Evidence map›Paper›PMID 15547013›Full record

ArticleHeart (British Cardiac Society)2004

Management and in-hospital outcome of patients with acute myocardial infarction admitted to intensive care units at the turn of the century: results from the French nationwide USIC 2000 registry.

G Hanania, J-P Cambou, P Guéret, L Vaur, D Blanchard, J-M Lablanche, Y Boutalbi, R Humbert, P Clerson, N Genès and 2 more

2 registry-linked trialsAbstract read
In one paragraph

Article in Heart (British Cardiac Society), 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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.

NCT00673036 unknown statusnot on this mapstarted 2005, after this paper: background citation

French Registry of Acute Coronary Syndrome With or Without ST Elevation

TypeobservationalSponsorAssistance Publique - Hôpitaux de ParisRan2005 to 2019Enrolled3,750ConditionsAcute Myocardial InfarctionArmsBlood sample
NCT04050956 recruitingnot on this mapstarted 2019, after this paper: background citation

French Cohort of Myocardial Infarction Evaluation

TypeobservationalSponsorAssistance Publique - Hôpitaux de ParisRan2019 to 2049Enrolled30,000ConditionsAcute Myocardial Infarction
3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Trial
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  4. Article
  5. Observational
  6. 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

12 authors.

G HananiaCH Aulnay, France.
J-P Cambou
P Guéret
L Vaur
D Blanchard
J-M Lablanche
Y Boutalbi
R Humbert
P Clerson
N Genès
N Danchin
USIC 2000 Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess actual practices and in-hospital outcome of patients with acute myocardial infarction on a nationwide scale.

methodsOf 443 intensive care units in France, 369 (83%) prospectively collected data on all cases of infarction (within < 48 hours of symptom onset) in November 2000.

results2320 patients (median age 68 years, 73% men) were included, of whom 83% had ST segment elevation infarction (STEMI). Patients without STEMI were older and had a more frequent history of cardiovascular disease. Median time to admission was 5.0 hours for patients with and 6.5 hours for those without STEMI. Reperfusion therapy was used for 53% of patients with STEMI (thrombolysis 28%, primary angioplasty 25%). In-hospital mortality was 8.7% (5.5% of patients without and 9.3% of those with STEMI). Multivariate analysis found that age, Killip class, lower blood pressure, higher heart rate on admission, anterior location of infarct, STEMI, diabetes mellitus, previous stroke, and no current smoking independently predicted in-hospital mortality. At hospital discharge, 95% received antiplatelet agents, 75% received beta blockers, and over 60% received statins. Angiotensin converting enzyme inhibitors were prescribed for 40% of the patients without and 52% of those with ST elevation.

conclusionsThis nationwide registry, including all types of centres irrespective of their size and experience, shows continued improvement in patient care and outcomes. Time from symptom onset to admission, however, has not improved in recent years and reperfusion therapy is used for just over 50% of patients with STEMI, with an increasing use of primary angioplasty.

Indexed as

HospitalizationAdultAgedAged, 80 and overAnalysis of VarianceAngioplasty, Balloon, CoronaryCritical CareFemaleFranceHumansMaleMiddle AgedMyocardial InfarctionMyocardial ReperfusionProspective StudiesRegistries

Identifiers

PMID15547013
PMCPMC1768566

What OpenQuestion holds

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Registered trials

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 OpenQuestion graph.