Evidence map›Paper›PMID 29769019›Full record

Observational studyBMC cardiovascular disorders2018

Comparison of outcomes in emergency department patients with suspected cardiac chest pain: two-centre prospective observational study in Southern China.

Huilin Jiang, Yunmei Li, Junrong Mo, Xiaohui Chen, Min Li, Peiyi Lin, Kevin K C Hung, Timothy H Rainer, Colin A Graham

Abstract readComparative StudyMulticenter StudyObservational Study
In one paragraph

Observational study in BMC cardiovascular disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Huilin JiangEmergency Department, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Yunmei LiEmergency Department, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Junrong MoEmergency Department, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Xiaohui ChenEmergency Department, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Min LiEmergency Department, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Peiyi LinEmergency Department, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Kevin K C HungAccident and Emergency Medicine Academic Unit, Chinese University of Hong Kong, Prince of Wales Hospital, Main Clinical Block and Trauma Centre, Shatin, N.T, Hong Kong, China.
Timothy H RainerAccident and Emergency Medicine Academic Unit, Chinese University of Hong Kong, Prince of Wales Hospital, Main Clinical Block and Trauma Centre, Shatin, N.T, Hong Kong, China.
Colin A GrahamAccident and Emergency Medicine Academic Unit, Chinese University of Hong Kong, Prince of Wales Hospital, Main Clinical Block and Trauma Centre, Shatin, N.T, Hong Kong, China. cagraham@cuhk.edu.hk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHong Kong (HK) and Guangzhou (GZ) are cities in China with different healthcare systems. This study aimed to compare 30-day and 6-month mortality and characteristics of patients with suspected cardiac chest pain admitted to two emergency departments (ED) in HK and GZ.

methodsA prospective observational study enrolled patients with suspected cardiac chest pain presenting to EDs in the Prince of Wales Hospital (PWH), HK and the Second Affiliated Hospital of Guangzhou Medical University (AHGZMU),GZ. The primary outcome was 30-day and 6-month mortality.

resultsIn total, 996 patients were recruited, 407 cases from GZ and 589 cases from HK.The 30-day and 6-month mortality of chest patients were 3.7% and 4.7% in GZand 0.3% and 1.9% in HK, respectively. Serum creatinine level (Cr) was an independent factor for 30-day mortality whilst Cr and systolic blood pressure (SBP) were independent factors for 6-month mortality. In Cox regression analysis, unadjusted and adjusted hazard ratios for 30-day and 6-month mortality in GZ were significantly increased.

conclusionThe 30-day and 6-month mortality of patients with suspected cardiac chest pain in Guangzhou were higher than in Hong Kong due to due to different baseline clinical characteristics of patients and different distributions of diagnoses, which were associated with different healthcare systems. Serum creatinine and SBP were independent factors for 30-day and 6-month mortality.

Indexed as

Cardiology Service, HospitalEmergency Service, HospitalHealthcare DisparitiesHealth Status DisparitiesAgedAged, 80 and overAngina PectorisBiomarkersBlood PressureComorbidityCreatinineFemaleHeart RateHong KongHumansMaleBiomarkersCreatinineAcute coronary syndromeChest painEmergency departmentGuangzhouHong KongRisk stratification

Identifiers

PMID29769019
PMCPMC5956813

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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.