Evidence map›Paper›PMID 26883922›Full record

ArticleJournal of the American Heart Association2016

Neighborhood and Acute Myocardial Infarction Mortality as Related to the Driving Time to Percutaneous Coronary Intervention-Capable Hospital.

Appathurai Balamurugan, Robert Delongchamp, Lucille Im, Joseph Bates, Jawahar L Mehta

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
5.0field-weighted citation impact, top 4% 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

11 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
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  5. Mapping Geographic Proximity to Cardiologists Across the United States.Circulation. Cardiovascular quality and outcomes · 2023
    Article
  6. Article
  7. Article
  8. Assessing Trauma Center Accessibility for Healthcare Equity Using an Anti-Covering Approach.International journal of environmental research and public health · 2022
    Article
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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

5 authors at 2 institutions in 1 country.

Appathurai BalamuruganArkansas Department of Health, Little Rock, AR Department of Epidemiology, University of Arkansas for Medicine for Medical Sciences College of Public Health, Little Rock, AR Division of Cardiology, Department of Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, AR.
Robert DelongchampArkansas Department of Health, Little Rock, AR Department of Epidemiology, University of Arkansas for Medicine for Medical Sciences College of Public Health, Little Rock, AR rdelongchamp@uams.edu.
Lucille ImArkansas Department of Health, Little Rock, AR.
Joseph BatesArkansas Department of Health, Little Rock, AR Department of Epidemiology, University of Arkansas for Medicine for Medical Sciences College of Public Health, Little Rock, AR.
Jawahar L MehtaDivision of Cardiology, Department of Internal Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, AR.
University of Arkansas for Medical Sciences · USArkansas Department of Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDriving time to a percutaneous coronary intervention (PCI)-capable hospital is important in timely treatment of acute myocardial infarction (AMI). Our objective was to determine whether driving time from one's residence to a PCI-capable hospital contributes to AMI deaths. We conducted a cross-sectional study of age- and sex-adjusted mortality in census block groups to evaluate this question. METHODS AND

resultsWe studied all (14 027) AMI deaths that occurred during 2008-2012 in Arkansas to assess the relationship between driving time from the population center of a block group (neighborhood) to the nearest PCI-capable hospital. We estimated standardized mortality ratios in block groups that were adjusted for education (population over 25 years of age who did not graduate from high school), poverty (population living below federal poverty level), population density (population per square mile), mobility (population residing at the same address as 1 year ago), black (population that is black), rurality (rural households), geodesic distance, and driving time. The median geodesic distance and driving time were 12.8 miles (interquartile range 3.6-30.1) and 28.3 minutes (interquartile range 9.6-58.7), respectively. Risks in neighborhoods with long driving times (90th percentile) were 26% greater than risks in neighborhoods with short driving times (10th percentile), even after adjusting for education, poverty, population density, rurality, and black race (P<0.0001).

conclusionsAMI mortality increases with increasing driving time to the nearest PCI-capable hospital. Improving the healthcare system by reducing time to arrive at a PCI-capable hospital could reduce AMI deaths.

Indexed as

Catchment Area, HealthDelivery of Health CarePercutaneous Coronary InterventionTime-to-TreatmentTransportation of PatientsAdultAgedAged, 80 and overArkansasCross-Sectional StudiesFemaleHumansMaleMiddle AgedMyocardial InfarctionRisk Factorscensus block groupsdriving timehealth servicesmortality/survivalmyocardial infarctionpercutaneous coronary interventionrisk factors

Identifiers

PMID26883922
PMCPMC4802460
OpenAlexW2276361242

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.