Evidence map›Paper›PMID 31911613›Full record

ArticleJournal of human hypertension2020

Effect of intensive and standard blood pressure control on cardiovascular outcomes based on body mass index: sub-analysis of the sprint trial.

Setri Fugar, Alexis K Okoh, Christopher Dodoo, Ahmed A Kolkailah, Edwin Okyne, Ebru Özturk, Alfred Solomon, Nana Ama Afari Yeboah, Tania Campagnoli, Annabelle Volgman and 1 more

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of human hypertension, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 35% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Trial
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

11 authors at 4 institutions in 2 countries.

Setri FugarDivision of Cardiology, Department of Medicine, Rush University Medical Center, Chicago, IL, USA. setrifugar@yahoo.com.ORCID http://orcid.org/0000-0003-3007-9461
Alexis K OkohCardiovascular Research Unit, RWJ Barnabas Heart Health Center, Newark Beth Israel Medical Center, Newark, NJ, USA.
Christopher DodooDepartment of Biostatistics, Texas Health University Health Sciences Center, El Paso, TX, USA.
Ahmed A KolkailahDepartment of Medicine, John H Stroger Hospital of Cook County, Chicago, IL, USA.ORCID http://orcid.org/0000-0002-3327-1718
Edwin OkyneDepartment of Medicine, John H Stroger Hospital of Cook County, Chicago, IL, USA.
Ebru ÖzturkDepartment of Biostatistics, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Alfred SolomonDepartment of Medicine, John H Stroger Hospital of Cook County, Chicago, IL, USA.
Nana Ama Afari YeboahDepartment of Medicine, Manna Mission Hospital, Accra, Ghana.
Tania CampagnoliDepartment of Medicine, John H Stroger Hospital of Cook County, Chicago, IL, USA.
Annabelle VolgmanDivision of Cardiology, Department of Medicine, Rush University Medical Center, Chicago, IL, USA.
Kim WilliamsDivision of Cardiology, Department of Medicine, Rush University Medical Center, Chicago, IL, USA.
John H. Stroger, Jr. Hospital of Cook County · USRush University Medical Center · USHacettepe University · TRNewark Beth Israel Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The present study is a sub-analysis of the Systolic Blood Pressure Intervention Trial (SPRINT) that aimed to evaluate the role of intensive vs. standard hypertensive treatment on cardiovascular outcomes according to the body mass indices of trial participants. SPRINT participants were categorized according to their baseline BMI values into normal (BMI ≥ 18.5 to <25), overweight (BMI ≥ 25 to <30), and obese (BMI ≥ 30) groups. The primary cardiovascular outcome was a composite of myocardial infarction, acute coronary syndrome not resulting in myocardial infarction, stroke, acute decompensated heart failure, or death from cardiovascular cause. Cox regression analysis was used to calculate hazard ratios for the study outcome in intensive and standard BP treatment among those with varying BMI. Among 9237 participants with, 1682, 3599, and 3956 were normal, overweight and obese, respectively. After a median follow-up of 3.26 years, the hazard ratios for the primary endpoint were 0.82 (95% CI 0.58, 1.16), 0.71 (95% CI 0.54, 0.94), and 0.76 (95% CI 0.59, 0.98) for the normal, overweight, and obese participants, respectively (P value for interaction 0.79). The effect of intensive versus standard SBP treatment for the other secondary endpoints and serious adverse events were all similar in participants of different BMI (all P-interaction > 0.05). In this sub-analysis of the SPRINT trial, intensive blood pressure control had a beneficial effect in reducing the primary endpoint and all-cause mortality irrespective of the participants' BMI.

Indexed as

Antihypertensive AgentsHypertensionBlood PressureBody Mass IndexHumansRisk FactorsTreatment OutcomeAntihypertensive Agents

Identifiers

PMID31911613
OpenAlexW3000286675

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.