Evidence map›Paper›PMID 30739104›Full record

ArticleMedical principles and practice : international journal of the Kuwait University, Health Science Centre2019

Association between Peripheral Artery Disease and Major Adverse Cardiovascular Events in Patients with Acute Coronary Syndrome: Findings from the Gulf COAST Registry.

Ibrahim Al-Zakwani, Ekram Al Siyabi, Najib Alrawahi, Arif Al-Mulla, Abdullah Alnaeemi, Abdulla Shehab, Mohammad Zubaid

Open access · diamondAbstract read
In one paragraph

Article in Medical principles and practice : international journal of the Kuwait University, Health Science Centre, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Investigation of the Effect of HATCH Score and Coronary Artery Disease Complexity on Atrial Fibrillation after On-Pump Coronary Artery Bypass Graft Surgery.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2021
    Article
  11. The Association of Fractional Pulse Pressure with Acute Kidney Injury in Patients Undergoing Coronary Intervention due to ST-Segment Elevated Myocardial Infarction.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2020
    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 7 institutions in 4 countries.

Ibrahim Al-ZakwaniDepartment of Pharmacy, Sultan Qaboos University Hospital, Muscat, Oman, ial_zakwani@yahoo.com.
Ekram Al SiyabiDepartment of Pharmacy, Sultan Qaboos University Hospital, Muscat, Oman.
Najib AlrawahiDepartment of Cardiology, National Heart Center, Royal Hospital, Muscat, Oman.
Arif Al-MullaDivision of Adult Cardiology, Cardiac Sciences Institute, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates.
Abdullah AlnaeemiDepartment of Medicine, Zayed Military Hospital, Abu Dhabi, United Arab Emirates.
Abdulla ShehabInternal Medicine Department, College of Medicine and Health Sciences (CMHS), UAE University, Al-Ain, United Arab Emirates.
Mohammad ZubaidDepartment of Medicine, Faculty of Medicine, Kuwait University, Safat, Kuwait.
Kuwait University · KWRoyal Hospital · OMShaikh Khalifa Medical City · AESultan Qaboos University Hospital · OMUnited Arab Emirates University · AEYahoo (United Kingdom) · GBZayed Military Hospital · AE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the association between peripheral artery disease (PAD) and major adverse cardiovascular events (MACE) in patients with acute coronary syndrome (ACS) in the Arabian Gulf.

methodsData from 4,044 consecutive patients diagnosed with ACS admitted to 29 hospitals in four Arabian Gulf countries from January 2012 to January 2013 were analyzed. PAD was defined as any of the following: claudication, amputation for arterial vascular insufficiency, vascular reconstruction, bypass surgery, or percutaneous intervention in the extremities, documented aortic aneurysm or an ankle brachial index of <0.8 in any of the legs. MACE included stroke/transient ischemic attack (TIA), myocardial infarction (MI), all-cause mortality, and readmissions for cardiac reasons diagnosed between hospital admission and at 1-year post discharge. Analyses were performed using univariate and multivariate statistical techniques.

resultsThe overall mean age of the cohort was 60 ± 13 years and 66% (n = 2,686) were males. A total of 3.3% (n = 132) of the patients had PAD. Patients with PAD were more likely to be associated with smoking, prior MI, hypertension, diabetes mellitus, and stroke/TIA. At the 1-year follow-up, patients with PAD were significantly more likely to have MACE (adjusted OR [aOR], 2.07; 95% confidence interval [CI]: 1.41-3.06; p< 0.001). The higher rates of events were also observed across all MACE components; stroke/TIA (aOR, 3.22; 95% CI: 1.80-5.75; p< 0.001), MI (aOR, 2.15; 95% CI: 1.29-3.59; p =0.003), all-cause mortality (aOR, 2.21; 95% CI: 1.33-3.69; p =0.002), and readmissions for cardiac reasons (aOR, 1.83; 95% CI: 1.24-2.70; p =0.003).

conclusionsPAD was significantly associated with MACE in ACS patients in the Arabian Gulf.

Indexed as

Acute Coronary SyndromeAgedAged, 80 and overCardiovascular DiseasesComorbidityFemaleHumansLongitudinal StudiesMaleMiddle AgedMiddle EastPeripheral Arterial DiseaseRegistriesRisk FactorsAcute coronary syndromeArabsMiddle EastMortalityMyocardial infarctionPeripheral artery diseaseStrokeTransient ischemic attack

Identifiers

PMID30739104
PMCPMC6771062
OpenAlexW2913149323

What OpenQuestion holds

Textmetadata
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.