Evidence map›Paper›PMID 32723120›Full record

ArticleThe Journal of international medical research2020

Factors associated with long-term survival in patients with stroke after coronary artery bypass grafting.

Brandie D Wagner, Gary K Grunwald, G Hossein Almassi, Xinli Li, Frederick L Grover, A Laurie W Shroyer

Abstract read
In one paragraph

Article in The Journal of international medical research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Review
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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

6 authors.

Brandie D WagnerDivision of Cardiac Research, Eastern Colorado Health Care System, Department of Veterans Affairs Medical Center, Denver, CO, USA.ORCID https://orcid.org/0000-0002-2745-0103
Gary K GrunwaldDivision of Cardiac Research, Eastern Colorado Health Care System, Department of Veterans Affairs Medical Center, Denver, CO, USA.
G Hossein AlmassiZablocki Veterans Affairs Medical Center and Medical College of Wisconsin, Milwaukee, WI, USA.
Xinli LiDivision of Cardiac Research, Eastern Colorado Health Care System, Department of Veterans Affairs Medical Center, Denver, CO, USA.ORCID https://orcid.org/0000-0002-3995-9679
Frederick L GroverDivision of Cardiac Research, Eastern Colorado Health Care System, Department of Veterans Affairs Medical Center, Denver, CO, USA.
A Laurie W ShroyerDivision of Cardiac Research, Eastern Colorado Health Care System, Department of Veterans Affairs Medical Center, Denver, CO, USA.ORCID https://orcid.org/0000-0001-6461-0623

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOccurrence of a stroke within 30 days following coronary artery bypass grafting (CABG) is an uncommon, but often devastating, complication. This study aimed to identify factors associated with long-term survival (beyond 30 days) in patients with stroke after CABG.

methodsDe-identified patients' records from the Veterans Affairs Surgical Quality Improvement Program database were used to identify risk factors and perioperative complications associated with survival for up to 20 years in patients with post-CABG stroke. The multivariable Cox proportional hazards model was used for analyzing survival.

resultsThe median survival time for patients with stroke (n = 1422) was 6.7 years. The mortality rate for these patients was highest in the first year post-CABG and was significantly elevated compared with non-stroke patients. Survival rates at 1, 5, and 10 years for stroke versus non-stroke patients were 79% vs. 96%, 58% vs. 83%, and 36% vs. 63%, respectively. High preoperative serum creatinine levels, postoperative occurrence of renal failure, prolonged ventilation, coma, and reoperation for bleeding were important predictors of 1-year mortality of patients with post-CABG stroke.

conclusionsVeterans with post-CABG stroke have a considerably higher risk for mortality during the first year compared with patients without stroke.

Indexed as

Coronary Artery DiseaseStrokeCoronary Artery BypassHumansPostoperative ComplicationsProportional Hazards ModelsRetrospective StudiesRisk FactorsSurvival RateTreatment Outcomecomacoronary artery bypass graftinglong-term survivalmortalityrenal failurerisk adjustmentStrokeveteran

Identifiers

PMID32723120
PMCPMC7391442

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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.