Evidence map›Paper›PMID 33757438›Full record

Observational studyBMC cardiovascular disorders2021

Chinese patients' clinical and psychosocial outcomes in the 6 months following percutaneous coronary intervention.

Xia Liu, Adeleke Fowokan, Sherry L Grace, Biao Ding, Shu Meng, Xiu Chen, Yinghua Xia, Yaqing Zhang

Open access · goldAbstract readMulticenter StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMC cardiovascular disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. 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

8 authors at 4 institutions in 2 countries.

Xia LiuShanghai Jiao Tong University School of Nursing, Shanghai, China.
Adeleke FowokanKITE-Toronto Rehabilitation Institute and Peter Munk Cardiac Centre, University Health Network, University of Toronto, Toronto, ON, Canada.
Sherry L GraceKITE-Toronto Rehabilitation Institute and Peter Munk Cardiac Centre, University Health Network, University of Toronto, Toronto, ON, Canada. sgrace@yorku.ca.ORCID 0000-0001-7063-3610
Biao DingShanghai Sixth People's Hospital, Shanghai, China.
Shu MengXinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Xiu ChenXinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Yinghua XiaXinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Yaqing ZhangShanghai Jiao Tong University School of Nursing, Shanghai, China.
XinHua Hospital · CNShanghai Jiao Tong University · CNUniversity Health Network · CAShanghai Sixth People's Hospital · CN

Funding

Shanghai Municipal Education Commission HLGY16021SJK
6 · The paper itself

Abstract

backgroundIn China, there has been a precipitous increase in the number of percutaneous coronary interventions (PCI) conducted. We sought to characterize the clinical and psychosocial trajectory of PCI patients from the time of procedure through 6 months post, and correlates of adverse cardiovascular events (ACEs).

methodsIn this prospective, observational study, patients from 2 hospitals in Shanghai, China were assessed. At follow-up visits at 1, 3 and 6 months post-PCI, clinical indicators were again extracted from patients' clinical records, including ACEs, and they completed validated surveys assessing self-management, as well as psychosocial indicators (Hospital Anxiety and Depression Scale; Pittsburgh Sleep Quality Index; quality of life [QoL]: SF-12, Seattle Angina Questionnaire [SAQ]). Repeated measures analysis of variance, adjusted for Barthel index and PCI indication, was used to assess change over time in risk factors and psychosocial indicators. Logistic regression was used to explore correlates of ACEs.

results610 participants (mean age = 63.3; n = 150, 18.2% female) were recruited, of which 491 (80.5%) were retained at 6 months. 82 (16.7%) had an ACE at any time point, including most commonly angina and stroke (only 1 death). Clinical indicators such as blood pressure (p < 0.031 for both), symptom burden (p < .01 on all subscales) and QoL (p < 0.001 for both, but started quite low) improved over 6 months. Anxiety and depressive symptoms were above threshold, and the latter worsened over time (p < 0.001). With adjustment for age and indication, patients with any ACEs had higher sleep latency (odds ratio [OR] = 1.48; 95% confidence interval [CI] = 1.03-2.10]), and depressive symptoms (OR = 1.20; 95% CI = 1.02-1.41), but lower anxiety (OR = 0.79; 95% CI = 0.67-0.93) compared to those without.

conclusionCenters may wish to re-visit patient selection criteria and processes for PCI, as well as implement mental health screening and treatment protocols, as can be achieved through cardiac rehabilitation, given how hazardous psychosocial distress is in this population.

Indexed as

Mental HealthQuality of LifeAcute Coronary SyndromeAgedAnxietyChinaClinical Decision-MakingCoronary Artery DiseaseDepressionFemaleHealth StatusHumansLongitudinal StudiesMaleMiddle AgedPercutaneous Coronary InterventionAnginaAnxiety disordersCardiovascular diseasesCardiovascular risk factorsChinaDepressionPercutaneous coronary interventionQuality of lifeSigns and symptomsSleep

Identifiers

PMID33757438
PMCPMC7988960
OpenAlexW3137172620

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.