Evidence map›Paper›PMID 26212493›Full record

ArticleClinical cardiology2015

Cognitive and Physical Function by Statin Exposure in Elderly Individuals Following Acute Myocardial Infarction.

Kristopher J Swiger, Seth S Martin, Fengming Tang, Michael J Blaha, Roger S Blumenthal, Karen P Alexander, Suzanne V Arnold, John A Spertus

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Clinical cardiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Safety and Effectiveness of Statins for Prevention of Recurrent Myocardial Infarction in 12 156 Typical Older Patients: A Quasi-Experimental Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2017 · on this map
    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

8 authors at 4 institutions in 1 country.

Kristopher J SwigerThe Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, Department of Medicine, Baltimore, Maryland.
Seth S MartinThe Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, Department of Medicine, Baltimore, Maryland.
Fengming TangSaint Luke's Mid America Heart Institute/University of Missouri, Department of Cardiovascular Outcomes Research, Kansas City, Missouri.
Michael J BlahaThe Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, Department of Medicine, Baltimore, Maryland.
Roger S BlumenthalThe Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, Department of Medicine, Baltimore, Maryland.
Karen P AlexanderOutcomes Research and Assessment Group and Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina.
Suzanne V ArnoldSaint Luke's Mid America Heart Institute/University of Missouri, Department of Cardiovascular Outcomes Research, Kansas City, Missouri.
John A SpertusSaint Luke's Mid America Heart Institute/University of Missouri, Department of Cardiovascular Outcomes Research, Kansas City, Missouri.
Johns Hopkins University · USUniversity of Missouri · USClinical Research Institute · USSaint Luke's Hospital · US

Funding

CARDIOVASCULAR EPIDEMIOLOGY INSTITUTIONAL TRAININGT32HL007024 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Elizabeth Selvin · 1985 to 2026
$17.5M
NHLBI NIH HHS T32HL07024
6 · The paper itself

Abstract

Despite beneficial effects on morbidity and mortality after acute myocardial infarction (AMI), concerns remain about the safety of statin therapy, particularly their potential effects on cognitive and physical function, in elderly individuals. Among statin-naive AMI patients age ≥ 65 years in a multicenter US registry, we examined the association between statin prescription at discharge and change in cognition (via Modified Telephone Interview for Cognitive Status [TICS-M]) assessed at 1 and 6 months after AMI. Short Form-12 Physical Component score, hand grip, walk time, and chair-rise tests were used to assess physical function. We conducted noninferiority testing to evaluate the hypothesis that the mean change in cognitive function was no worse among patients recently started on statins compared with those who were not. Among 317 elderly AMI patients, 262 patients (83%) were prescribed a statin at discharge and 55 were not. After matching for propensity to be discharged on statin after AMI, the effect of statin treatment on change in TICS-M from 1 to 6 months (estimated difference, 0.11 points; 95% confidence interval: -2.11 to 2.32, P = 0.92) showed noninferiority (inferiority threshold 3 points). There were no significant differences in any physical function measure. Among statin-naive elderly individuals recovering from AMI, initiation of statin therapy was not associated with detectable changes in short-term cognitive or physical function. These findings support the general safety of statin therapy for secondary prevention in this population.

Indexed as

AgedAged, 80 and overCognitionFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMotor ActivityMyocardial InfarctionProspective StudiesRegistriesTreatment OutcomeUnited StatesHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID26212493
PMCPMC6710994
OpenAlexW1919171343

What OpenQuestion holds

Textmetadata
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.