Evidence map›Paper›PMID 24122930›Full record

ArticleClinical cardiology2014

Lower admission hemoglobin levels are associated with longer symptom duration in acute ST-elevation myocardial infarction.

Yacov Shacham, Eran Leshem-Rubinow, Eyal Ben-Assa, Arie Roth, Arie Steinvil

Open access · bronzeAbstract read
In one paragraph

Article in Clinical cardiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Review
  8. Article
  9. Article
  10. Article
  11. Anemia and Acute Coronary Syndrome: Time for Intervention Studies.Journal of the American Heart Association · 2016
    Article
  12. Review
  13. Article
  14. Anemia and Inflammation in ST-Segment Elevation Myocardial Infarction.The American journal of the medical sciences · 2015
    Article
  15. Observational
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

5 authors at 2 institutions in 1 country.

Yacov ShachamDepartment of Cardiology, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Eran Leshem-Rubinow
Eyal Ben-Assa
Arie Roth
Arie Steinvil
Tel Aviv University · ILTel Aviv Sourasky Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn acute-phase response in patients with acute myocardial infarction could contribute to the development of anemia. HYPOTHESIS: An association may exist between symptom duration, hemoglobin (Hb) concentration and serum C-reactive protein (CRP) values in patients presenting to an emergency department (ED) with acute ST-segment elevation myocardial infarction (STEMI).

methodsA retrospective analysis was conducted on consecutive male STEMI patients who were admitted to our medical center's ED from January 2008 to November 2012 and had presented within the first 12 hours after the onset of chest pain. Hemoglobin concentration and serum CRP levels were determined from blood samples taken prior to any drug or fluid administration. Analyses of variance were used to determine interactions between selected time-to-presentation cutoffs and admission Hb and CRP concentrations. Patients with other reasons known to cause elevation of inflammatory markers, anemia, or bleeding diathesis were excluded.

resultsThe study population comprised 718 patients whose mean age was 61 ± 12 years (range, 27-96 years). Blood was drawn for Hb and CRP measurements directly upon admission. Patients who presented to the ED within 3 hours of symptom onset had higher Hb concentrations (P = 0.048) and lower serum CRP levels (P < 0.001) compared with those who presented after a longer interval from symptom onset.

conclusionsLonger symptom duration is associated with a lower admission Hb level and an early rise in the CRP level of male patients with acute STEMI.

Indexed as

Patient AdmissionAdultAgedAged, 80 and overAnemiaAngina PectorisBiomarkersC-Reactive ProteinEmergency Service, HospitalHemoglobinsHumansMaleMiddle AgedMyocardial InfarctionPrognosisRetrospective StudiesBiomarkersC-Reactive ProteinHemoglobins

Identifiers

PMID24122930
PMCPMC6649392
OpenAlexW1526208107

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.