Evidence map›Paper›PMID 33653124›Full record

ArticleJournal of the American Heart Association2021

Incident Strokes Among American Indian Individuals With Atrial Fibrillation.

José M Sanchez, Stacey E Jolly, Thomas A Dewland, Zian H Tseng, Gregory Nah, Eric Vittinghoff, Gregory M Marcus

Open access · goldAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. A systematic review of obstructive sleep apnea in Indigenous peoples worldwide.Sleep advances : a journal of the Sleep Research Society · 2026
    Review
  2. Stroke care in indigenous populations: A World Stroke Organization (WSO) scientific statement.International journal of stroke : official journal of the International Stroke Society · 2025
    Article
  3. Atrial fibrillation in the Americas.Lancet regional health. Americas · 2025
    Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. PRRX1 Loss-of-Function Mutations Underlying Familial Atrial Fibrillation.Journal of the American Heart Association · 2021
    Article
  9. 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

7 authors at 3 institutions in 1 country.

José M SanchezSection of Cardiac Electrophysiology Division of Cardiology University of Colorado Anschutz Medical Campus Aurora CO.
Stacey E JollyThe Department of General Internal Medicine Cleveland Clinic OH.
Thomas A DewlandThe Section of Cardiac Electrophysiology Division of Cardiology University of California San Francisco CA.
Zian H TsengThe Section of Cardiac Electrophysiology Division of Cardiology University of California San Francisco CA.
Gregory NahThe Section of Cardiac Electrophysiology Division of Cardiology University of California San Francisco CA.
Eric VittinghoffThe Department of Epidemiology and Biostatistics University of California San Francisco CA.
Gregory M MarcusThe Section of Cardiac Electrophysiology Division of Cardiology University of California San Francisco CA.
University of California, San Francisco · USCleveland Clinic · USUniversity of Colorado Anschutz Medical Campus · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND American Indian individuals experience a relatively high risk for cardiovascular disease and have exhibited a higher risk of stroke compared with other racial and ethnic minorities. Although this population has the highest incidence of atrial fibrillation (AF) compared with other groups, the relationship between AF and nonhemorrhagic stroke among American Indian individuals compared with other groups has not been thoroughly studied. METHODS and RESULTS We used the Healthcare Cost and Utilization Project to evaluate risk of nonhemorrhagic stroke among American Indian individuals, with comparisons to White, Black, Hispanic, and Asian individuals, among all adult California residents receiving care in an emergency department, inpatient hospital unit, or ambulatory surgery setting from 2005 to 2011. Of 16 951 579 patients followed for a median 4.1 years, 105 822 (0.6%) were American Indian. After adjusting for age, sex, income level, insurance payer, hypertension, diabetes mellitus, coronary artery disease, congestive heart failure, cardiac surgery, valvular heart disease, chronic kidney disease, smoking, obstructive sleep apnea, pulmonary disease, and alcohol use, American Indian individuals with AF exhibited the highest risk of nonhemorrhagic stroke when compared with either non-American Indian individuals with AF (hazard ratio, 1.38; 95% CI, 1.23-1.55;

Indexed as

AsianAdultAtrial FibrillationCaliforniaFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesStrokeatrial fibrillationrace and ethnicitystroke

Identifiers

PMID33653124
PMCPMC8174189
OpenAlexW3135459916

What OpenQuestion holds

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LicenceCC BY-NC
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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.