Evidence map›Paper›PMID 28147338›Full record

ArticleOncotarget2017

Clinical characteristics and improvement of the guideline-based management of acute myocardial infarction in China: a national retrospective analysis.

Lechen Wang, You Zhou, Cheng Qian, Yanggan Wang

Abstract read
In one paragraph

Article in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

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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

4 authors.

Lechen WangDepartment of Cardiology, Zhongnan Hospital of Wuhan University & the Medical Research Institute of Wuhan University, Wuhan University, Wuhan, China.
You ZhouDepartment of Cardiology, Zhongnan Hospital of Wuhan University & the Medical Research Institute of Wuhan University, Wuhan University, Wuhan, China.
Cheng QianDepartment of Cardiology, Zhongnan Hospital of Wuhan University & the Medical Research Institute of Wuhan University, Wuhan University, Wuhan, China.
Yanggan WangDepartment of Cardiology, Zhongnan Hospital of Wuhan University & the Medical Research Institute of Wuhan University, Wuhan University, Wuhan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study is to document the clinical characteristics and improvement in management of acute myocardial infarction (AMI) in Chinese population.

resultsThis study included 64,654 patients (23,805 patients in 2011, 40,849 patients in 2013), of which STEMI and NSTEMI account for 85.09% and 14.91%, respectively. From 2011 to 2013, significant improvement has been achieved in the recanalization rate of PCI (96.01% vs. 98.63%, P < 0.001) and in-hospital deaths (4.52% vs. 3.55%, P = 0.038). Although the time of door-to-balloon and the duration of PCI were satisfactorily controlled within 90min and 60min, respectively, the onset-to-FMC time (≈3.5h) and door-to-thrombolysis time (≈1.1h) limited the efficiency of management. The total cost of medical care showed no increase from 2011 to 2013, but the patient's paid Portion decreased from 20.33% to 13.96%. MATERIALS AND

methodsThe AMI patients admitted in the general hospitals in 2011 and 2013 were retrospectively analyzed according to the data reported to the Single Disease Quality Control Information Systemissued by Chinese Hospital Association.

conclusionCompared to the Western countries, STEMI accounted for a larger portion of AMI, and the AMI management in China basically meets the standards of the quality control of guidelines. With improvement of management, there was no increase in the total medical cost, while the patient's paid portion was actually reduced. In future, improvement of transportation strategy and the public medical education are recommended to shorten the onset-to-FMC time to further improve the outcome of AMI patients.

Indexed as

AdultAgedAged, 80 and overBiomarkersChinaDisease ManagementFemaleHeart Function TestsHumansMaleMiddle AgedMyocardial InfarctionPopulation SurveillancePractice Guidelines as TopicQuality ControlQuality Indicators, Health CareBiomarkersacute myocardial infarctionChinaepidemiologyquality of care

Identifiers

PMID28147338
PMCPMC5542290

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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.