Evidence map›Paper›PMID 29717509›Full record

ArticleClinical cardiology2018

Impact of delirium on patients hospitalized for myocardial infarction: A propensity score analysis of the National Inpatient Sample.

Abdullah Abdullah, George Eigbire, Amr Salama, Abdul Wahab, Mohanad Awadalla, Ryan Hoefen, Richard Alweis

Abstract readMulticenter Study
In one paragraph

Article in Clinical cardiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

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

13 citing papers in PubMed.

  1. Observational
  2. Review
  3. Article
  4. Review
  5. Delirium in older adults after percutaneous coronary intervention: Prevalence, risks, and clinical phenotypes.Cardiovascular revascularization medicine : including molecular interventions · 2023
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. 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

7 authors.

Abdullah AbdullahDepartment of Medicine, Rochester Regional Health, Unity Hospital, Rochester, New York.ORCID http://orcid.org/0000-0002-7697-3701
George EigbireDepartment of Medicine, Rochester Regional Health, Unity Hospital, Rochester, New York.
Amr SalamaDepartment of Medicine, Rochester Regional Health, Unity Hospital, Rochester, New York.
Abdul WahabDepartment of Medicine, Rochester Regional Health, Unity Hospital, Rochester, New York.
Mohanad AwadallaDepartment of Medicine, University of Massachusetts Medical Center, Worcester, Massachusetts.
Ryan HoefenDepartment of Cardiology, Rochester Regional Health, Unity Hospital, Rochester, New York.
Richard AlweisDepartment of Medicine, Rochester Regional Health, Unity Hospital, Rochester, New York.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDelirium is associated with worse outcomes in critically ill patients. In the subset of patients with myocardial infarction (MI), the impact on clinical outcomes of delirium is not as well elucidated. HYPOTHESIS: Delirium is associated with increased mortality in patients hospitalized for MI.

methodsThe study used data from the National Inpatient Sample 2012 to 2014, Healthcare Cost and Utilization Project. We included discharges associated with the primary diagnosis of MI using the relevant International Classification of Diseases, Ninth Revision, Clinical Modification codes. The outcome was inpatient mortality between the delirium group and propensity score-matched controls without delirium.

resultsThe study included 1 330 020 weighted discharges with MI as the principal diagnosis. Within this cohort, 18 685 discharges (1.4%) had delirium. Delirium was associated with older age, lower rates of percutaneous coronary intervention, and increased comorbid conditions. The delirium group had higher mortality (10.5% vs 2.6%, P < 0.001). Propensity score-matching analysis showed increased mortality in the delirium group (10.5% vs 7.6%, relative risk: 1.39 [95% confidence interval: 1.2-1.6, P < 0.001) using nearest neighbor 1:1 matching.

conclusionsIn individuals with MI, delirium was associated with increased inpatient mortality.

Indexed as

Propensity ScoreRisk AssessmentAgedDatabases, FactualDeliriumFemaleHospital MortalityHumansIncidenceInpatientsMaleMyocardial InfarctionRetrospective StudiesRisk FactorsSurvival RateUnited StatesAltered Mental StatusClinical Modification CodesComorbiditiesDeliriumInternational Classification of DiseasesMyocardial InfarctionNinth Revision

Identifiers

PMID29717509
PMCPMC6490070

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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.