Evidence map›Paper›PMID 34575202›Full record

ArticleJournal of clinical medicine2021

CHA2DS2-VASc Score for Major Adverse Cardiovascular Events Stratification in Patients with Pneumonia with and without Atrial Fibrillation.

Bo-Yuan Wang, Fei-Yi Lin, Min-Sho Ku, Yu-Hsun Wang, Kun-Yu Lee, Sai-Wai Ho

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Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

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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

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Prognostic role of CHAInternal and emergency medicine · 2023
    Article
  4. Article
4 · The record

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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

6 authors.

Bo-Yuan WangDepartment of Emergency Medicine, Chung Shan Medical University Hospital, Taichung 402, Taiwan.ORCID 0000-0003-3135-0655
Fei-Yi LinDepartment of Nursing, Chung Shan Medical University Hospital, Taichung 402, Taiwan.
Min-Sho KuDivision of Allergy, Asthma and Rheumatology, Department of Pediatrics, Chung Shan Medical University Hospital, Taichung 402, Taiwan.
Yu-Hsun WangDepartment of Medical Research, Chung Shan Medical University Hospital, Taichung 402, Taiwan.
Kun-Yu LeeDepartment of Emergency Medicine, Chung Shan Medical University Hospital, Taichung 402, Taiwan.
Sai-Wai HoDepartment of Emergency Medicine, Chung Shan Medical University Hospital, Taichung 402, Taiwan.ORCID 0000-0002-7651-2120

Funding

Chung Shan Medical University Hospital CSH-2020-A-010
6 · The paper itself

Abstract

backgroundRecent studies have shown an association between CHA2DS2-VASc (congestive heart failure, hypertension, age ≥ 75 years, diabetes mellitus, stroke or transient ischemic attack (TIA), vascular disease, age 65 to 74 years, sex category) score and outcome of acute myocardial infarction, stroke, and chest pain. As pneumonia can affect the cardiovascular system, this study aimed to investigate the performance of the CHA2DS2-VASc score for major adverse cardiovascular events (MACEs) risk stratification in patients with pneumonia.

methodsA retrospective population-based cohort study including 61,843 patients with pneumonia. These patients were divided into two cohorts that were stratified based on the presence or absence of underlying atrial fibrillation (AF). We calculated the CHA2DS2-VASc score and incidence density rates of MACEs in each cohort. Cox regression was conducted to calculate hazard ratio of MACEs in pneumonia patients. The diagnostic performance of CHA2DS2-VASc with regard to MACEs was tested using the receiver operator characteristic curve.

resultsPneumonia patients with higher CHA2DS2-VASc score were more likely develop MACEs in both the AF and non-AF groups. In the AF group, the areas under the curve (AUC), sensitivity, and specificity were 0.824 (0.7773-0.8708), 0.7, and 0.84 respectively. In the non-AF group, the AUC, sensitivity, and specificity were 0.8185 (0.8152-0.8217), 0.75, and 0.83 respectively.

conclusionsThe CHA2DS2-VASc score showed good performance in the prediction of MACE in patients with pneumonia.

Indexed as

CHA2DS2-VASc scoremajor adverse cardiovascular eventspneumonia

Identifiers

PMID34575202
PMCPMC8466520

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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.