Evidence map›Paper›PMID 32384008›Full record

ArticleJournal of the American Heart Association2020

Home-Time After Discharge Among Patients With Type 2 Myocardial Infarction.

Cian P McCarthy, Sean Murphy, Saad Rehman, Maeve Jones-O'Connor, David S Olshan, Joshua A Cohen, Jinghan Cui, Avinainder Singh, Muthiah Vaduganathan, James L Januzzi 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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.9field-weighted citation impact, top 28% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
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  5. Observational
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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 4 institutions in 1 country.

Cian P McCarthyDivision of Cardiology Department of Medicine Massachusetts General Hospital Boston MA.
Sean MurphyDepartment of Medicine Massachusetts General Hospital Boston MA.
Saad RehmanDepartment of Medicine Massachusetts General Hospital Boston MA.
Maeve Jones-O'ConnorDepartment of Medicine Massachusetts General Hospital Boston MA.
David S OlshanDepartment of Medicine Massachusetts General Hospital Boston MA.
Joshua A CohenDepartment of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic Cleveland OH.
Jinghan CuiDivision of Cardiology Department of Medicine Massachusetts General Hospital Boston MA.
Avinainder SinghDepartment of Medicine Yale-New Haven Hospital New Haven CT.
Muthiah VaduganathanBrigham and Women's Hospital Heart & Vascular Center Harvard Medical School Boston MA.
James L JanuzziDivision of Cardiology Department of Medicine Massachusetts General Hospital Boston MA.
Jason H WasfyDivision of Cardiology Department of Medicine Massachusetts General Hospital Boston MA.
Massachusetts General Hospital · USBrigham and Women's Hospital · USCleveland Clinic · USYale 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
The Harvard Clinical and Translational Science CenterUL1TR002541 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2018 to 2022
$93.0M
NCATS NIH HHS UL1 TR001863NCATS NIH HHS UL1 TR002541
6 · The paper itself

Abstract

Background Home-time, defined as the time spent alive outside of a healthcare institution, has emerged as a patient-centered health outcome. The discharge locations and distribution of home-time after a type 2 myocardial infarction are unknown. Methods and Results Patients with a type 2 myocardial infarction between October 2017 and May 2018 at Massachusetts General Hospital were included. Patients discharged to hospice or without follow-up data were excluded. Our primary outcome was home-time defined as the number of days lived outside of a hospital, long-term acute care facility, skilled nursing facility, or rehabilitation facility. We identified 359 patients with type 2 myocardial infarction over the study period. Of those discharged alive (N=321), 62.9% were discharged home, and the remainder went to a facility or hospice. Among those with available follow-up data (N=289), the median home-time was 30 (interquartile range [IQR], 16-30) days at 30 days, 171 (IQR, 133-180) days at 180 days, and 347 (IQR, 203-362) days at 365 days. At 1 year, 29 patients (10%) with type 2 myocardial infarction had spent no time at home and only 57 patients (19.7%) spent the entire year alive and at home. At 1 year, postdischarge all-cause mortality was 23.2%, all-cause readmission was 69.2%, and major adverse cardiovascular events (composite of all-cause mortality, recurrent myocardial infarction, or stroke) was 34.9%. Home-time through 1 year correlated strongly with time-to-event all-cause mortality (τ=0.54,

Indexed as

Health Status IndicatorsPatient DischargePatient ReadmissionAgedAged, 80 and overCause of DeathFemaleFunctional StatusHumansMaleMiddle AgedMyocardial InfarctionRisk AssessmentRisk FactorsTime Factorshome‐timepatient‐centered health outcometype 2 myocardial infarction

Identifiers

PMID32384008
PMCPMC7660891
OpenAlexW3023147507

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.