Evidence map›Paper›PMID 34448103›Full record

ArticleJournal of thrombosis and thrombolysis2022

One-year outcomes of patients with ST-segment elevation myocardial infarction during the COVID-19 pandemic.

Kailun Phua, Nicholas W S Chew, Vincent Sim, Audrey A Zhang, Saurabh Rastogi, Pipin Kojodjojo, Wei-Ping Daniel Chor, Brandon Chi-Ping Koh, Benjamin Sieu-Hon Leong, Zhe-Yan Ng and 14 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of thrombosis and thrombolysis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
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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

24 authors at 4 institutions in 1 country.

Kailun Phua *Department of Medicine, National University Health System, Singapore, Singapore.ORCID http://orcid.org/0000-0002-1114-4507
Nicholas W S Chew *Department of Cardiology, National University Heart Center, National University Health System, Singapore, Singapore.
Vincent Sim *Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Audrey A ZhangDepartment of Cardiology, National University Heart Center, National University Health System, Singapore, Singapore.
Saurabh RastogiDepartment of Cardiology, Ng Teng Fong General Hospital, Singapore, Singapore.
Pipin KojodjojoDepartment of Cardiology, Ng Teng Fong General Hospital, Singapore, Singapore.
Wei-Ping Daniel ChorEmergency Medicine Department, National University Hospital, National University Health System, Singapore, Singapore.
Brandon Chi-Ping KohEmergency Medicine Department, National University Hospital, National University Health System, Singapore, Singapore.
Benjamin Sieu-Hon LeongEmergency Medicine Department, National University Hospital, National University Health System, Singapore, Singapore.
Zhe-Yan NgDepartment of Cardiology, National University Heart Center, National University Health System, Singapore, Singapore.
Benjamin Wei-Liang TungDepartment of Cardiology, National University Heart Center, National University Health System, Singapore, Singapore.
Anand AmbhoreDepartment of Cardiology, National University Heart Center, National University Health System, Singapore, Singapore.
William K F KongDepartment of Cardiology, National University Heart Center, National University Health System, Singapore, Singapore.
Kian-Keong PohDepartment of Cardiology, National University Heart Center, National University Health System, Singapore, Singapore.
Ping ChaiDepartment of Cardiology, National University Heart Center, National University Health System, Singapore, Singapore.
Gavin NgDepartment of Cardiology, National University Heart Center, National University Health System, Singapore, Singapore.
Koo-Hui ChanDepartment of Cardiology, National University Heart Center, National University Health System, Singapore, Singapore.
Chi-Hang LeeDepartment of Cardiology, National University Heart Center, National University Health System, Singapore, Singapore.
Joshua Ping-Yun LohDepartment of Cardiology, National University Heart Center, National University Health System, Singapore, Singapore.
Adrian Fatt-Hoe LowDepartment of Cardiology, National University Heart Center, National University Health System, Singapore, Singapore.
Mark Yan-Yee ChanDepartment of Cardiology, National University Heart Center, National University Health System, Singapore, Singapore.
Tiong-Cheng YeoDepartment of Cardiology, National University Heart Center, National University Health System, Singapore, Singapore.
Huay-Cheem TanDepartment of Cardiology, National University Heart Center, National University Health System, Singapore, Singapore.
Poay-Huan LohDepartment of Cardiology, National University Heart Center, National University Health System, Singapore, Singapore. poay_huan_loh@nuhs.edu.sg.
National University of Singapore · SGNational University Health System · SGNational University Hospital · SGNg Teng Fong General Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The pandemic has led to adverse short-term outcomes for patients with ST-segment elevation myocardial infarction (STEMI). It is unknown if this translates to poorer long-term outcomes. In Singapore, the escalation of the outbreak response on February 7, 2020 demanded adaptation of STEMI care to stringent infection control measures. A total of 321 patients presenting with STEMI and undergoing primary percutaneous coronary intervention at a tertiary hospital were enrolled and followed up over 1-year. They were allocated into three groups based on admission date-(1) Before outbreak response (BOR): December 1, 2019-February 6, 2020, (2) During outbreak response (DOR): February 7-March 31, 2020, and (3) control group: November 1-December 31, 2018. The incidence of cardiac-related mortality, cardiac-related readmissions, and recurrent coronary events were examined. Although in-hospital outcomes were worse in BOR and DOR groups compared to the control group, there were no differences in the 1-year cardiac-related mortality (BOR 8.7%, DOR 7.1%, control 4.8%, p = 0.563), cardiac-related readmissions (BOR 15.1%, DOR 11.6%, control 12.0%, p = 0.693), and recurrent coronary events (BOR 3.2%, DOR 1.8%, control 1.2%, p = 0.596). There were higher rates of additional PCI during the index admission in DOR, compared to BOR and control groups (p = 0.027). While patients admitted for STEMI during the pandemic may have poorer in-hospital outcomes, their long-term outcomes remain comparable to the pre-pandemic era.

Indexed as

COVID-19Percutaneous Coronary InterventionST Elevation Myocardial InfarctionHumansPandemicsPatient ReadmissionRecurrenceSingaporeTertiary Care CentersTreatment OutcomeCOVID-19Primary percutaneous coronary interventionST-elevation myocardial infarction

Identifiers

PMID34448103
PMCPMC8390088
OpenAlexW3193589257

What OpenQuestion holds

Textmetadata
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.