Evidence map›Paper›PMID 26019883›Full record

ArticleOpen heart

Organisation of reperfusion therapy for STEMI in a developing country.

Surya Dharma, Hananto Andriantoro, Iwan Dakota, Ismi Purnawan, Vireza Pratama, Herawati Isnanijah, Muhammad Yamin, Tjatur Bagus, Benny Hartono, Endang Ratnaningsih and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Open heart. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02319473 (Jakarta Acute Coronary Syndrome Registry), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
2.1field-weighted citation impact, top 12% 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.

NCT02319473 unknown statusnot on this map

Jakarta Acute Coronary Syndrome Registry

TypeobservationalSponsorNational Cardiovascular Center Harapan Kita Hospital IndonesiaRan2007 to 2022Enrolled28,812ConditionsAcute Coronary SyndromeArmsJAC Registry
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 47 citations in OpenAlex.

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  6. Interhospital Transfer versus Direct Admission in Patients with Acute ST-Segment Elevation Myocardial Infarction.The International journal of angiology : official publication of the International College of Angiology, Inc · 2023
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  8. Observational
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  11. Performance of Primary Angioplasty for STEMI during the COVID-19 Outbreak.The International journal of angiology : official publication of the International College of Angiology, Inc · 2021
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  14. 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

12 authors at 5 institutions in 1 country.

Surya DharmaDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia, National Cardiovascular Center Harapan Kita, West Jakarta, Indonesia.
Hananto AndriantoroDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia, National Cardiovascular Center Harapan Kita, West Jakarta, Indonesia.
Iwan DakotaDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia, National Cardiovascular Center Harapan Kita, West Jakarta, Indonesia.
Ismi PurnawanChairman, Indonesian Heart Association, Jakarta Branch , Indonesia.
Vireza PratamaDepartment of Cardiology, Gatot Soebroto Army Central Hospital, Central Jakarta , Indonesia.
Herawati IsnanijahDepartment of Cardiology and Vascular Medicine , Pasar Rebo General Hospital , East Jakarta , Indonesia.
Muhammad YaminIntegrated Cardiovascular Services, Cardiology Division, Department of Internal Medicine, Faculty of Medicine, University of Indonesia, Cipto Mangunkusumo General Hospital, Central Jakarta , Indonesia.
Tjatur BagusDepartment of Cardiology, Dr Mintohardjo Hospital, Indonesian Naval Hospital, Central Jakarta , Indonesia.
Benny HartonoBinawaluya Cardiac Center, East Jakarta, Indonesia.
Endang RatnaningsihDepartment of Cardiology and Vascular Medicine , Tarakan General Hospital , Central Jakarta , Indonesia.
Frits SulingDepartment of Cardiology and Vascular Medicine, Christian University of Indonesia General Hospital, East Jakarta, Indonesia.
M Abas BasalamahDepartment of Cardiology and Vascular Medicine, Persahabatan Hospital, East Jakarta, Indonesia.
University of Indonesia · IDGatot Soebroto Army Hospital · IDRumah Sakit Jantung Binawaluya · IDRumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo · IDUniversitas Kristen Indonesia · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveRoutine evaluation of performance measures for the system of care for patients with ST-elevation myocardial infarction (STEMI) is needed to improve the STEMI network. We sought to evaluate the current status of reperfusion therapy for STEMI in the capital city of a developing country where a STEMI network was introduced in 2010.

methodsData were obtained from a local registry. A total of 28 812 patients admitted to the emergency department of a national cardiovascular hospital in three different periods (2007, 2010 and 2013) were retrospectively analysed; there were 2703 patients with STEMI.

resultsIn 2013 compared with 2007, there was a major increase in the number of primary percutaneous coronary interventions (PCIs) (35% vs 24%, p<0.001), and the proportion of non-reperfused patients fell (62.8% vs 67.7%, p<0.001). An improvement in the overall STEMI mortality rate was also observed (7.5% vs 11.7%, p<0.001).

conclusionsImplementation of a regional system of care for STEMI may improve utilisation of primary PCI. Future organisation of reperfusion therapy in a developing country such as Indonesia strongly calls for a strategy that focuses on prehospital care to minimise delay from the first medical contact to reperfusion therapy, and this may reduce the proportion of non-reperfused patients. These strategies are in concordance with guideline recommendations and may reduce or eliminate gaps in healthcare in developing countries, particularly the underutilisation of evidence-based therapies for patients with STEMI. TRIAL REGISTRATION NUMBER: NCT 02319473, Clinicaltrials.gov.

Indexed as

CORONARY ARTERY DISEASE

Identifiers

PMID26019883
PMCPMC4442233
OpenAlexW2210062122

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

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.