Evidence map›Paper›PMID 26571120›Full record

Observational studyPloS one2015

Impaired Glucose Tolerance or Newly Diagnosed Diabetes Mellitus Diagnosed during Admission Adversely Affects Prognosis after Myocardial Infarction: An Observational Study.

Anish George, Raghav T Bhatia, Gill L Buchanan, Anne Whiteside, Robert S Moisey, Stephen F Beer, Sudipta Chattopadhyay, Thozhukat Sathyapalan, Joseph John

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

16 citing papers in PubMed, 66 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
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  11. Observational
  12. Observational
  13. Review
  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

9 authors at 5 institutions in 1 country.

Anish GeorgeDepartment of Cardiology, Scunthorpe General Hospital, Scunthorpe, United Kingdom.
Raghav T BhatiaDepartment of Cardiology, Castle Hill Hospital, Kingston upon Hull, United Kingdom.
Gill L BuchananDepartment of Cardiology, Scunthorpe General Hospital, Scunthorpe, United Kingdom.
Anne WhitesideDepartment of Diabetes and Endocrinology, Scunthorpe General Hospital, Scunthorpe, United Kingdom.
Robert S MoiseyDepartment of Diabetes and Endocrinology, Calderdale and Huddersfield NHS Foundation Trust, Huddersfield, United Kingdom.
Stephen F BeerDepartment of Diabetes and Endocrinology, Scunthorpe General Hospital, Scunthorpe, United Kingdom.
Sudipta ChattopadhyayDepartment of Cardiology, Scunthorpe General Hospital, Scunthorpe, United Kingdom.
Thozhukat SathyapalanDepartment of Academic Endocrinology, Diabetes and Metabolism, Hull York Medical School, University of Hull, Kingston upon Hull, United Kingdom.
Joseph JohnDepartment of Cardiology, Castle Hill Hospital, Kingston upon Hull, United Kingdom.
Scunthorpe General Hospital · GBCalderdale and Huddersfield NHS Foundation Trust · GBCastle Hill Hospital · GBKing's College Hospital · GBUniversity of Hull · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the prognostic effect of newly diagnosed diabetes mellitus (NDM) and impaired glucose tolerance (IGT) post myocardial infarction (MI). RESEARCH DESIGN AND

methodsRetrospective cohort study of 768 patients without preexisting diabetes mellitus post-MI at one centre in Yorkshire between November 2005 and October 2008. Patients were categorised as normal glucose tolerance (NGT n = 337), IGT (n = 279) and NDM (n = 152) on pre- discharge oral glucose tolerance test (OGTT). Primary end-point was the first occurrence of major adverse cardiovascular events (MACE) including cardiovascular death, non-fatal MI, severe heart failure (HF) or non-haemorrhagic stroke. Secondary end-points were all cause mortality and individual components of MACE.

resultsPrevalence of NGT, impaired fasting glucose (IFG), IGT and NDM changed from 90%, 6%, 0% and 4% on fasting plasma glucose (FPG) to 43%, 1%, 36% and 20% respectively after OGTT. 102 deaths from all causes (79 as first events of which 46 were cardiovascular), 95 non fatal MI, 18 HF and 9 non haemorrhagic strokes occurred during 47.2 ± 9.4 months follow up. Event free survival was lower in IGT and NDM groups. IGT (HR 1.54, 95% CI: 1.06-2.24, p = 0.024) and NDM (HR 2.15, 95% CI: 1.42-3.24, p = 0.003) independently predicted MACE free survival. IGT and NDM also independently predicted incidence of MACE. NDM but not IGT increased the risk of secondary end-points.

conclusionPresence of IGT and NDM in patients presenting post-MI, identified using OGTT, is associated with increased incidence of MACE and is associated with adverse outcomes despite adequate secondary prevention.

Indexed as

Glucose Tolerance TestAdultAgedBlood GlucoseDiabetes ComplicationsDiabetes MellitusFemaleGlucose IntoleranceHumansMaleMiddle AgedMyocardial InfarctionPatient AdmissionPrevalencePrognosisProportional Hazards ModelsBlood Glucose

Identifiers

PMID26571120
PMCPMC4646628
OpenAlexW2177015340

What OpenQuestion holds

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LicenceCC BY
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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.