Evidence map›Paper›PMID 32845064›Full record

ArticleCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2021

Rotational atherectomy and same day discharge: Safety and growth from a national perspective.

Paraskevi Taxiarchi, Glen P Martin, Nick Curzen, Tim Kinnaird, Peter Ludman, Thomas Johnson, Chun Shing Kwok, Muhammad Rashid, Evangelos Kontopantelis, Mamas A Mamas

Erratum issuedAbstract read
PubMed Publisher
In one paragraph

Article in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2021. 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 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 45% 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

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

  1. Pooled it
  2. Finding sideline benefits-Of pandemics and same-day-discharge following rotational atherectomy.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 2 countries.

Paraskevi TaxiarchiDivision of Informatics, Imaging and Data Science, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Center, Manchester, UK.
Glen P MartinDivision of Informatics, Imaging and Data Science, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Center, Manchester, UK.
Nick CurzenCoronary Research Group, University Hospital Southampton and Faculty of Medicine, University of Southampton, Southampton, UK.
Tim KinnairdDepartment of Cardiology, University Hospital of Wales, Cardiff, UK.
Peter LudmanInstitute of Cardiovascular Sciences, University of Birmingham, Birmingham, UK.
Thomas JohnsonBristol Heart Institute, Bristol, UK.
Chun Shing KwokKeele Cardiovascular Research Group, Keele University, Keele, UK.ORCID 0000-0001-7047-1586
Muhammad RashidKeele Cardiovascular Research Group, Keele University, Keele, UK.ORCID 0000-0001-9725-1583
Evangelos KontopantelisDivision of Population Health, Health Services Research & Primary Care, University of Manchester, Manchester, UK.
Mamas A MamasKeele Cardiovascular Research Group, Keele University, Keele, UK.
Manchester Academic Health Science Centre · GBKeele University · GBNIHR Bristol Cardiovascular Biomedical Research Unit · GBSouthampton General Hospital · GBThomas Jefferson University · USUniversity Hospital of Wales · GBUniversity of Birmingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe explore whether same day discharge (SDD) is a feasible and safe practice following rotational atherectomy (ROTA) treatment during elective percutaneous coronary intervention (PCI), and examine which baseline characteristics are independently associated with SDD.

backgroundSDD following elective ROTA PCI is not recommended as per the recent SCAI consensus. However, reports show it is practiced and no previous study has evaluated its safety and feasibility.

methodsOur dataset included 4,591 patients undergoing elective ROTA PCI in England & Wales within an 8-years period. Independent associations with SDD were quantified via a multiple logistic regression model and the BCIS 30-day mortality risk model was used to evaluate the safety of SDD.

resultsThe majority of elective ROTA PCI cases remain at the hospital for overnight (ON) observation, although SDD rates increased substantially from 6.7% in 2007 to 35.5% in 2014. The use of glycoprotein IIb/IIIa antagonists, Q wave AMI, left main PCI and valvular heart disease were independently associated with ON, while patients operated underwent transradial PCI were more likely to be SDD (OR = 1.77, 95% CI [1.45-2.15]). Over the study period, observed mortality rates were not significantly higher than those expected from the BCIS risk model.

conclusionsOur findings did not show superiority of the ON strategy over SDD for higher risk cases undergoing elective ROTA PCI, in terms of 30-day mortality. This is the first study to examine the safety of SDD after elective ROTA PCI and more should follow.

Indexed as

Atherectomy, CoronaryCoronary Artery DiseasePercutaneous Coronary InterventionHumansLength of StayPatient DischargeTime FactorsTreatment Outcomeelective percutaneous coronary interventionmortalityrotational Atherectomysame day discharge

Identifiers

PMID32845064
OpenAlexW3048602043

What OpenQuestion holds

Textmetadata
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.