Evidence map›Paper›PMID 26552457›Full record

ArticleThe Korean journal of internal medicine2015

Temporal trends and in-hospital outcomes of primary percutaneous coronary intervention in nonagenarians with ST-segment elevation myocardial infarction.

Joon Young Kim, Myung Ho Jeong, Yong Woo Choi, Yong Keun Ahn, Shung Chull Chae, Seung Ho Hur, Taek Jong Hong, Young Jo Kim, In Whan Seong, In Ho Chae and 4 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in The Korean journal of internal medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.6field-weighted citation impact, top 27% 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

7 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. 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

14 authors at 10 institutions in 1 country.

Joon Young KimDepartment of Cardiovascular Medicine, Yeocheon Chonnam Hospital, Yeosu, Korea.
Myung Ho JeongDepartment of Cardiovascular Medicine, Chonnam National University Hospital, Gwangju, Korea.
Yong Woo ChoiDepartment of Cardiovascular Medicine, Yeocheon Chonnam Hospital, Yeosu, Korea.
Yong Keun AhnDepartment of Cardiovascular Medicine, Chonnam National University Hospital, Gwangju, Korea.
Shung Chull ChaeDepartment of Cardiovascular Medicine, Kyungpook National University Hospital, Daegu, Korea.
Seung Ho HurDepartment of Cardiovascular Medicine, Keimyung University Dongsan Medical Center, Daegu, Korea.
Taek Jong HongDepartment of Cardiovascular Medicine, Pusan National University Hospital, Busan, Korea.
Young Jo KimDepartment of Cardiovascular Medicine, Yeungnam University Medical Center, Daegu, Korea.
In Whan SeongDepartment of Cardiovascular Medicine, Chungnam National University Hospital, Daejeon, Korea.
In Ho ChaeDepartment of Cardiovascular Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Myeong Chan ChoDepartment of Cardiovascular Medicine, Chungbuk National University Hospital, Cheongju, Korea.
Jung Han YoonDepartment of Cardiovascular Medicine, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea.
Ki Bae SeungDepartment of Cardiovascular Medicine, College of Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
Korea Acute Myocardial Infarction Registry Investigators
Chonnam National University Hospital · KRCatholic University of Korea · KRChungbuk National University Hospital · KRChungnam National University Hospital · KRKeimyung University Dongsan Medical Center · KRKyungpook National University Hospital · KRPusan National University Hospital · KRSeoul National University Bundang Hospital · KRYeungnam University · KRYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsData regarding the outcomes of primary percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction (STEMI) in nonagenarians are very limited. The aim of the present study was to evaluate the temporal trends and in-hospital outcomes of primary PCI in nonagenarian STEMI patients.

methodsWe retrospectively reviewed data from the Korea Acute Myocardial Infarction Registry (KAMIR) from November 2005 to January 2008, and from the Korea Working Group on Myocardial Infarction (KorMI) from February 2008 to May 2010.

resultsDuring this period, the proportion of nonagenarians among STEMI patients more than doubled (0.59% in KAMIR vs. 1.35% in KorMI), and the rate of use of primary PCI also increased (from 62.5% in KAMIR to 81.0% in KorMI). We identified 84 eligible study patients for which the overall in-hospital mortality rate was 21.4% (25.0% in KAMIR vs. 20.3% in KorMI, p = 0.919). Multivariate analysis identified two independent predictors of in-hospital mortality, namely a final Thrombolysis in Myocardial Infarction (TIMI) flow < 3 (odds ratio [OR], 13.7; 95% confidence interval [CI], 3.2 to 59.0; p < 0.001) and cardiogenic shock during hospitalization (OR, 6.7; 95% CI, 1.5 to 30.3; p = 0.013).

conclusionsThe number of nonagenarian STEMI patients who have undergone primary PCI has increased. Although a final TIMI flow < 3 and cardiogenic shock are independent predictors of in-hospital mortality, primary PCI can be performed with a high success rate and an acceptable in-hospital mortality rate.

Indexed as

Aged, 80 and overAge FactorsChi-Square DistributionFemaleHospital MortalityHumansLogistic ModelsMaleMultivariate AnalysisMyocardial InfarctionOdds RatioPercutaneous Coronary InterventionRegistriesRepublic of KoreaRetrospective StudiesRisk FactorsAged, 90 and overIn-hospital outcomesMyocardial infarctionPercutaneous coronary intervention

Identifiers

PMID26552457
PMCPMC4642011
OpenAlexW2126230885

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.