Evidence map›Paper›PMID 32542011›Full record

Observational studyPloS one2020

Non-ST elevation acute coronary syndrome in patients aged 80 years or older in Vietnam: An observational study.

Tan Van Nguyen, Khai Xuan Bui, Khuong Dang Tran, Duong Le, Tu Ngoc Nguyen

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 39% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Interventional therapy of acute coronary syndromes in very old patient population and results of 2 years follow-up.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2023
    Article
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

5 authors at 3 institutions in 2 countries.

Tan Van NguyenDepartment of Geriatrics & Gerontology, University of Medicine and Pharmacy in Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Khai Xuan BuiDepartment of Geriatrics & Gerontology, University of Medicine and Pharmacy in Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Khuong Dang TranDepartment of Geriatrics & Gerontology, University of Medicine and Pharmacy in Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Duong LeDepartment of Interventional Cardiology, Thong Nhat Hospital, Ho Chi Minh City, Vietnam.
Tu Ngoc NguyenWestmead Applied Research Centre, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-8836-8920
University of Medicine and Pharmacy at Ho Chi Minh City · VNPosts and Telecommunications Institute of Technology - Ho Chi Minh City · VNThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is limited evidence of non-ST elevation acute coronary syndrome (NSTE-ACS) in patients aged 80 or older in Vietnam.

aimTo describe the clinical characteristics of patients aged≥80 with NSTE-ACS in Vietnam, and to examine the effect of percutaneous coronary intervention (PCI) on adverse outcomes.

methodsConsecutive patients aged ≥80 with a diagnosis of NSTE-ACS admitted to two tertiary hospitals in Vietnam from 12/2018 to 06/2019 were recruited. The major outcomes were: (1) the composite of all-cause mortality, recurrent myocardial infarction and stroke, (2) re-admission rate during 3 months. Cox proportional-hazards regressions were conducted to examine the impact of PCI on the study outcomes, with results presented as hazard ratios (HR) and 95% confidence intervals (CI).

resultsThere were 120 participants, mean age 84.8 ± 3.8, 50% were female. Angiography and PCI were performed in 42 participants (35.0%). Most of the participants had multimorbidity and multiple coronary vessel disease. Compared to participants who did not receive PCI, participants who received PCI had significantly lower rates of adverse events during hospitalisation and during 3 months of follow up. Cox proportional hazards models adjusted to age and GRACE score show that PCI was significantly associated with reduced the composite outcome of all-cause mortality, recurrent myocardial infarction and stroke during 3 months follow-up (adjusted HR 0.32, 95%CI 0.12-0.86). PCI was also associated with reduced re-admission.

conclusionsThe rate of PCI was low in the very elderly patients with NSTE-ACS in this study, although PCI was significantly associated with reduced adverse outcomes.

Indexed as

Acute Coronary SyndromeAged, 80 and overCoronary AngiographyCoronary Artery DiseaseFemaleHumansKaplan-Meier EstimateMaleMyocardial InfarctionNon-ST Elevated Myocardial InfarctionPercutaneous Coronary InterventionProportional Hazards ModelsStrokeTreatment OutcomeVietnam

Identifiers

PMID32542011
PMCPMC7295222
OpenAlexW3034771010

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.