Evidence map›Paper›PMID 29317808›Full record

ArticleClinical interventions in aging2018

Clinical utility of the revised cardiac risk index in older Chinese patients with known coronary artery disease.

Lu Che, Li Xu, Yuguang Huang, Chunhua Yu

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Clinical interventions in aging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
0.2field-weighted citation impact, top 39% 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, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

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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 at 1 institution in 1 country.

Lu CheDepartment of Anesthesiology, Peking Union Medical College Hospital, Beijing, China.
Li XuDepartment of Anesthesiology, Peking Union Medical College Hospital, Beijing, China.
Yuguang HuangDepartment of Anesthesiology, Peking Union Medical College Hospital, Beijing, China.
Chunhua YuDepartment of Anesthesiology, Peking Union Medical College Hospital, Beijing, China.
Peking Union Medical College Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe revised Cardiac Risk Index (RCRI) is the most widely used risk prediction tool for postoperative cardiac adverse events. We aim to explore the predictive ability of the RCRI in older Chinese patients with coronary artery disease (CAD) undergoing noncardiac surgery, which has not been previously evaluated.

methodsWe performed a multicenter, prospective study. We enrolled a total of 1,202 patients, aged >60 years, with a history of CAD who underwent noncardiac surgery. Perioperative data were extracted from an electronic database. The primary end point was defined as an occurrence of a postoperative major cardiac event (PoMCE) within 30 days. Logistic regression analysis was performed to evaluate the performance of the RCRI. A modified RCRI was created and compared with the original RCRI with regard to its ability to predict postoperative cardiac events.

resultsOf the enrolled patients, 4.3% experienced PoMCE. Most components of the RCRI were not predictive of postoperative cardiac events with the exception of insulin-dependent diabetes mellitus (odds ratio =2.38, 95% CI: 1.11-5.11;

conclusionThe original RCRI shows poor predictive ability in Chinese patients with CAD undergoing noncardiac surgery.

Indexed as

Coronary Artery DiseasePostoperative ComplicationsAgedChinaElectronic Health RecordsFemaleForecastingHumansMaleMiddle AgedOdds RatioProspective StudiesRegression AnalysisRisk AssessmentRisk Factorscardiovascular risk factorscoronary artery diseaseolder patientrisk prediction model

Identifiers

PMID29317808
PMCPMC5743178
OpenAlexW2777235983

What OpenQuestion holds

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LicenceCC BY-NC
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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.