Evidence map›Paper›PMID 27258655›Full record

ArticlePloS one2016

Impact of the Type of First Medical Contact within a Guideline-Conform ST-Elevation Myocardial Infarction Network: A Prospective Observational Registry Study.

Roman Pfister, Samuel Lee, Kathrin Kuhr, Frank Baer, Wolfgang Fehske, Hans-Wilhelm Hoepp, Stephan Baldus, Guido Michels

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 17% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Observational
  3. Observational
  4. Article
  5. Article
  6. The effects of prehospital system delays on the treatment efficacy of STEMI patients.Scandinavian journal of trauma, resuscitation and emergency medicine · 2019
    Article
  7. Observational
  8. 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

8 authors at 2 institutions in 1 country.

Roman PfisterDepartment III of Internal Medicine, University of Cologne, Cologne, Germany.
Samuel LeeDepartment III of Internal Medicine, University of Cologne, Cologne, Germany.
Kathrin KuhrInstitute of Medical Statistics, Informatics and Epidemiology, University of Cologne, Cologne, Germany.
Frank BaerSt. Antonius Hospital, Cologne, Germany.
Wolfgang FehskeSt. Vinzenz Hospital, Cologne, Germany.
Hans-Wilhelm HoeppDepartment III of Internal Medicine, University of Cologne, Cologne, Germany.
Stephan BaldusDepartment III of Internal Medicine, University of Cologne, Cologne, Germany.
Guido MichelsDepartment III of Internal Medicine, University of Cologne, Cologne, Germany.
University of Cologne · DEUniversity Hospital Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe impact of type of first medical contact (FMC) in the setting of a guideline conform metropolitan ST-elevation myocardial infarction (STEMI) network providing obligatory primary percutaneous coronary intervention (PCI) is unclear. METHODS AND

results3,312 patients were prospectively included between 2006 and 2012 into a registry accompanying the "Cologne Infarction Model" STEMI network, with 68.4% primarily presenting to emergency medical service (EMS), 17.6% to non-PCI-capable hospitals, and 14.0% to PCI-capable hospitals. Median contact-to-balloon time differed significantly by FMC with 89 minutes (IQR 72-115) for EMS, 107 minutes (IQR 85-148) for non-PCI- and 65 minutes (IQR 48-91) for PCI-capable hospitals (p < 0.001). TIMI-flow grade III and in-hospital mortality were 75.7% and 10.4% in EMS, 70.3% and 8.6% in non-PCI capable hospital and 84.4% and 5.6% in PCI-capable hospital presenters, respectively (p both < 0.01). The association of FMC with in-hospital mortality was not significant after adjustment for baseline characteristics, but risk of TIMI-flow grade < III remained significantly increased in patients presenting to non-PCI capable hospitals.

conclusionDespite differences in treatment delay by type of FMC in-hospital mortality did not differ significantly. The increased risk of TIMI-flow grade < III in patients presenting to non PCI-capable hospitals needs further study.

Indexed as

Models, TheoreticalST Elevation Myocardial InfarctionAgedCoronary AngiographyElectrocardiographyFemaleHeart RateHospital MortalityHumansLogistic ModelsMaleMiddle AgedPercutaneous Coronary InterventionProspective StudiesRegistriesTime Factors

Identifiers

PMID27258655
PMCPMC4892676
OpenAlexW2411271204

What OpenQuestion holds

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LicenceCC BY
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.