Evidence map›Paper›PMID 29247351›Full record

Trial reportEuropean radiology2018

Round-the-clock performance of coronary CT angiography for suspected acute coronary syndrome: Results from the BEACON trial.

Marisa M Lubbers, Admir Dedic, Akira Kurata, Marcel Dijkshoorn, Jeroen Schaap, Jeroen Lammers, Evert J Lamfers, Benno J Rensing, Richard L Braam, Hendrik M Nathoe and 8 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in European radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

18 authors.

Marisa M LubbersDepartment of Cardiology, Erasmus University Medical Center, Room: Ca-207a, 's-Gravendijkwal 230, Rotterdam, 3015 CE, The Netherlands. m.m.lubbers@erasmusmc.nl.ORCID http://orcid.org/0000-0002-4967-9582
Admir DedicDepartment of Cardiology, Erasmus University Medical Center, Room: Ca-207a, 's-Gravendijkwal 230, Rotterdam, 3015 CE, The Netherlands.
Akira KurataDepartment of Radiology, Erasmus University Medical Center, 's-Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands.
Marcel DijkshoornDepartment of Radiology, Erasmus University Medical Center, 's-Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands.
Jeroen SchaapDepartment of Cardiology, Amphia Ziekenhuis, Molengracht 21, 4818 CK, Breda, The Netherlands.
Jeroen LammersDepartment of Cardiology, Elkerliek Ziekenhuis, Wesselmanlaan 25, 5707 HA, Helmond, The Netherlands.
Evert J LamfersDepartment of Cardiology, Canisius Wilhelmina Ziekenhuis, Weg door Jonkerbos 100, 6532 SZ, Nijmegen, The Netherlands.
Benno J RensingDepartment of Cardiology, St Antonius Ziekenhuis, Koekoekslaan 1, 3435 CM, Nieuwegein, The Netherlands.
Richard L BraamDepartment of Cardiology, Gelre Ziekenhuis, Albert Schweitzerlaan 31, 7334 DZ, Apeldoorn, The Netherlands.
Hendrik M NathoeDepartment of Cardiology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.
Johannes C PostDepartment of Cardiology, Elkerliek Ziekenhuis, Wesselmanlaan 25, 5707 HA, Helmond, The Netherlands.
Pleunie P RoodDepartment of Emergency Medicine, Erasmus University Medical Center, 's-Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands.
Carl J SchultzDepartment of Cardiology, Royal Perth Hospital Campus, University of Western Australia, Perth, WA, 6000, Australia.
Adriaan MoelkerDepartment of Radiology, Erasmus University Medical Center, 's-Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands.
Mohamed OuhlousDepartment of Radiology, Erasmus University Medical Center, 's-Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands.
Bas M van DalenDepartment of Cardiology, Erasmus University Medical Center, Room: Ca-207a, 's-Gravendijkwal 230, Rotterdam, 3015 CE, The Netherlands.
Eric BoersmaDepartment of Cardiology, Erasmus University Medical Center, Room: Ca-207a, 's-Gravendijkwal 230, Rotterdam, 3015 CE, The Netherlands.
Koen NiemanDepartment of Cardiology, Erasmus University Medical Center, Room: Ca-207a, 's-Gravendijkwal 230, Rotterdam, 3015 CE, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the image quality of coronary CT angiography (CCTA) for suspected acute coronary syndrome (ACS) outside office hours.

methodsPatients with symptoms suggestive of an ACS underwent CCTA at the emergency department 24 hours, 7 days a week. A total of 118 patients, of whom 89 (75 %) presented during office hours (weekdays between 07:00 and 17:00) and 29 (25 %) outside office hours (weekdays between 17:00 and 07:00, weekends and holidays) underwent CCTA. Image quality was evaluated per coronary segment by two experienced readers and graded on an ordinal scale ranging from 1 to 3.

resultsThere were no significant differences in acquisition parameters, beta-blocker administration or heart rate between patients presenting during office hours and outside office hours. The median quality score per patient was 30.5 [interquartile range 26.0-33.5] for patients presenting during office hours in comparison to 27.5 [19.75-32.0] for patients presenting outside office hours (p=0.043). The number of non-evaluable segments was lower for patients presenting during office hours (0 [0-1.0] vs. 1.0 [0-4.0], p=0.009).

conclusionImage quality of CCTA outside office hours in the diagnosis of suspected ACS is diminished. KEY POINTS: • Quality scores were higher for coronary-CTA during office hours. • There were no differences in acquisition parameters. • There was a non-significant trend towards higher heart rates outside office hours. • Coronary-CTA on the ED requires state-of-the-art scanner technology and sufficiently trained staff. • Coronary-CTA on the ED needs preparation time and optimisation of the procedure.

Indexed as

Coronary Care UnitsAcute Coronary SyndromeComputed Tomography AngiographyCoronary AngiographyCoronary VesselsFemaleHumansMaleMiddle AgedReproducibility of ResultsSeverity of Illness IndexAcute coronary syndromeCoronary artery diseaseCoronary CT angiographyEmergency departmentImage quality

Identifiers

PMID29247351
PMCPMC5882623

What OpenQuestion holds

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Registered trials

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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.