Evidence map›Paper›PMID 24914060›Full record

ArticleHeart (British Cardiac Society)2014

Prescription of secondary prevention medications, lifestyle advice, and referral to rehabilitation among acute coronary syndrome inpatients: results from a large prospective audit in Australia and New Zealand.

Julie Redfern, Karice Hyun, Derek P Chew, Carolyn Astley, Clara Chow, Bernadette Aliprandi-Costa, Tegwen Howell, Bridie Carr, Karen Lintern, Isuru Ranasinghe and 8 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Heart (British Cardiac Society), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing 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

43 citing papers in PubMed.

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  15. Information Needs and Communication Strategies for People with Coronary Heart Disease: A Scoping Review.International journal of environmental research and public health · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Evidence-practice gaps in P2YInternal medicine journal · 2022
    Article
  20. Review
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

18 authors.

Julie RedfernThe George Institute for Global Health, Sydney, Australia Sydney Medical School, University of Sydney, Sydney, Australia.
Karice HyunThe George Institute for Global Health, Sydney, Australia Sydney Medical School, University of Sydney, Sydney, Australia.
Derek P ChewDepartment of Cardiovascular Medicine, Flinders University, Southern Adelaide Local Health Network, Adelaide, Australia.
Carolyn AstleyStatewide Cardiac Clinical Network, South Australian Health; Flinders University, Adelaide, Australia.
Clara ChowThe George Institute for Global Health, Sydney, Australia Sydney Medical School, University of Sydney, Sydney, Australia Westmead Hospital, Sydney, Australia.
Bernadette Aliprandi-CostaCardiology Department, Concord Hospital, Sydney, Australia.
Tegwen HowellThe George Institute for Global Health, Sydney, Australia Queensland Health, Brisbane, Australia.
Bridie CarrCardiac Network, Agency for Clinical Innovation, Sydney, Australia.
Karen LinternCardiac Network, Agency for Clinical Innovation, Sydney, Australia.
Isuru RanasingheCardiology Department, Concord Hospital, Sydney, Australia.
Kellie NallaiahThe George Institute for Global Health, Sydney, Australia.
Fiona TurnbullThe George Institute for Global Health, Sydney, Australia Sydney Medical School, University of Sydney, Sydney, Australia.
Cate FerryNational Heart Foundation of Australia (New South Wales Division) Sydney, Australia.
Chris HammettRoyal Brisbane Hospital, Brisbane, Australia.
Chris J EllisGreen Lane CVS Service, Auckland City Hospital, Auckland, New Zealand.
John FrenchLiverpool Hospital Sydney, Australia University of New South Wales, Sydney Australia.
David BriegerSydney Medical School, University of Sydney, Sydney, Australia Cardiology Department, Concord Hospital, Sydney, Australia.
Tom BriffaSchool of Population Health, University of Western Australia, Perth, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the proportion of patients hospitalised with acute coronary syndrome (ACS) in Australia and New Zealand who received optimal inpatient preventive care and to identify factors associated with preventive care.

methodsAll patients hospitalised bi-nationally with ACS were identified between 14-27 May 2012. Optimal in-hospital preventive care was defined as having received lifestyle advice, referral to rehabilitation, and prescription of secondary prevention pharmacotherapies. Multilevel multivariable logistic regression was used to determine factors associated with receipt of optimal preventive care.

resultsFor the 2299 ACS survivors, mean (SD) age was 69 (13) years, 46% were referred to rehabilitation, 65% were discharged on sufficient preventive medications, and 27% received optimal preventive care. Diagnosis of ST elevation myocardial infarction (OR: 2.64 [95% CI: 1.88-3.71]; p<0.001) and non-ST elevation myocardial infarction (OR: 1.99 [95% CI: 1.52-2.61]; p<0.001) compared with a diagnosis of unstable angina, having a percutaneous coronary intervention (PCI) (OR: 4.71 [95% CI: 3.67-6.11]; p<0.001) or coronary bypass (OR: 2.10 [95% CI: 1.21-3.60]; p=0.011) during the admission or history of hypertension (OR:1.36 [95% CI: 1.06-1.75]; p=0.017) were associated with greater exposure to preventive care. Age over 70 years (OR:0.53 [95% CI: 0.35-0.79]; p=0.002) or admission to a private hospital (OR:0.59 [95% CI: 0.42-0.84]; p=0.003) were associated with lower exposure to preventive care.

conclusionsOnly one-quarter of ACS patients received optimal secondary prevention in-hospital. Patients with UA, who did not have PCI, were over 70 years or were admitted to a private hospital, were less likely to receive optimal care.

Indexed as

Acute Coronary SyndromeInpatientsRisk Reduction BehaviorAgedAustraliaCardiovascular AgentsFemaleHumansMaleManagement AuditMiddle AgedNeeds AssessmentNew ZealandPatient DischargePractice Patterns, Physicians'Preventive Health ServicesCardiovascular Agents

Identifiers

PMID24914060
PMCPMC4112453

What OpenQuestion holds

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LicenceCC BY-NC
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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.