Evidence map›Paper›PMID 29724744›Full record

ArticleBMJ open2018

Measuring outcome differences associated with STEMI screening and diagnostic performance: a multicentred retrospective cohort study protocol.

Maame Yaa A B Yiadom, Bryn E Mumma, Christopher W Baugh, Brian W Patterson, Angela M Mills, Gilberto Salazar, Mary Tanski, Cathy A Jenkins, Timothy J Vogus, Karen F Miller and 10 more

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

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

6 citing papers in PubMed, 10 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

20 authors at 7 institutions in 1 country.

Maame Yaa A B YiadomDepartment of Emergency Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Bryn E MummaDepartment of Emergency Medicine, University of California at Davis, Sacramento, California, USA.
Christopher W BaughDepartment of Emergency Medicine, Brigham and Women's Hospital, Harvard University, Boston, Massachusetts, USA.
Brian W PattersonDepartment of Emergency Medicine, University of Wisconsin Madison, Madison, Wisconsin, USA.ORCID 0000-0002-4584-3808
Angela M MillsDepartment of Emergency Medicine, Columbia University Medical Center, New York, USA.
Gilberto SalazarDepartment of Emergency Medicine, Parkland Hospital, University of Texas Southwestern, Dallas, Texas, USA.
Mary TanskiDepartment of Emergency Medicine, Oregon Health and Sciences University, Portland, Oregon, USA.
Cathy A JenkinsDepartment of Biostatistics, Vanderbilt University, Nashville, Tennessee, USA.
Timothy J VogusOwen Graduate School of Management, Vanderbilt University, Nashville, Tennessee, USA.
Karen F MillerDepartment of Emergency Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Brittney E JacksonDepartment of Emergency Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Christoph U LehmannDepartment of Biomedical Informatics, Vanderbilt University, Nashville, Tennessee, USA.
Stephen C DornerDepartment of Emergency Medicine, Brigham and Women's Hospital, Harvard University, Boston, Massachusetts, USA.
Jennifer L WestDepartment of Emergency Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Thomas J WangDivision of Cardiology, Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Sean P CollinsDepartment of Emergency Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Robert S DittusDepartment of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Gordon R BernardDivision of Critical Care, Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Alan B StorrowDepartment of Emergency Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Dandan LiuDepartment of Biostatistics, Vanderbilt University, Nashville, Tennessee, USA.
Vanderbilt University · USBrigham and Women's Hospital · USColumbia University Irving Medical Center · USOregon Health & Science University · USParkland Memorial Hospital · USUniversity of California, Davis · USUniversity of Wisconsin–Madison · US

Funding

The Vanderbilt Emergency Medicine Research Training Program (VEMRT)K12HL109019 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI COLLINS, SEAN PATRICK, STORROW, ALAN B · 2011 to 2015
$3.7M
The Vanderbilt Emergency Care Research Training ProgramK12HL133117 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI STORROW, ALAN B · 2016 to 2020
$1.9M
Understanding the factors affecting hospital performance in out-of-hospital cardiac arrest: A mixed-methods studyK08HL130546 · NHLBI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI MUMMA, BRYN ELISSA · 2016 to 2018
$471k
Improving the Screening Criteria that Trigger an Early ECG to Diagnose STEMIK23HL133477 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI YIADOM, MAAME YAA A.B. · 2017 to 2019
$460k
NHLBI NIH HHS K08 HL130546NHLBI NIH HHS K12 HL109019NHLBI NIH HHS K12 HL133117NHLBI NIH HHS K23 HL133477
6 · The paper itself

Abstract

introductionAdvances in ST-segment elevation myocardial infarction (STEMI) management have involved improving the clinical processes connecting patients with timely emergency cardiovascular care. Screening upon emergency department (ED) arrival for an early ECG to diagnose STEMI, however, is not optimal for all patients. In addition, the degree to which timely screening and diagnosis are associated with improved time to intervention and postpercutaneous coronary intervention outcomes, under more contemporary practice conditions, is not known.

methodsWe present the methods for a retrospective multicentre cohort study anticipated to include 1220 patients across seven EDs to (1) evaluate the relationship between timely screening and diagnosis with treatment and postintervention clinical outcomes; (2) introduce novel measures for cross-facility performance comparisons of screening and diagnostic care team performance including: door-to-screening, door-to-diagnosis and door-to-catheterisation laboratory arrival times and (3) describe the use of electronic health record data in tandem with an existing disease registry. ETHICS AND DISSEMINATION: The completion of this study will provide critical feedback on the quality of screening and diagnostic performance within the contemporary STEMI care pathway that can be used to (1) improve emergency care delivery for patients with STEMI presenting to the ED, (2) present novel metrics for the comparison of screening and diagnostic care and (3) inform the development of screening and diagnostic support tools that could be translated to other care environments. We will disseminate our results via publication and quality performance data sharing with each site. Institutional ethics review approval was received prior to study initiation.

Indexed as

Angioplasty, Balloon, CoronaryElectrocardiographyEmergency Medical ServicesEmergency Service, HospitalFemaleHumansMaleMulticenter Studies as TopicOutcome Assessment, Health CareResearch DesignRetrospective StudiesRisk FactorsST Elevation Myocardial InfarctionTime FactorsTime-to-Treatment

Identifiers

PMID29724744
PMCPMC5942471
OpenAlexW2800774790

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.