Evidence map›Paper›PMID 30706252›Full record

ArticleInternal and emergency medicine2020

Step-down units are cost-effective alternatives to coronary care units with non-inferior outcomes in the management of ST-elevation myocardial infarction patients after successful primary percutaneous coronary intervention.

Yu-Shao Chou, Hsin-Yueh Lin, Yi-Ming Weng, Zhong Ning Leonard Goh, Cheng-Yu Chien, Hsuan-Jui Fan, Chih-Huang Li, Hsien-Yi Chen, Ming-Shun Hsieh, Joanna Chen-Yeen Seak and 2 more

Abstract read
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Article in Internal and emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

12 authors.

Yu-Shao ChouDepartment of Emergency Medicine, Lin-Kou Medical Center, Chang Gung Memorial Hospital, No. 5, Fusing St., Guei-shan Township, Taoyuan, 333, Taiwan, ROC.
Hsin-Yueh LinDepartment of Emergency Medicine, Lin-Kou Medical Center, Chang Gung Memorial Hospital, No. 5, Fusing St., Guei-shan Township, Taoyuan, 333, Taiwan, ROC.
Yi-Ming WengDivision of Prehospital Care, Department of Emergency Medicine, Taoyuan General Hospital, Ministry of Health and Welfare, Taoyuan, Taiwan.
Zhong Ning Leonard GohSchool of Medicine, International Medical University, Kuala Lumpur, Malaysia.
Cheng-Yu ChienDepartment of Emergency Medicine, Ton-Yen General Hospital, Zhubei, Hsinchu County, Taiwan.
Hsuan-Jui FanDepartment of Emergency Medicine, Lin-Kou Medical Center, Chang Gung Memorial Hospital, No. 5, Fusing St., Guei-shan Township, Taoyuan, 333, Taiwan, ROC.
Chih-Huang LiDepartment of Emergency Medicine, Lin-Kou Medical Center, Chang Gung Memorial Hospital, No. 5, Fusing St., Guei-shan Township, Taoyuan, 333, Taiwan, ROC.
Hsien-Yi ChenDepartment of Emergency Medicine, Lin-Kou Medical Center, Chang Gung Memorial Hospital, No. 5, Fusing St., Guei-shan Township, Taoyuan, 333, Taiwan, ROC.
Ming-Shun HsiehDepartment of Emergency Medicine, Taipei Veterans General Hospital, Taoyuan Branch, Taoyuan, Taiwan.
Joanna Chen-Yeen SeakSarawak General Hospital, Kuching, Sarawak, Malaysia.
Chen-Ken SeakSarawak General Hospital, Kuching, Sarawak, Malaysia.
Chen-June SeakDepartment of Emergency Medicine, Lin-Kou Medical Center, Chang Gung Memorial Hospital, No. 5, Fusing St., Guei-shan Township, Taoyuan, 333, Taiwan, ROC. julianseak@hotmail.com.ORCID http://orcid.org/0000-0003-0984-8385

Funding

Chang Gung Memorial Hospital (TW) CORPG3F0931Chang Gung Memorial Hospital (TW) CPRPG3D0012
6 · The paper itself

Abstract

Percutaneous coronary interventions (PCIs) within a door-to-balloon timing of 90 min have greatly decreased mortality and morbidity of ST-elevation myocardial infarction (STEMI) patients. Post-PCI, they are routinely transferred into the coronary care unit (CCU) regardless of the severity of their condition, resulting in frequent CCU overcrowding. This study assesses the feasibility of step-down units (SDUs) as an alternative to CCUs in the management of STEMI patients after successful PCI, to alleviate CCU overcrowding. Criteria of assessment include in-hospital complications, length of stay, cost-effectiveness, and patient outcomes up to a year after discharge from hospital. A retrospective case-control study was done using data of 294 adult STEMI patients admitted to the emergency departments of two training and research hospitals and successfully underwent primary PCI from 1 January 2014 to 31 December 2015. Patients were followed up for a year post-discharge. Student t test and χ

Indexed as

AdultAgedCase-Control StudiesCoronary Care UnitsCost-Benefit AnalysisElectrocardiographyFemaleHumansMaleMiddle AgedOutcome Assessment, Health CarePercutaneous Coronary InterventionRegression AnalysisRetrospective StudiesST Elevation Myocardial InfarctionTime FactorsCoronary care unitCost analysisST-elevation myocardial infarctionStep-down unit

Identifiers

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Registered trials

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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.