Evidence map›Paper›PMID 34315236›Full record

ArticleJournal of the American Heart Association2021

The Essential Frailty Toolset in Older Adults Undergoing Coronary Artery Bypass Surgery.

Joshua Solomon, Emmanuel Moss, Jean-Francois Morin, Yves Langlois, Renzo Cecere, Benoit de Varennes, Kevin Lachapelle, Nicolo Piazza, Giuseppe Martucci, Melissa Bendayan and 5 more

Open access · goldAbstract read
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 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 7% 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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Review
  10. Understanding Aortic Stenosis and Transcatheter Aortic Valve Replacement in Women.Structural heart : the journal of the Heart Team · 2025
    Review
  11. Review
  12. Review
  13. Article
  14. Frailty and Cardiovascular Health.Journal of the American Heart Association · 2024
    Review
  15. Chronic Coronary Disease in Older Adults.The Medical clinics of North America · 2024
    Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
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

15 authors at 2 institutions in 1 country.

Joshua SolomonCentre for Clinical Epidemiology Lady Davis Institute for Medical ResearchJewish General Hospital Montreal QC Canada.
Emmanuel MossDivision of Cardiac Surgery Jewish General HospitalMcGill University Montreal QC Canada.
Jean-Francois MorinDivision of Cardiac Surgery Jewish General HospitalMcGill University Montreal QC Canada.
Yves LangloisDivision of Cardiac Surgery Jewish General HospitalMcGill University Montreal QC Canada.
Renzo CecereDivision of Cardiac Surgery McGill University Health Centre Montreal QC Canada.
Benoit de VarennesDivision of Cardiac Surgery McGill University Health Centre Montreal QC Canada.
Kevin LachapelleDivision of Cardiac Surgery McGill University Health Centre Montreal QC Canada.
Nicolo PiazzaDivision of Cardiology McGill University Health Centre Montreal QC Canada.
Giuseppe MartucciDivision of Cardiology McGill University Health Centre Montreal QC Canada.
Melissa BendayanCentre for Clinical Epidemiology Lady Davis Institute for Medical ResearchJewish General Hospital Montreal QC Canada.
Palina PiankovaCentre for Clinical Epidemiology Lady Davis Institute for Medical ResearchJewish General Hospital Montreal QC Canada.
Victoria HaymanCentre for Clinical Epidemiology Lady Davis Institute for Medical ResearchJewish General Hospital Montreal QC Canada.
Marie-Claude OuimetResearch InstituteMcGill University Health Centre Montreal QC Canada.
Lawrence G RudskiDivision of Cardiology Jewish General HospitalMcGill University Montreal QC Canada.
Jonathan AfilaloCentre for Clinical Epidemiology Lady Davis Institute for Medical ResearchJewish General Hospital Montreal QC Canada.
Jewish General Hospital · CAMcGill University Health Centre · CA

Funding

CIHR
6 · The paper itself

Abstract

Background The Essential Frailty Toolset (EFT) was shown to be easy to use and predictive of adverse events in patients undergoing aortic valve replacement procedures. The objective of this study was to evaluate the EFT in patients undergoing coronary artery bypass grafting procedures. Methods and Results The McGill Frailty Registry prospectively included patients ≥60 years of age undergoing urgent or elective isolated coronary artery bypass grafting between 2011 and 2018 at 2 hospitals. The preoperative EFT was scored 0 to 5 points as a function of timed chair rises, Mini-Mental Status Examination, serum albumin, and hemoglobin. The primary outcome was all-cause mortality assessed by Cox proportional hazards regression. The cohort consisted of 500 patients with a mean age of 71.4 ± 6.4 years, of which 27% presented with acute coronary syndromes requiring urgent surgery. The mean EFT was 1.3 ± 1.1 points, 132 (26%) were nonfrail, 298 (60%) were prefrail, and 70 (14%) were frail. Over a median follow-up of 4.0 years, 78 deaths were observed. In nonfrail, prefrail, and frail patients, survival at 1 year was 98%, 95%, and 91%, and at 5 years was 89%, 83%, and 63% (

Indexed as

Coronary Artery BypassCoronary DiseaseFrailtyAgedComorbidityElective Surgical ProceduresEmergency Medical ServicesFemaleFunctional StatusGeriatric AssessmentHemoglobinsHumansMaleMental Status and Dementia TestsMortalityPrognosisHemoglobinsSerum Albumincoronary artery bypass surgeryfrailtymortality

Identifiers

PMID34315236
PMCPMC8475706
OpenAlexW3187068464

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.