Evidence map›Paper›PMID 32552061›Full record

ArticleCirculation. Cardiovascular quality and outcomes2020

Rates and Predictors of Patient Underreporting of Hospitalizations During Follow-Up After Acute Myocardial Infarction: An Assessment From the TRIUMPH Study.

César Caraballo, Rohan Khera, Philip G Jones, Carole Decker, Wade Schulz, John A Spertus, Harlan M Krumholz

Open access · bronzeAbstract read
In one paragraph

Article in Circulation. Cardiovascular quality and outcomes, 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
1.9field-weighted citation impact, top 11% 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, 11 citations in OpenAlex.

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  8. Post-discharge health status and symptoms in patients with severe COVID-19.medRxiv : the preprint server for health sciences · 2020
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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

7 authors at 4 institutions in 1 country.

César Caraballo *Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, CT (C.C., W.S., H.M.K.).
Rohan Khera *Division of Cardiology, University of Texas Southwestern Medical Center, Dallas (R.K.).
Philip G JonesSaint Luke's Mid America Heart Institute, Kansas City, MO (P.G.J., C.D., J.A.S.).
Carole DeckerSaint Luke's Mid America Heart Institute, Kansas City, MO (P.G.J., C.D., J.A.S.).
Wade SchulzCenter for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, CT (C.C., W.S., H.M.K.).
John A SpertusSaint Luke's Mid America Heart Institute, Kansas City, MO (P.G.J., C.D., J.A.S.).
Harlan M KrumholzCenter for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, CT (C.C., W.S., H.M.K.).
Yale New Haven Hospital · USSaint Luke's Hospital · USSaint Luke's Health System · USThe University of Texas Southwestern Medical Center · US

Funding

SCCOR in Cardiac Dysfunction and DiseaseP50HL077113 · NHLBI · WASHINGTON UNIVERSITY · PI KELLY, DANIEL PATRICK · 2005 to 2009
$13.4M
NHLBI NIH HHS P50 HL077113
6 · The paper itself

Abstract

backgroundMany clinical investigations depend on participant self-report as a principal method of identifying health care events. If self-report is used as the trigger to collect and adjudicate medical records, any event that is not reported by the patient will be missed by the investigators, reducing the power of the study and misrepresenting the risk of its participants. We sought to determine the rates and predictors of underreporting hospitalization events during the follow-up period of a prospective study of patients hospitalized with an acute myocardial infarction. METHODS AND

resultsThe TRIUMPH (Translational Research Investigating Underlying Disparities in Acute Myocardial Infarction Patients' Health Status) registry, a longitudinal multicenter cohort study of people with acute myocardial infarction in the United States, queried patients for hospitalization events during interviews at 1, 6, and 12 months. To validate these self-reports, medical records for all events at every hospital where the patient reported receiving care were acquired for adjudication, not just those for the reported events. Of the 4340 participants in TRIUMPH, 1209 (28%) reported at least one hospitalization. After medical records abstraction and adjudication, we identified 1086 hospitalizations from 639 participants (60.2±12 years of age, 38.2% women). Of these hospitalizations, 346 (31.9%) were underreported by the participants. Rates of underreporting ranged from 22.5% to 55.6% based on different patient characteristics. The odds of underreporting were highest for those not currently working (adjusted odds ratio, 1.66 [95% CI, 1.04-2.63]), lowest for those married (adjusted odds ratio, 0.50 [95% CI, 0.33-0.76]), and increased the longer the elapsed time between the admission and the patient's follow-up interview (adjusted odds ratio per month, 1.16 [95% CI, 1.08-1.24]). There was a substantial within-individual variation on the accuracy of reporting.

conclusionsHospitalizations after acute myocardial infarction are commonly underreported in interviews and should not be used alone to determine event rates in clinical studies.

Indexed as

Health Status IndicatorsSelf ReportAgedData AccuracyFemaleHealth StatusHospitalizationHumansLongitudinal StudiesMaleMiddle AgedMyocardial InfarctionRegistriesTime FactorsUnited Stateshealth statushospitalizationmedical recordsmyocardial infarctionself report

Identifiers

PMID32552061
PMCPMC9465954
OpenAlexW3036409204

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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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.