Evidence map›Paper›PMID 29895601›Full record

Observational studyCirculation. Cardiovascular interventions2018

Outcomes After Percutaneous Coronary Intervention in Patients With a History of Cerebrovascular Disease: Insights From the Blue Cross Blue Shield of Michigan Cardiovascular Consortium.

Chris Song, Devraj Sukul, Milan Seth, David Wohns, Simon R Dixon, Nicklaus K Slocum, Hitinder S Gurm

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Circulation. Cardiovascular interventions, 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
1.7field-weighted citation impact, top 14% 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, 14 citations in OpenAlex.

  1. Trial
  2. Article
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  4. Outcomes between in-hospital stroke and community-onset stroke after thrombectomy: Propensity-score matching analysis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2022
    Article
  5. Article
  6. 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

7 authors at 4 institutions in 1 country.

Chris SongFrom the Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor (C.S.).
Devraj SukulDivision of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor (D.S., M.S., H.S.G.) dsukul@med.umich.edu.
Milan SethDivision of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor (D.S., M.S., H.S.G.).
David WohnsDivision of Cardiology, Spectrum Health, Grand Rapids, MI (D.W.).
Simon R DixonDepartment of Cardiovascular Medicine, Beaumont Hospital, Royal Oak, MI (S.R.D.).
Nicklaus K SlocumGrand Traverse Heart Associates, Department of Cardiology, Traverse Heart and Vascular, Traverse City, MI (N.K.S.).
Hitinder S GurmDivision of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor (D.S., M.S., H.S.G.).
University of Michigan–Ann Arbor · USBeaumont Hospital, Royal Oak · USGreat Lakes Environmental Center · USSpectrum Health · US

Funding

TRAINING IN MOLECULAR AND CELLULAR CARDIOLOGYT32HL007853 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI David J. Pinsky · 1996 to 2026
$11.6M
NHLBI NIH HHS T32 HL007853
6 · The paper itself

Abstract

backgroundBecause of shared risk factors between coronary artery disease and cerebrovascular disease, patients with a history of transient ischemic attack (TIA) or stroke are at greater risk of developing coronary artery disease, which may require percutaneous coronary intervention (PCI). However, there remains a paucity of research examining outcomes after PCI in these patients. METHODS AND

resultsWe analyzed consecutive patients who underwent PCI between January 1, 2013, and March 31, 2016, at 47 Michigan hospitals and identified those with a history of TIA/stroke. We used propensity score matching to adjust for differences in baseline characteristics and compared in-hospital outcomes between patients with and without a history of TIA/stroke. We compared rates of 90-day readmission and long-term mortality in a subset of patients. Among 98 730 patients who underwent PCI, 10 915 had a history of TIA/stroke. After matching (n=10 618 per group), a history of TIA/stroke was associated with an increased risk of in-hospital stroke (adjusted odds ratio, 2.04; 95% confidence interval, 1.41-2.96;

conclusionsA history of TIA/stroke was common in patients who underwent PCI and was associated with increased risks of in-hospital stroke, 90-day readmission, and long-term mortality. Given the devastating consequences of post-PCI stroke, patients with a history of TIA/stroke should be counseled on this increased risk before undergoing PCI.

Indexed as

Blue Cross Blue Shield Insurance PlansPercutaneous Coronary InterventionAgedAged, 80 and overClinical Decision-MakingCoronary Artery DiseaseFemaleHumansIschemic Attack, TransientMaleMichiganMiddle AgedPatient ReadmissionPatient SelectionRegistriesRetrospective Studiesischemic attack, transientoutcome assessment (health care)percutaneous coronary interventionrisk factorsstroke

Identifiers

PMID29895601
PMCPMC6873702
OpenAlexW2808093836

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.