Evidence map›Paper›PMID 40600070›Full record

ArticleClinical kidney journal2025

Troponin I is an independent predictor of cardiovascular events and mortality in haemodialysis patients.

Maria Tydén, Magnus E Westerlund, Kevin Duarte, Niclas Eriksson, Nicolas Girerd, Bernhard K Krämer, Winfried März, Patrick Rossignol, Hubert Scharnagl, Inga Soveri and 3 more

Abstract read
In one paragraph

Article in Clinical kidney journal, 2025. 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
–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

1 citing paper in PubMed.

  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

13 authors.

Maria TydénDepartment of Medical Sciences, Renal Medicine, Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0009-0005-6887-610X
Magnus E WesterlundDepartment of Medical Sciences, Renal Medicine, Uppsala University, Uppsala, Sweden.
Kevin DuarteUniversité de Lorraine, Centre d'Investigations Cliniques Plurithématique 1433 and Inserm U1116, CHRU Nancy, FCRIN INI-CRCT (Cardiovascular and Renal Clinical Trialists), Nancy, France.
Niclas ErikssonUppsala Clinical Research Center (UCR), Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0000-0002-2152-4343
Nicolas GirerdUniversité de Lorraine, Centre d'Investigations Cliniques Plurithématique 1433 and Inserm U1116, CHRU Nancy, FCRIN INI-CRCT (Cardiovascular and Renal Clinical Trialists), Nancy, France.ORCID https://orcid.org/0000-0002-3278-2057
Bernhard K KrämerVth Department of Medicine, University Medical Centre and Medical Faculty Mannheim, Heidelberg University Mannheim, Germany.
Winfried MärzVth Department of Medicine, University Medical Centre and Medical Faculty Mannheim, Heidelberg University Mannheim, Germany.ORCID https://orcid.org/0000-0001-6083-8946
Patrick RossignolUniversité de Lorraine, Centre d'Investigations Cliniques Plurithématique 1433 and Inserm U1116, CHRU Nancy, FCRIN INI-CRCT (Cardiovascular and Renal Clinical Trialists), Nancy, France.ORCID https://orcid.org/0000-0003-4470-7932
Hubert ScharnaglClinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Austria.
Inga SoveriDepartment of Medical Sciences, Renal Medicine, Uppsala University, Uppsala, Sweden.
Maria K SvenssonDepartment of Medical Sciences, Renal Medicine, Uppsala University, Uppsala, Sweden.
Faiez ZannadUniversité de Lorraine, Centre d'Investigations Cliniques Plurithématique 1433 and Inserm U1116, CHRU Nancy, FCRIN INI-CRCT (Cardiovascular and Renal Clinical Trialists), Nancy, France.ORCID https://orcid.org/0000-0001-7456-1570
Bengt FellströmDepartment of Medical Sciences, Renal Medicine, Uppsala University, Uppsala, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patients with end-stage kidney disease (ESKD) undergoing haemodialysis (HD) have a high risk of cardiovascular (CV) events. This study evaluated troponin I (hs-cTnI) as a predictor of major adverse cardiac events (MACEs), CV death and all-cause death. Methods: The AURORA trial, a multicentre, randomized, double-blind trial involved 2776 HD patients comparing rosuvastatin with placebo. No significant effect was found on the composite primary endpoint of CV death, non-fatal myocardial infarction or non-fatal stroke. In this Results: Baseline median hs-cTnI was 17.3 pg/mL. During follow-up, 734 MACEs, 598 CV deaths, and 1094 total deaths occurred. Patients in the upper quartile of hs-cTnI (>32.6 pg/mL) had significantly higher risk of MACEs [hazard ratio (HR) 1.92; 95% confidence interval (CI) 1.57-2.35], CV death (HR 2.12; 95% CI 1.69-2.66), all-cause death (HR 1.84; 95% CI 1.55-2.17) and non-CV death (HR 1.59; 95% CI 1.23-2.05) after full adjustment compared with those in the lowest quartile (<10.1 pg/mL). Hs-cTnI was identified as the strongest predictor for MACEs, CV death, and all-cause death, but not for non-CV death. Conclusions: Baseline hs-cTnI is a strong and independent predictor for MACEs and death in patients with ESKD undergoing haemodialysis.

Indexed as

cardiovascular diseasehaemodialysismortality, troponin I

Identifiers

PMID40600070
PMCPMC12209788

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.