Evidence map›Paper›PMID 31607145›Full record

Observational studyCirculation. Cardiovascular quality and outcomes2019

Sex-Based Differences in Presentation, Treatment, and Complications Among Older Adults Hospitalized for Acute Myocardial Infarction: The SILVER-AMI Study.

Michael G Nanna, Alexandra M Hajduk, Harlan M Krumholz, Terrence E Murphy, Rachel P Dreyer, Karen P Alexander, Mary Geda, Sui Tsang, Francine K Welty, Basmah Safdar and 3 more

Open access · bronzeAbstract readComparative StudyMulticenter StudyObservational Study
In one paragraph

Observational study in Circulation. Cardiovascular quality and outcomes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 2% 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.

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  19. Management of Stable Angina in the Older Adult Population.Circulation. Cardiovascular interventions · 2023
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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

13 authors at 1 institution in 1 country.

Michael G NannaDuke Clinical Research Institute, Duke University Medical Center, Durham, NC (M.G.N., K.P.A.).
Alexandra M HajdukDepartment of Internal Medicine, Geriatrics Section, Program on Aging (A.H., T.E.M., M.G., S.T.), Yale School of Medicine, New Haven, CT.
Harlan M KrumholzSection of Cardiovascular Medicine, Department of Internal Medicine (H.M.K.), Yale School of Medicine, New Haven, CT.
Terrence E MurphyDepartment of Internal Medicine, Geriatrics Section, Program on Aging (A.H., T.E.M., M.G., S.T.), Yale School of Medicine, New Haven, CT.
Rachel P DreyerDepartment of Emergency Medicine, Center for Outcomes Research and Evaluation (R.P.D., B.S.), Yale School of Medicine, New Haven, CT.
Karen P AlexanderDuke Clinical Research Institute, Duke University Medical Center, Durham, NC (M.G.N., K.P.A.).
Mary GedaDepartment of Internal Medicine, Geriatrics Section, Program on Aging (A.H., T.E.M., M.G., S.T.), Yale School of Medicine, New Haven, CT.
Sui TsangDepartment of Internal Medicine, Geriatrics Section, Program on Aging (A.H., T.E.M., M.G., S.T.), Yale School of Medicine, New Haven, CT.
Francine K WeltyDivision of Cardiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (F.W., D.K.L.).
Basmah SafdarDepartment of Emergency Medicine, Center for Outcomes Research and Evaluation (R.P.D., B.S.), Yale School of Medicine, New Haven, CT.
Dharshan K LakshminarayanDivision of Cardiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (F.W., D.K.L.).
Sarwat I ChaudhryNational Clinician Scholars Program, Department of Internal Medicine (H.M.K., S.I.C.), Yale School of Medicine, New Haven, CT.
John A DodsonLeon H. Charney Division of Cardiology, Department of Medicine (J.A.D.), New York University School of Medicine.
Yale New Haven Hospital · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Albert C Shaw · 2002 to 2026
$37.9M
Risk Stratification in Older Persons with Acute Myocardial Infarction: SILVER-AMIR01HL115295 · NHLBI · YALE UNIVERSITY · PI CHAUDHRY, SARWAT I · 2012 to 2016
$11.3M
Postdoctoral Training in Cardiovascular Clinical ResearchT32HL069749 · NHLBI · DUKE UNIVERSITY · PI MARK, DANIEL B · 2003 to 2023
$6.7M
Geriatric impairments, risk of treatment-related harms, and shared decision-making among older adults with acute myocardial infarctionK23AG052463 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI DODSON, JOHN A · 2016 to 2019
$658k
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS R01 HL115295NHLBI NIH HHS T32 HL069749NIA NIH HHS K23 AG052463NIA NIH HHS P30 AG021342
6 · The paper itself

Abstract

backgroundStudies of sex-based differences in older adults with acute myocardial infarction (AMI) have yielded mixed results. We, therefore, sought to evaluate sex-based differences in presentation characteristics, treatments, functional impairments, and in-hospital complications in a large, well-characterized population of older adults (≥75 years) hospitalized with AMI. METHODS AND

resultsWe analyzed data from participants enrolled in SILVER-AMI (Comprehensive Evaluation of Risk Factors in Older Patients With Acute Myocardial Infarction)-a prospective observational study consisting of 3041 older patients (44% women) hospitalized for AMI. Participants were stratified by AMI subtype (ST-segment-elevation myocardial infarction [STEMI] and non-STEMI [NSTEMI]) and subsequently evaluated for sex-based differences in clinical presentation, functional impairments, management, and in-hospital complications. Among the study sample, women were slightly older than men (NSTEMI: 82.1 versus 81.3,

conclusionsAmong older adults hospitalized with AMI, women had a higher prevalence of age-related functional impairments and, among the STEMI subgroup, a higher incidence of overall bleeding events, which was driven by higher rates of nonmajor bleeding events and bleeding following percutaneous coronary intervention. These differences may have important implications for in-hospital and posthospitalization needs.

Indexed as

Healthcare DisparitiesHealth Status DisparitiesMyocardial RevascularizationPatient AdmissionAgedAged, 80 and overAge FactorsComorbidityDisability EvaluationFemaleHumansLife StyleMaleNon-ST Elevated Myocardial InfarctionPrevalenceProspective Studiesgeriatricshemorrhagemyocardial infarctionphysical functional performancesex characteristicsST-segment–elevation myocardial infarction

Identifiers

PMID31607145
PMCPMC6913190
OpenAlexW2979949266

What OpenQuestion holds

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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.