Evidence map›Paper›PMID 33025815›Full record

Observational studyEuropean heart journal. Acute cardiovascular care2020

Radial artery access is associated with lower mortality in patients undergoing primary PCI: a report from the SWEDEHEART registry.

Christian Dworeck, Björn Redfors, Sebastian Völz, Inger Haraldsson, Oskar Angerås, Truls Råmunddal, Dan Ioanes, Anna Myredal, Jacob Odenstedt, Geir Hirlekar and 11 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in European heart journal. Acute cardiovascular care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

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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

21 authors.

Christian DworeckDepartment of Cardiology, Sahlgrenska University Hospital, Sweden.
Björn RedforsDepartment of Cardiology, Sahlgrenska University Hospital, Sweden.
Sebastian VölzDepartment of Cardiology, Sahlgrenska University Hospital, Sweden.
Inger HaraldssonDepartment of Cardiology, Sahlgrenska University Hospital, Sweden.
Oskar AngeråsDepartment of Cardiology, Sahlgrenska University Hospital, Sweden.
Truls RåmunddalDepartment of Cardiology, Sahlgrenska University Hospital, Sweden.
Dan IoanesDepartment of Cardiology, Sahlgrenska University Hospital, Sweden.
Anna MyredalDepartment of Cardiology, Sahlgrenska University Hospital, Sweden.
Jacob OdenstedtDepartment of Cardiology, Sahlgrenska University Hospital, Sweden.
Geir HirlekarDepartment of Cardiology, Sahlgrenska University Hospital, Sweden.
Sasha KoulDepartment of Cardiology, Clinical Sciences, Lund University, Sweden.
Ole FröbertDepartment of Cardiology, Örebro University, Sweden.
Rickard LinderDepartment of Cardiology, Karolinska University Hospital, Sweden.
Dimitrios VenetsanosDepartment of Cardiology, Karolinska University Hospital, Sweden.
Robin HofmannDepartment of Clinical Science and Education, Karolinska Institutet, Sweden.
Anders UlvenstamDepartment of Cardiology, Östersund Hospital, Sweden.
Petur PeturssonDepartment of Cardiology, Sahlgrenska University Hospital, Sweden.
Giovanna SarnoDepartment of Medical Sciences and Uppsala Clinical Research Center, Uppsala University, Sweden.
Stefan JamesDepartment of Medical Sciences and Uppsala Clinical Research Center, Uppsala University, Sweden.
David ErlingeDepartment of Cardiology, Clinical Sciences, Lund University, Sweden.
Elmir OmerovicDepartment of Cardiology, Sahlgrenska University Hospital, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe purpose of this observational study was to evaluate the effects of radial artery access versus femoral artery access on the risk of 30-day mortality, inhospital bleeding and cardiogenic shock in patients with ST-elevation myocardial infarction undergoing primary percutaneous coronary intervention.

methodsWe used data from the SWEDEHEART registry and included all patients who were treated with primary percutaneous coronary intervention in Sweden between 2005 and 2016. We compared patients who had percutaneous coronary intervention by radial access versus femoral access with regard to the primary endpoint of all-cause death within 30 days, using a multilevel propensity score adjusted logistic regression which included hospital as a random effect.

resultsDuring the study period, 44,804 patients underwent primary percutaneous coronary intervention of whom 24,299 (54.2%) had radial

conclusionsIn patients with ST-elevation myocardial infarction, primary percutaneous coronary intervention by radial access rather than femoral access was associated with an adjusted lower risk of death, bleeding and cardiogenic shock. Our findings are consistent with, and add external validity to, recent randomised trials.

Indexed as

Propensity ScoreRegistriesAgedCardiac CatheterizationFemaleFollow-Up StudiesHospital MortalityHumansMalePercutaneous Coronary InterventionRadial ArteryRetrospective StudiesRisk AssessmentRisk FactorsST Elevation Myocardial InfarctionSurvival Ratearterial access siteprimary PCIST-elevation myocardial infarction

Identifiers

PMID33025815
PMCPMC7756052

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.