Evidence map›Paper›PMID 26007672›Full record

Observational studyThe American journal of medicine2015

Characteristics of contemporary patients discharged from the hospital after an acute coronary syndrome.

Robert J Goldberg, Jane S Saczynski, David D McManus, Molly E Waring, Richard McManus, Jeroan Allison, David C Parish, Darleen Lessard, Sharina Person, Joel M Gore and 2 more

Abstract readObservational Study
In one paragraph

Observational study in The American journal of medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Practical Care Support During the Early Recovery Period After Acute Coronary Syndrome.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2018
    Article
  14. Article
  15. Article
  16. Article
  17. Article
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.

Robert J GoldbergDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester. Electronic address: Robert.Goldberg@umassmed.edu.
Jane S SaczynskiDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester; Department of Medicine, University of Massachusetts Medical School, Worcester.
David D McManusDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester; Department of Medicine, University of Massachusetts Medical School, Worcester.
Molly E WaringDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester.
Richard McManusDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester.
Jeroan AllisonDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester.
David C ParishDepartment of Community Medicine, Mercer University School of Medicine, Macon, Ga.
Darleen LessardDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester.
Sharina PersonDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester.
Joel M GoreDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester; Department of Medicine, University of Massachusetts Medical School, Worcester.
Catarina I KiefeDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester.
TRACE-CORE investigators

Funding

University of Massachusetts Center for Clinical Science and Translational SupplementUL1TR001453 · NCATS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LUZURIAGA, KATHERINE F · 2015 to 2024
$39.0M
University of Massachusetts Center for Clinical and Translational ScienceUL1TR000161 · NCATS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LUZURIAGA, KATHERINE F · 2012 to 2015
$11.0M
TRACE-COREU01HL105268 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI KIEFE, CATARINA I. · 2010 to 2013
$5.8M
University of Massachusetts Center for Clinical and Translational ScienceKL2TR001455 · NCATS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI KIEFE, CATARINA I. · 2015 to 2024
$5.0M
University of Massachusetts Center for Clinical and Translational ScienceKL2TR000160 · NCATS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LUZURIAGA, KATHERINE F · 2012 to 2014
$1.7M
University of Massachusetts Center for Clinical and Translational ScienceKL2RR031981 · NCRR · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI SULLIVAN, JOHN LEWIS · 2010 to 2011
$1.2M
Medical Illness & Cognitive Impairment in Older Adults: Heart Failure as a ModelK01AG033643 · NIA · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI SACZYNSKI, JANE STEELE · 2010 to 2014
$628k
NCATS NIH HHS KL2 TR000160NCATS NIH HHS KL2TR000160NCATS NIH HHS KL2 TR001455NCATS NIH HHS UL1 TR000161NCATS NIH HHS UL1 TR001453NCRR NIH HHS KL2 RR031981NCRR NIH HHS KL2RR031981NHLBI NIH HHS U01 HL105268NHLBI NIH HHS U01HL105268NIA NIH HHS K01 AG033643NIA NIH HHS K01AG033643
6 · The paper itself

Abstract

backgroundLimited contemporary data compare the clinical and psychosocial characteristics and acute management of patients hospitalized with an initial vs a recurrent episode of acute coronary disease. We describe these factors in a cohort of patients recruited from 6 hospitals in Massachusetts and Georgia after an acute coronary syndrome. MATERIALS AND

methodsWe performed structured baseline in-person interviews and medical record abstractions for 2174 eligible and consenting patients surviving hospitalization for an acute coronary syndrome between April 2011 and May 2013.

resultsThe average patient age was 61 years, 64% were men, and 47% had a high school education or less; 29% had a low general quality of life, and 1 in 5 were cognitively impaired. Patients with a recurrent coronary episode had a greater burden of previously diagnosed comorbidities. Overall, psychosocial burden was high, and more so in those with a recurrent vs those with an initial episode. Patients with an initial coronary episode were as likely to have been treated with all 4 effective cardiac medications (51.6%) as patients with a recurrent episode (52.3%), but were significantly more likely to have undergone cardiac catheterization (97.9% vs 92.9%) and a percutaneous coronary intervention (73.7% vs 60.9%) (P < .001) during their index hospitalization.

conclusionsPatients with a first episode of acute coronary artery disease have a more favorable psychosocial profile, less comorbidity, and receive more invasive procedures but similar medical management, than patients with previously diagnosed coronary disease. Implications of the high psychosocial burden on various patient-related outcomes require investigation.

Indexed as

Acute Coronary SyndromeAdultAgedCost of IllnessFemaleFollow-Up StudiesGeorgiaHumansLife StyleMaleMassachusettsMiddle AgedPatient DischargePractice Patterns, Physicians'Prospective StudiesQuality of LifeAcute coronary syndromeHospital treatment practicesProspective observational studyPsychosocial characteristics

Identifiers

PMID26007672
PMCPMC4577370

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.