Evidence map›Paper›PMID 32739446›Full record

ArticleInternational journal of cardiology2020

Adoption of same day discharge following elective left main stem percutaneous coronary intervention.

Paraskevi Taxiarchi, Evangelos Kontopantelis, Tim Kinnaird, Nick Curzen, Adrian Banning, Peter Ludman, Ahmad Shoaib, Muhammad Rashid, Glen P Martin, Mamas A Mamas

Erratum issuedAbstract read
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In one paragraph

Article in International journal of cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Revascularisation strategies in patients with significant left main coronary disease during the COVID-19 pandemic.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2021
    Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Paraskevi TaxiarchiCentre for Biostatistics, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.
Evangelos KontopantelisCentre for Biostatistics, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.
Tim KinnairdUniversity Hospital of Wales, Cardiff, UK.
Nick CurzenCoronary Research Group, University Hospital Southampton, Faculty of Medicine, University of Southampton, UK.
Adrian BanningJohn Radcliffe Hospital, Oxford, UK.
Peter LudmanInstitute of Cardiovascular Sciences, University of Birmingham, Birmingham, UK.
Ahmad ShoaibKeele Cardiovascular Research Group, Institute of Primary Care and Health Sciences, University of Keele and Academic Department of Cardiology, Royal Stoke Hospital, Stoke-on-Trent, UK.
Muhammad RashidKeele Cardiovascular Research Group, Institute of Primary Care and Health Sciences, University of Keele and Academic Department of Cardiology, Royal Stoke Hospital, Stoke-on-Trent, UK.
Glen P MartinCentre for Biostatistics, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.
Mamas A MamasCentre for Biostatistics, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK; Keele Cardiovascular Research Group, Institute of Primary Care and Health Sciences, University of Keele and Academic Department of Cardiology, Royal Stoke Hospital, Stoke-on-Trent, UK. Electronic address: doctorrashid7@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study sought to investigate the safety and feasibility of same day discharge (SDD) practice and compare clinical outcomes to patients admitted for overnight stay (ON) undergoing elective left main stem (LMS) percutaneous coronary intervention (PCI). ON observation is still widely practiced in highly complex PCI as the standard of care, with no previous data comparing clinical outcomes in patients undergoing LMS PCI.

methodsWe analysed 6452 patients undergoing elective LMS PCI between 2007 and 2014 in England and Wales. Multiple logistic regressions and the BCIS risk model were used to study association between SDD and 30 day mortality.

resultsSDD rates almost doubled from 19.9% in 2007 to 39.8% in 2014 for all LMS procedures and increased from 20.7% to 41.4% for unprotected LMS cases during the same study period. There was a significant increase in procedural complexity with higher use of rotational atherectomy, longer stents and multivessel PCI. SDD was not associated with increased 30 day mortality (OR 0.70 95%CI 0.30-1.65) in the overall LMS PCI cohort and the results were similar in unprotected LMS (OR 0.48 95%CI 0.17-1.41) and those requiring ON stay (OR 0.58 95%CI 0.25-1.34).

conclusionsWe did not find evidence that SDD is not safe or feasible in highly complex LMS PCI procedures despite increasing procedural complexity with no significant increase in 30 day mortality rates.

Indexed as

Coronary Artery DiseasePercutaneous Coronary InterventionEnglandHumansLength of StayPatient DischargeRisk FactorsTime FactorsTreatment OutcomeWalesElective percutaneous coronary interventionMortalityOutcomesSame day discharge

Identifiers

PMID32739446
PMCPMC7392050

What OpenQuestion holds

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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.