Evidence map›Paper›PMID 33082173›Full record

Observational studyHeart (British Cardiac Society)2021

Newly diagnosed diabetes and outcomes after acute myocardial infarction in young adults.

Qinglan Ding, Erica S Spatz, Kasia J Lipska, Haiqun Lin, John A Spertus, Rachel P Dreyer, Robin Whittemore, Marjorie Funk, Hector Bueno, Harlan M Krumholz

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Heart (British Cardiac Society), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00597922 (Variation in Recovery), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 15% 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.

NCT00597922 completednot on this map

Variation in Recovery: Role of Gender on Outcomes of Young Acute Myocardial Infarction (AMI) Patients (VIRGO)

TypeobservationalSponsorYale UniversityRan2007 to 2013Enrolled2,985ConditionsAcute Myocardial Infarction
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Observational
  3. Review
  4. Article
  5. Article
  6. Article
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

10 authors at 5 institutions in 2 countries.

Qinglan DingCenter for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, Connecticut, USA.ORCID 0000-0001-7431-0288
Erica S SpatzCenter for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, Connecticut, USA.
Kasia J LipskaCenter for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, Connecticut, USA.
Haiqun LinCenter for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, Connecticut, USA.
John A SpertusCardiovascular Outcomes Research, St. Luke's Mid America Heart Institute, Kansas City, Missouri, USA.
Rachel P DreyerCenter for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, Connecticut, USA.
Robin WhittemoreYale School of Nursing, West Haven, Connecticut, USA.
Marjorie FunkYale School of Nursing, West Haven, Connecticut, USA.
Hector BuenoCentro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain.ORCID 0000-0003-0277-7596
Harlan M KrumholzCenter for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, Connecticut, USA harlan.krumholz@yale.edu.
Yale New Haven Hospital · USYale University · USRutgers, The State University of New Jersey · USSaint Luke's Health System · USUniversidad Complutense de Madrid · ES

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
Young Women With Acute Myocardial InfarctionR01HL081153 · NHLBI · YALE UNIVERSITY · PI KRUMHOLZ, HARLAN MARC · 2007 to 2012
$10.6M
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS R01 HL081153
6 · The paper itself

Abstract

objectiveTo examine prevalence and characteristics of newly diagnosed diabetes (NDD) in younger adults hospitalised with acute myocardial infarction (AMI) and investigate whether NDD is associated with health status and clinical outcomes over 12-month post-AMI.

methodsIn individuals (18-55 years) admitted with AMI, without established diabetes, we defined NDD as (1) baseline or 1-month HbA1c≥6.5%; (2) discharge diabetes diagnosis or (3) diabetes medication initiation within 1 month. We compared baseline characteristics of NDD, established diabetes and no diabetes, and their associations with baseline, 1-month and 12-month health status (angina-specific and non-disease specific), mortality and in-hospital complications.

resultsAmong 3501 patients in Variation in Recovery: Role of Gender on Outcomes of Young AMI Patients study, 14.5% met NDD criteria. Among 508 patients with NDD, 35 (6.9%) received discharge diagnosis, 91 (17.9%) received discharge diabetes education and 14 (2.8%) initiated pharmacological treatment within 1 month. NDD was more common in non-White (OR 1.58, 95% CI 1.23 to 2.03), obese (OR 1.72, 95% CI 1.39 to 2.12), financially stressed patients (OR 1.27, 95% CI 1.02 to 1.58). Compared with established diabetes, NDD was independently associated with better disease-specific health status and quality of life (p≤0.04). No significant differences were found in unadjusted in-hospital mortality and complications between NDD and established or no diabetes.

conclusionsNDD was common among adults≤55 years admitted with AMI and was more frequent in non-White, obese, financially stressed individuals. Under 20% of patients with NDD received discharge diagnosis or initiated discharge diabetes education or pharmacological treatment within 1 month post-AMI. NDD was not associated with increased risk of worse short-term health status compared with risk noted for established diabetes. TRIAL REGISTRATION NUMBER: NCT00597922.

Indexed as

AdolescentAdultDiabetes MellitusFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedMyocardial InfarctionProspective StudiesSpainYoung Adultacute myocardial infarctiondiabetesepidemiologyquality and outcomes of care

Identifiers

PMID33082173
PMCPMC8005796
OpenAlexW3094555708

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

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.