Evidence map›Paper›PMID 24353280›Full record

ArticleEuropean heart journal2014

Prognostic models for stable coronary artery disease based on electronic health record cohort of 102 023 patients.

Eleni Rapsomaniki, Anoop Shah, Pablo Perel, Spiros Denaxas, Julie George, Owen Nicholas, Ruzan Udumyan, Gene Solomon Feder, Aroon D Hingorani, Adam Timmis and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in European heart journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 5 pooled it
5.5field-weighted citation impact, top 3% 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

60 citing papers in PubMed, 5 syntheses or guidelines pooled it, 140 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Usefulness of the AHEAD score for prediction of all-cause death in patients with acute and chronic coronary syndromes.International journal of cardiology. Cardiovascular risk and prevention · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Risk factors for mortality in post-myocardial infarction patients: insights from the improve SCA bridge study.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2024
    Article
  15. Interaction of impaired myocardial flow reserve and extent of myocardial ischemia assessed usingJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

12 authors at 3 institutions in 1 country.

Eleni RapsomanikiEpidemiology and Public Health, University College London, 1-19 Torrington Place, London WC1E 7BH, UK.
Anoop Shah
Pablo Perel
Spiros Denaxas
Julie George
Owen Nicholas
Ruzan Udumyan
Gene Solomon Feder
Aroon D Hingorani
Adam Timmis
Liam Smeeth
Harry Hemingway
University College London · GBLondon School of Hygiene & Tropical Medicine · GBBarts Health NHS Trust · GB

Funding

Arthritis Research UKBritish Heart FoundationCancer Research UKChief Scientist OfficeDepartment of Health DRF-2009-02-50Department of Health RP-PG-0407-10314Medical Research Council G0902393Medical Research Council G0902393/99558Medical Research Council MR/K006584/1Wellcome Trust 086091Wellcome Trust 086091/Z/08/ZWellcome Trust 093830Wellcome Trust 0938/30/Z/10/ZWellcome Trust 098504Wellcome Trust MR/K006584/1
6 · The paper itself

Abstract

aimsThe population with stable coronary artery disease (SCAD) is growing but validated models to guide their clinical management are lacking. We developed and validated prognostic models for all-cause mortality and non-fatal myocardial infarction (MI) or coronary death in SCAD. METHODS AND

resultsModels were developed in a linked electronic health records cohort of 102 023 SCAD patients from the CALIBER programme, with mean follow-up of 4.4 (SD 2.8) years during which 20 817 deaths and 8856 coronary outcomes were observed. The Kaplan-Meier 5-year risk was 20.6% (95% CI, 20.3, 20.9) for mortality and 9.7% (95% CI, 9.4, 9.9) for non-fatal MI or coronary death. The predictors in the models were age, sex, CAD diagnosis, deprivation, smoking, hypertension, diabetes, lipids, heart failure, peripheral arterial disease, atrial fibrillation, stroke, chronic kidney disease, chronic pulmonary disease, liver disease, cancer, depression, anxiety, heart rate, creatinine, white cell count, and haemoglobin. The models had good calibration and discrimination in internal (external) validation with C-index 0.811 (0.735) for all-cause mortality and 0.778 (0.718) for non-fatal MI or coronary death. Using these models to identify patients at high risk (defined by guidelines as 3% annual mortality) and support a management decision associated with hazard ratio 0.8 could save an additional 13-16 life years or 15-18 coronary event-free years per 1000 patients screened, compared with models with just age, sex, and deprivation.

conclusionThese validated prognostic models could be used in clinical practice to support risk stratification as recommended in clinical guidelines.

Indexed as

AgedCoronary Artery DiseaseDeath, Sudden, CardiacElectronic Health RecordsFemaleHumansKaplan-Meier EstimateMaleMiddle AgedModels, CardiovascularMyocardial InfarctionPrognosisRisk AssessmentCALIBERElectronic health recordsMyocardial infarctionPrognosisStable anginaStable coronary artery disease

Identifiers

PMID24353280
PMCPMC3971383
OpenAlexW2078317138

What OpenQuestion holds

Textmetadata
LicenceTDM
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.