Evidence map›Paper›PMID 24551120›Full record

Observational studyPloS one2014

Outcomes in patients with acute and stable coronary syndromes; insights from the prospective NOBORI-2 study.

Farzin Fath-Ordoubadi, Erik Spaepen, Magdi El-Omar, Douglas G Fraser, Muhammad A Khan, Ludwig Neyses, Gian B Danzi, Ariel Roguin, Dragica Paunovic, Mamas A Mamas

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

8 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. The everolimus eluting Synergy MegatronCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2023
    Article
  4. Article
  5. Observational
  6. Article
  7. Observational
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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

10 authors at 5 institutions in 4 countries.

Farzin Fath-OrdoubadiManchester Heart Centre, Manchester Royal Infirmary, Manchester, United Kingdom.
Erik SpaepenSBD Analytics, Hertstraat, Bekkevoort, Belgium.
Magdi El-OmarManchester Heart Centre, Manchester Royal Infirmary, Manchester, United Kingdom.
Douglas G FraserManchester Heart Centre, Manchester Royal Infirmary, Manchester, United Kingdom.
Muhammad A KhanManchester Heart Centre, Manchester Royal Infirmary, Manchester, United Kingdom.
Ludwig NeysesManchester Heart Centre, Manchester Royal Infirmary, Manchester, United Kingdom.
Gian B DanziDivision of Cardiology, Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy.
Ariel RoguinDepartment of Cardiology, Rambam Medical Center, Haifa, Israel.
Dragica PaunovicEuropean Medical and Clinical Division, Terumo Europe, Leuven, Belgium.
Mamas A MamasManchester Heart Centre, Manchester Royal Infirmary, Manchester, United Kingdom ; Cardiovascular Institute, University of Manchester, Manchester, United Kingdom.
Manchester Royal Infirmary · GBFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITHenry Royce Institute · GBRambam Health Care Campus · ILTerumo (Belgium) · BE

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

backgroundContemporary data remains limited regarding mortality and major adverse cardiac events (MACE) outcomes in patients undergoing PCI for different manifestations of coronary artery disease.

objectivesWe evaluated mortality and MACE outcomes in patients treated with PCI for STEMI (ST-elevation myocardial infarction), NSTEMI (non ST-elevation myocardial infarction) and stable angina through analysis of data derived from the Nobori-2 study.

methodsClinical endpoints were cardiac mortality and MACE (a composite of cardiac death, myocardial infarction and target vessel revascularization).

results1909 patients who underwent PCI were studied; 1332 with stable angina, 248 with STEMI and 329 with NSTEMI. Age-adjusted Charlson co-morbidity index was greatest in the NSTEMI cohort (3.78±1.91) and lowest in the stable angina cohort (3.00±1.69); P<0.0001. Following Cox multivariate analysis cardiac mortality was independently worse in the NSTEMI vs the stable angina cohort (HR 2.31 (1.10-4.87), p = 0.028) but not significantly different for STEMI vs stable angina cohort (HR 0.72 (0.16-3.19), p = 0.67). Similar observations were recorded for MACE (<180 days) (NSTEMI vs stable angina: HR 2.34 (1.21-4.55), p = 0.012; STEMI vs stable angina: HR 2.19 (0.97-4.98), p = 0.061.

conclusionsThe longer-term Cardiac mortality and MACE were significantly worse for patients following PCI for NSTEMI even after adjustment of clinical demographics and Charlson co-morbidity index whilst the longer-term prognosis of patients following PCI STEMI was favorable, with similar outcomes as those patients with stable angina following PCI.

Indexed as

Acute Coronary SyndromeAgedAngina, StableDeathDemographyDrug-Eluting StentsFemaleHumansKaplan-Meier EstimateMaleMiddle AgedPercutaneous Coronary InterventionProportional Hazards ModelsProspective StudiesTreatment Outcome

Identifiers

PMID24551120
PMCPMC3925145
OpenAlexW2015706948

What OpenQuestion 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 OpenQuestion graph.