Evidence map›Paper›PMID 26467357›Full record

Observational studyAnatolian journal of cardiology2016

Admission serum potassium level is associated with in-hospital and long-term mortality in ST-elevation myocardial infarction.

Mahmut Uluganyan, Ahmet Ekmekçi, Ahmet Murat, Şahin Avşar, Türker Kemal Ulutaş, Hüseyin Uyarel, Mehmet Bozbay, Gökhan Çiçek, Gürkan Karaca, Mehmet Eren

Abstract readObservational Study
In one paragraph

Observational study in Anatolian journal of cardiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Author`s Reply.Anatolian journal of cardiology · 2016
    Article
  7. Article
  8. Author`s Reply.Anatolian journal of cardiology · 2016
    Article
  9. Article
  10. Article
  11. Author's Reply.Anatolian journal of cardiology · 2015
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Mahmut UluganyanClinic of Cardiology, Kadirli Government Hospital; Osmaniye-Turkey. uluganyan@yahoo.com.
Ahmet Ekmekçi
Ahmet Murat
Şahin Avşar
Türker Kemal Ulutaş
Hüseyin Uyarel
Mehmet Bozbay
Gökhan Çiçek
Gürkan Karaca
Mehmet Eren

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCurrent guidelines recommend a serum potassium (sK) level of 4.0-5.0 mmol/L in acute myocardial infarction patients. Recent trials have demonstrated an increased mortality rate with an sK level of>4.5 mmol/L. The aim of this study was to figure out the relation between admission sK level and in-hospital and long-term mortality and ventricular arrhythmias.

methodsRetrospectively, 611 patients with ST-elevation myocardial infarction (STEMI) who underwent primary percutaneous coronary intervention were recruited. Admission sK levels were categorized accordingly: <3.5, 3.5-<4, 4-<4.5, 4.5-<5, and ≥5 mmol/L.

resultsThe lowest in-hospital and long-term mortality occurred in patients with sK levels of 3.5 to <4 mmol/L. The long-term mortality risk increased for admission sK levels of >4.5 mmol/L [odds ratio (OR), 1.58; 95% confidence interval (CI) 0.42-5.9 and OR, 2.27; 95% CI 0.44-11.5 for sK levels of 4.5-<5 mmol/L and ≥5 mmol/L, respectively]. At sK levels <3 mmol/L and ≥5 mmol/L, the incidence of ventricular arrhythmias was higher (p=0.019).

conclusionAdmission sK level of >4.5 mmol/L was associated with increased long-term mortality in STEMI. A significant relation was found between sK level of <3 mmol/L and ≥5 mmol/L and ventricular arrhythmias.

Indexed as

BiomarkersFemaleHospitalizationHumansHypokalemiaLength of StayMaleMiddle AgedMyocardial InfarctionPotassiumRetrospective StudiesTurkeyBiomarkersPotassium

Identifiers

PMID26467357
PMCPMC5336698

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.