Evidence map›Paper›PMID 30509187›Full record

ArticleBMC emergency medicine2018

Management of acute coronary syndrome in emergency departments: a cross sectional multicenter study (Tunisia).

Asma Sriha Belguith, Kaouthar Beltaief, Mohamed Amine Msolli, Wahid Bouida, Hela Abroug, Manel Ben Fredj, Imen Zemni, Mohamed Habib Grissa, Hamdi Boubaker, ESCor Investigators group and 3 more

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

Article in BMC emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Sex Differences in Acute Coronary Syndromes: A Global Perspective.Journal of cardiovascular development and disease · 2022
    Review
  7. Article
  8. Article
  9. Acute coronary syndrome treatment delay in low to middle-income countries: A systematic review.International journal of cardiology. Heart & vasculature · 2021
    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

13 authors at 2 institutions in 1 country.

Asma Sriha BelguithEpidemiology and Preventive Medicine Department, University Hospital of Monastir, Monastir, Tunisia. belguith_asma@yahoo.fr.
Kaouthar BeltaiefResearch Laboratory (LR12SP18), University of Monastir, Monastir, Tunisia.
Mohamed Amine MsolliResearch Laboratory (LR12SP18), University of Monastir, Monastir, Tunisia.
Wahid BouidaResearch Laboratory (LR12SP18), University of Monastir, Monastir, Tunisia.
Hela AbrougEpidemiology and Preventive Medicine Department, University Hospital of Monastir, Monastir, Tunisia.
Manel Ben FredjEpidemiology and Preventive Medicine Department, University Hospital of Monastir, Monastir, Tunisia.
Imen ZemniEpidemiology and Preventive Medicine Department, University Hospital of Monastir, Monastir, Tunisia.
Mohamed Habib GrissaResearch Laboratory (LR12SP18), University of Monastir, Monastir, Tunisia.
Hamdi BoubakerResearch Laboratory (LR12SP18), University of Monastir, Monastir, Tunisia.
ESCor Investigators group
Mohamed HsairiNational Institute of Public Health, Tunis, Tunisia.
Samir NouiraResearch Laboratory (LR12SP18), University of Monastir, Monastir, Tunisia.
ESCorT Investigators group
University of Monastir · TNNational Heritage Institute · TN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to describe diagnosed acute coronary syndrome (ACS) and its care management and outcomes in emergency departments (EDs) and to determine related cardiovascular risk factors (CVRFs).

methodsWe conducted a cross sectional multicenter study that included 1173 adults admitted to EDs for acute chest pain (ACP) in 2015 at 14 sites in Tunisia. Data included patients' baseline characteristics, diagnosis, treatment and output.

resultsACS represented 49.7% of non-traumatic chest pain [95% CI: 46.7-52.6]; 74.2% of ACS cases were unstable angina/non-ST-segment-elevation myocardial infarction (UA/NSTEMI). Males represented 67.4% of patients with ACS (p < 0.001). The median age was 60 years (IQR 52-70). Emergency medical service transportation was used in 11.9% of cases. The median duration between chest pain onset and ED arrival was two hours (Inter quartile ranges (IQR) 2-4 h). The age-standardized prevalence rate was 69.9/100,000 PY; the rate was 96.24 in men and 43.7 in women. In the multivariable analysis, CVRFs related to ST segment elevation myocardial infarction were age correlated to sex and active smoking. CVRFs related to UA/NSTEMI were age correlated to sex, familial and personal vascular history and type 2 diabetes. We reported 27 cases of major adverse cardiovascular events (20.0%) in patients with STEMI and 36 in patients with UA/NSTEMI (9.1%).

conclusionHalf of the patients consulting EDs with ACP had ACS. Emergency medical service transportation calls were rare. Management delays were acceptable. The risk of developing an UA/NSTEMI was equal to the number of CVRFs + 1. To improve patient outcomes, it is necessary to increase adherence to international management guidelines.

Indexed as

Emergency Service, HospitalAcute Coronary SyndromeAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedRegistriesTunisiaAcute coronary syndromeCardiovascular risk factorsEpidemiologyManagementTunisia

Identifiers

PMID30509187
PMCPMC6276213
OpenAlexW2902248206

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.