Evidence map›Paper›PMID 33047624›Full record

Observational studyJournal of the American Heart Association2020

National Trends in Emergency Department Care Processes for Acute Myocardial Infarction in the United States, 2005 to 2015.

Akshay Pendyal, Craig Rothenberg, Jean E Scofi, Harlan M Krumholz, Basmah Safdar, Rachel P Dreyer, Arjun K Venkatesh

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.6field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
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  4. Review
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  7. Observational
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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

7 authors at 3 institutions in 1 country.

Akshay PendyalNovant Health Heart and Vascular Institute Charlotte NC.
Craig RothenbergDepartment of Emergency Medicine Yale School of Medicine New Haven CT.
Jean E ScofiDepartment of Emergency Medicine Yale School of Medicine New Haven CT.
Harlan M KrumholzNational Clinician Scholars Program Yale School of Medicine New Haven CT.
Basmah SafdarDepartment of Emergency Medicine Yale School of Medicine New Haven CT.
Rachel P DreyerDepartment of Emergency Medicine Yale School of Medicine New Haven CT.
Arjun K VenkateshNational Clinician Scholars Program Yale School of Medicine New Haven CT.
Yale New Haven Hospital · USYale University · USNovant Health · 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
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 TR001863
6 · The paper itself

Abstract

Background Despite investments to improve quality of emergency care for patients with acute myocardial infarction (AMI), few studies have described national, real-world trends in AMI care in the emergency department (ED). We aimed to describe trends in the epidemiology and quality of AMI care in US EDs over a recent 11-year period, from 2005 to 2015. Methods and Results We conducted an observational study of ED visits for AMI using the National Hospital Ambulatory Medical Care Survey, a nationally representative probability sample of US EDs. AMI visits were classified as ST-segment-elevation myocardial infarction (STEMI) and non-STEMI. Outcomes included annual incidence of AMI, median ED length of stay, ED disposition type, and ED administration of evidence-based medications. Annual ED visits for AMI decreased from 1 493 145 in 2005 to 581 924 in 2015. Estimated yearly incidence of ED visits for STEMI decreased from 1 402 768 to 315 813. The proportion of STEMI sent for immediate, same-hospital catheterization increased from 12% to 37%. Among patients with STEMI sent directly for catheterization, median ED length of stay decreased from 62 to 37 minutes. ED administration of antithrombotic and nonaspirin antiplatelet agents rose for STEMI (23%-31% and 10%-27%, respectively). Conclusions National, real-world trends in the epidemiology of AMI in the ED parallel those of clinical registries, with decreases in AMI incidence and STEMI proportion. ED care processes for STEMI mirror evolving guidelines that favor high-intensity antiplatelet therapy, early invasive strategies, and regionalization of care.

Indexed as

Cardiac CatheterizationEmergency Medical ServicesEmergency Service, HospitalNon-ST Elevated Myocardial InfarctionST Elevation Myocardial InfarctionFemaleHumansIncidenceMaleMiddle AgedPlatelet Aggregation InhibitorsQuality ImprovementTime-to-TreatmentTriageUnited StatesPlatelet Aggregation Inhibitorsacute myocardial infarctionemergency departmenthealthcare qualitytemporal trends

Identifiers

PMID33047624
PMCPMC7763391
OpenAlexW3092516958

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.