Evidence map›Paper›PMID 32793864›Full record

ArticleMayo Clinic proceedings. Innovations, quality & outcomes2020

Weekend Effect in the Management and Outcomes of Acute Myocardial Infarction in the United States, 2000-2016.

Saraschandra Vallabhajosyula, Sri Harsha Patlolla, P Elliott Miller, Wisit Cheungpasitporn, Allan S Jaffe, Bernard J Gersh, David R Holmes, Malcolm R Bell, Gregory W Barsness

Open access · goldAbstract read
In one paragraph

Article in Mayo Clinic proceedings. Innovations, quality & outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

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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

9 authors at 4 institutions in 1 country.

Saraschandra VallabhajosyulaDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Sri Harsha PatlollaDepartment of Cardiovascular Surgery, Mayo Clinic, Rochester, MN.
P Elliott MillerDivision of Cardiovascular Medicine, Department of Medicine, Yale University School of Medicine, New Haven, CT.
Wisit CheungpasitpornDivision of Nephrology, Department of Medicine, University of Mississippi School of Medicine, Jackson, MS.
Allan S JaffeDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Bernard J GershDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
David R HolmesDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Malcolm R BellDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Gregory W BarsnessDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Mayo Clinic in Arizona · USMayo Clinic · USUniversity of Mississippi · USYale University · 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
Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
NRSA Training CoreTL1TR001864 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$9.9M
NCATS NIH HHS TL1 TR001864NCATS NIH HHS UL1 TR000135NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

objectiveTo assess the effects of weekend admission vs weekday admission on the management and outcomes of acute myocardial infarction (AMI).

methodsAdult ST-segment elevation myocardial infarction (STEMI) and non-STEMI (NSTEMI) hospital admissions were identified using the National (Nationwide) Inpatient Sample (2000-2016). Interhospital transfers were excluded. Timing of coronary angiography (CA) and percutaneous coronary intervention (PCI) relative to the day of admission was identified. Outcomes of interest included in-hospital mortality, receipt of early CA, timing of CA and PCI, resource utilization, and discharge disposition for weekend vs weekday admissions.

resultsOf the 9,041,819 AMI admissions, 2,406,876 (26.6%) occurred on weekends. Compared with 2000, in 2016 there was an increase in weekend STEMI (adjusted odds ratio [aOR], 1.12; 95% CI, 1.08-1.16;

conclusionDespite small differences in CA and PCI, there were no differences in in-hospital mortality of AMI admissions on weekdays vs weekends in the United States in the contemporary era.

Indexed as

AMI, acute myocardial infarctionHCUP, Healthcare Cost and Utilization ProjectNIS, National (Nationwide) Inpatient SampleNSTEMI, non–ST-segment elevation myocardial infarctionOR, odds ratioPCI, percutaneous coronary interventionSTEMI, ST-segment elevation myocardial infarction

Identifiers

PMID32793864
PMCPMC7411160
OpenAlexW3034362317

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.