ArticleInternational journal of environmental research and public health2019
Quality of Care for Patients with Acute Myocardial Infarction (AMI) in Pakistan: A Retrospective Study.
Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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.
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.
Who cites it
17 citing papers in PubMed, 22 citations in OpenAlex.
- Assessment of Quality of Care Provided for Patients Receiving Post-Myocardial Infarction Care at Selected Cardiac Clinics in Sulaymaniyah: Cross-Sectional Study.Health science reports · 2026Article
- Missed myocardial infarctions in rural Pakistan: the need for routine ECGs in patients with epigastric pain.Internal and emergency medicine · 2025Article
- Laboratory-based versus non-laboratory-based World Health Organization risk equations for assessment of cardiovascular disease risk.BMC medical research methodology · 2023Article
- Effectiveness of Cardiac Rehabilitation in Myocardial Infarction Patients After Percutaneous Coronary Intervention.Cureus · 2022Article
- Review
- Does the intubation timeline affect the in-hospital mortality of COVID-19 patients? A retrospective cohort study.Frontiers in medicine · 2022Article
- Composite measures of quality of health care: Evidence mapping of methodology and reporting.PloS one · 2022Article
- Micronutrient deficiencies and cardiac health.Frontiers in nutrition · 2022Article
- Particulate air pollution and metabolic risk factors: Which are more prone to cardiac mortality.Frontiers in public health · 2022Article
- Article
- Cardiovascular disease (CVD): assessment, prediction and policy implications.BMC public health · 2021Article
- Comparison of Major Clinical Outcomes between Accredited and Nonaccredited Hospitals for Inpatient Care of Acute Myocardial Infarction.International journal of environmental research and public health · 2021Article
- Long-Term Air Pollution Exposure and Ischemic Heart Disease Mortality Among Elderly in High Aging Asian Economies.Frontiers in public health · 2021Article
- Impact of Environmental Degradation on Human Health: An Assessment Using Multicriteria Decision Making.Frontiers in public health · 2021Article
- Application of Grey-Based SWARA and COPRAS Techniques in Disease Mortality Risk Assessment.Journal of healthcare engineering · 2021Article
- Socioeconomic Influence on Cardiac Mortality in the South Asian Region: New Perspectives from Grey Modeling and G-TOPSIS.Journal of healthcare engineering · 2021Article
- Smoking in Acute Myocardial Infarction Patients: Observations from a Registry Heart Hospital, Qatar.Heart views : the official journal of the Gulf Heart AssociationArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A wide variation exists in the practice patterns of acute myocardial infarction (AMI) care worldwide, leading to differences in clinical outcomes. This study aims to evaluate the quality of process care and its impact on in-hospital outcomes among AMI patients in Pakistan, as no such study has been conducted in Pakistan thus far based upon recommended guidelines. We investigated a sample of 2663 AMI patients across 11 territory hospitals in Punjab province of Lahore, Faisalabad, Multan, Rawalpindi, and Islamabad from January 1, 2016 to December 31, 2017, with an in-hospital mortality rate of 8.6%. We calculated compliance rates of quality indicators (QIs) for all eligible patients. The association between process care and in-hospital outcome was assessed using hierarchical generalized linear model that adjusted for patient and hospital characteristics. In addition, we examined the effect of patient composite scores on clinical outcomes. Aspirin (73.08%) and clopidogrel (67.86%) indicated relatively better conformance than other QIs. The percutaneous coronary intervention also showed significantly low adherence. All QIs showed no significant association with in-hospital mortality. In contrast, 4 out of 8 QIs were observed positively correlated with in-hospital length of stay (LOS). The overall patient composite score was found to be statistically significant with in-hospital LOS. The assessment of quality of care showed low adherence to clinical care recommendations, and increased adherence was associated with longer in-hospital LOS among AMI patients. Evaluation of valid QIs for AMI treatment and their impact on in-hospital outcomes is an important tool for improving health care delivery in the overall AMI population in Pakistan. Low adherence to performance measures strongly compel to focus on guideline-based tools for AMI in Pakistan.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.