Evidence map›Paper›PMID 34431311›Full record

ArticleJournal of the American Heart Association2021

Impact of Race on the In-Hospital Quality of Care Among Young Adults With Acute Myocardial Infarction.

Valeria Raparelli, Diana Benea, Marcella Nunez Smith, Hassan Behlouli, Terrence E Murphy, Gail D'Onofrio, Louise Pilote, Rachel P Dreyer

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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.2field-weighted citation impact, top 11% 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, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Impact of Social Determinants of Health on Cardiovascular Disease.Journal of the American Heart Association · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Journal of the American Heart Association · 2021
    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 5 institutions in 3 countries.

Valeria RaparelliDepartment of Translational Medicine University of Ferrara Ferrara Italy.ORCID 0000-0002-2100-5682
Diana BeneaCentre for Outcomes Research and Evaluation McGill University Health Centre Research Institute Montreal QC Canada.
Marcella Nunez SmithEquity Research and Innovation Center Yale School of Medicine New Haven CT.
Hassan BehlouliCentre for Outcomes Research and Evaluation McGill University Health Centre Research Institute Montreal QC Canada.
Terrence E MurphyProgram on Aging Department of Internal Medicine Yale School of Medicine New Haven CT.ORCID 0000-0002-9649-517X
Gail D'OnofrioDepartment of Emergency Medicine University School of Medicine New Haven CT.
Louise PiloteCentre for Outcomes Research and Evaluation McGill University Health Centre Research Institute Montreal QC Canada.ORCID 0000-0002-6159-0628
Rachel P DreyerDepartment of Emergency Medicine University School of Medicine New Haven CT.ORCID 0000-0003-2861-1383
McGill University Health Centre · CAYale University · USMurphy Oil Corporation (United States) · USUniversity of Alberta · CAYale New Haven Hospital · 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
Young Women With Acute Myocardial InfarctionR01HL081153 · NHLBI · YALE UNIVERSITY · PI KRUMHOLZ, HARLAN MARC · 2007 to 2012
$10.6M
CIHR PJT‐159508NCATS NIH HHS UL1 TR001863NHLBI NIH HHS R01 HL081153
6 · The paper itself

Abstract

Background The extent to which race influences in-hospital quality of care for young adults (≤55 years) with acute myocardial infarction (AMI) is largely unknown. We examined racial disparities in in-hospital quality of AMI care and their impact on 1-year cardiac readmission. Methods and Results We used data from the VIRGO (Variation in Recovery: Role of Gender on Outcomes of Young AMI Patients) study enrolling young Black and White US adults with AMI (2008-2012). An in-hospital quality of care score (QCS) was computed (standard AMI quality indicators divided by the total a patient is eligible for). Multivariable logistic regression was performed to identify factors associated with the lowest QCS tertile, including interactions between race and social determinants of health. Among 2846 young adults with AMI (median 48 years [interquartile range 44-52], 67.4% women, 18.8% Black race), Black individuals, especially women, exhibited a higher prevalence of cardiac risk factors and social determinants of health and were more likely to experience a non-ST-segment-elevation myocardial infarction than White individuals. Black individuals were more likely in the lowest QCS tertile than White individuals (40.8% versus 34.7%;

Indexed as

Myocardial InfarctionQuality of Health CareRacial GroupsAdultBlack or African AmericanBlack PeopleFemaleHospitalsHumansMaleMiddle AgedNon-ST Elevated Myocardial InfarctionRisk FactorsUnited StatesWhite Peopleacute myocardial infarctionhealth disparitiesin‐hospital quality of careracesocial determinants of health

Identifiers

PMID34431311
PMCPMC8649291
OpenAlexW3195820121

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.