Netherlands.
Anton Vonk NoordegraafDepartment of Pulmonology, Amsterdam UMC, Cardiovascular sciences, VU University Amsterdam, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0002-4057-758X
Cecilia BecattiniVascular and Emergency Medicine, University of Perugia, Perugia, Italy.
Frederikus A KlokDepartment of Medicine - Thrombosis and Hemostasis, Leiden University Medical Centre, Leiden, The Netherlands.ORCID https://orcid.org/0000-0001-9961-0754

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Up to 50% of pulmonary embolism (PE) patients have perfusion defects or residual vascular obstruction during follow-up despite adequate anticoagulant treatment, and a similar percentage experience chronic functional limitations and/or dyspnoea post-PE. We aimed to evaluate the association between pulmonary perfusion defects or residual vascular obstruction and functional recovery after PE. Methods: We performed a systematic review and meta-analysis including studies assessing both the presence of perfusion defects or residual vascular obstruction and functional recovery ( Results: 12 studies were included totalling 1888 PE patients; at a median of 6 months after PE (range 2-72 months), 34% had perfusion defects or residual vascular obstruction and 37% reported persistent symptoms. Among patients with perfusion defects or residual vascular obstruction, 48% (95% CI 37-60%, I Conclusion: While the odds of having persistent symptoms was higher in patients with perfusion defects or residual vascular obstruction after acute PE, a significant proportion of these patients reported no limitations. A possible causality between perfusion defects or residual vascular obstruction and residual functional limitation therefore remains to be proven.

Identifiers

PMID39076522
PMCPMC11284598

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.