Evidence map›Paper›PMID 26380099›Full record

ArticleOpen heart

Impact of frailty on outcomes after percutaneous coronary intervention: a prospective cohort study.

Rachel Murali-Krishnan, Javaid Iqbal, Rebecca Rowe, Emer Hatem, Yasir Parviz, James Richardson, Ayyaz Sultan, Julian Gunn

Open 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. Cited by 53 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% 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

53 citing papers in PubMed, 1 synthesis or guideline pooled it, 112 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Association between frailty and long-term outcomes in patients undergoing TAVI admitted to private intensive care units in Australia.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2026
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  12. Frailty as an independent predictor for midterm adverse outcomes in the elderly undergoing primary percutaneous coronary intervention: A longitudinal cohort study.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025
    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

8 authors at 2 institutions in 1 country.

Rachel Murali-KrishnanDepartment of Cardiovascular Science , Sheffield Teaching Hospitals NHS Foundation Trust and, University of Sheffield , Sheffield , UK.
Javaid IqbalDepartment of Cardiovascular Science , Sheffield Teaching Hospitals NHS Foundation Trust and, University of Sheffield , Sheffield , UK.
Rebecca RoweDepartment of Cardiovascular Science , Sheffield Teaching Hospitals NHS Foundation Trust and, University of Sheffield , Sheffield , UK.
Emer HatemDepartment of Cardiovascular Science , Sheffield Teaching Hospitals NHS Foundation Trust and, University of Sheffield , Sheffield , UK.
Yasir ParvizDepartment of Cardiovascular Science , Sheffield Teaching Hospitals NHS Foundation Trust and, University of Sheffield , Sheffield , UK.
James RichardsonDepartment of Cardiovascular Science , Sheffield Teaching Hospitals NHS Foundation Trust and, University of Sheffield , Sheffield , UK.
Ayyaz SultanDepartment of Cardiovascular Science , Sheffield Teaching Hospitals NHS Foundation Trust and, University of Sheffield , Sheffield , UK.
Julian GunnDepartment of Cardiovascular Science , Sheffield Teaching Hospitals NHS Foundation Trust and, University of Sheffield , Sheffield , UK.
University of Sheffield · GBSheffield Teaching Hospitals NHS Foundation Trust · GB

Funding

British Heart Foundation PG/13/74/30264
6 · The paper itself

Abstract

backgroundAverage life expectancy is rising, resulting in increasing numbers of elderly, frail individuals presenting with coronary artery disease and requiring percutaneous coronary intervention (PCI). PCI can be of value for this population, but little is known about the balance of benefit versus risk, particularly in the frail.

objectiveTo determine the relationship between frailty and clinical outcomes in patients undergoing PCI.

methodsPatients undergoing PCI, for either stable angina or acute coronary syndrome, were prospectively assessed for frailty using the Canadian Study of Health and Ageing Clinical Frailty Scale. Demographics, clinical and angiographic data were extracted from the hospital database. Mortality was obtained from the Office of National Statistics.

resultsFrailty was assessed in 745 patients undergoing PCI. The mean age of patients was 62±12 years and 70% were males. The median frailty score was 3 (IQR 2-4). A frailty score ≥5, indicating significant frailty, was present in 81 (11%) patients. Frail patients required longer hospitalisation after PCI. Frailty was also associated with increased 30-day (HR 4.8, 95% CI 1.4 to 16.3, p=0.013) and 1 year mortality (HR 5.9, 95% CI 2.5 to 13.8, p<0.001). Frailty was a predictor of length of hospital stay and mortality, independent of age, gender and comorbidities.

conclusionsA simple assessment of frailty can help predict mortality and the length of hospital stay, and may therefore guide healthcare providers to plan PCI and appropriate resources for frail patients.

Indexed as

Frailty

Identifiers

PMID26380099
PMCPMC4567783
OpenAlexW2202243016

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.