Evidence map›Paper›PMID 32079480›Full record

ArticleJournal of the American Heart Association2020

Automated Identification and Extraction of Exercise Treadmill Test Results.

Chengyi Zheng, Benjamin C Sun, Yi-Lin Wu, Ming-Sum Lee, Ernest Shen, Rita F Redberg, Maros Ferencik, Shaw Natsui, Aniket A Kawatkar, Visanee V Musigdilok and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2020. 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
3.5field-weighted citation impact, top 8% 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, 21 citations in OpenAlex.

  1. Pooled it
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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

11 authors at 5 institutions in 1 country.

Chengyi ZhengResearch and Evaluation Department Kaiser Permanente Southern California Pasadena CA.
Benjamin C SunDepartment of Emergency Medicine University of Pennsylvania Philadelphia PA.
Yi-Lin WuResearch and Evaluation Department Kaiser Permanente Southern California Pasadena CA.
Ming-Sum LeeDivision of Cardiology Kaiser Permanente Southern California, Los Angeles Medical Center Los Angeles CA.
Ernest ShenResearch and Evaluation Department Kaiser Permanente Southern California Pasadena CA.
Rita F RedbergDivision of Cardiology University of California, San Francisco San Francisco CA.
Maros FerencikKnight Cardiovascular Institute Oregon Health and Science University Portland OR.
Shaw NatsuiNational Clinician Scholars Program Department of Emergency Medicine University of California, Los Angeles Los Angeles CA.
Aniket A KawatkarResearch and Evaluation Department Kaiser Permanente Southern California Pasadena CA.
Visanee V MusigdilokResearch and Evaluation Department Kaiser Permanente Southern California Pasadena CA.
Adam L SharpResearch and Evaluation Department Kaiser Permanente Southern California Pasadena CA.
Kaiser Permanente · USOregon Health & Science University · USUniversity of California, Los Angeles · USUniversity of California, San Francisco · USUniversity of Pennsylvania · US

Funding

NRSA Training CoreTL1TR001883 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ALEX BUI, Nina Thawata Harawa · 2016 to 2026
$8.6M
Comparative Effectiveness of Early Diagnostic and Disposition Strategies for Suspected Acute Coronary SyndromeR01HL134647 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI SUN, BENJAMIN C · 2017 to 2020
$3.1M
NCATS NIH HHS TL1 TR001883NHLBI NIH HHS R01 HL134647
6 · The paper itself

Abstract

Background Noninvasive cardiac tests, including exercise treadmill tests (ETTs), are commonly utilized in the evaluation of patients in the emergency department with suspected acute coronary syndrome. However, there are ongoing debates on their clinical utility and cost-effectiveness. It is important to be able to use ETT results for research, but manual review is prohibitively time-consuming for large studies. We developed and validated an automated method to interpret ETT results from electronic health records. To demonstrate the algorithm's utility, we tested the associations between ETT results with 30-day patient outcomes in a large population. Methods and Results A retrospective analysis of adult emergency department encounters resulting in an ETT within 30 days was performed. A set of randomly selected reports were double-blind reviewed by 2 physicians to validate a natural language processing algorithm designed to categorize ETT results into normal, ischemic, nondiagnostic, and equivocal categories. Natural language processing then searched and categorized results of 5214 ETT reports. The natural language processing algorithm achieved 96.4% sensitivity and 94.8% specificity in identifying normal versus all other categories. The rates of 30-day death or acute myocardial infarction varied (

Indexed as

AlgorithmsElectronic Health RecordsExercise TestAcute Coronary SyndromeAgedEmergency Service, HospitalFemaleHumansMaleMiddle AgedNatural Language ProcessingRetrospective StudiesSensitivity and Specificitycardiac eventchest painemergency departmentnatural language processingnoninvasive testtreadmill test

Identifiers

PMID32079480
PMCPMC7335560
OpenAlexW3007228389

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.