Evidence map›Paper›PMID 34603890›Full record

ArticleCureus2021

In-Hospital Mortality Risk Factor Analysis in Multivessel Percutaneous Coronary Intervention Inpatient Recipients in the United States.

Ravi Tummala, Suchi D Shah, Era Rawal, Ramneek K Sandhu, Swathi P Kavuri, Gagan Kaur, Asma T Khan, Keerthika Mathialagan, Temitope Ajibawo

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 47% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

9 authors at 5 institutions in 3 countries.

Ravi TummalaInternal Medicine, Narayana Medical College, Nellore, IND.
Suchi D ShahInternal Medicine, Ahmedabad Municipal Corporation's Medical Education Trust Medical College, Ahmedabad, IND.
Era RawalCardiology, Norvic International Hospital, Kathmandu, NPL.
Ramneek K SandhuInternal Medicine, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, IND.
Swathi P KavuriInternal Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Gagan KaurSurgery, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, IND.
Asma T KhanInternal Medicine, Larkin Community Hospital, South Miami, USA.
Keerthika MathialaganPsychiatry, Sree Balaji Medical College and Hospital, Chennai, IND.
Temitope AjibawoInternal Medicine, Brookdale University Hospital Medical Center, New York City, USA.
Brookdale University Hospital and Medical Center · USSri Ramachandra Institute of Higher Education and Research · INNarayana Dental College and Hospital · INSmt. N.H.L. Municipal Medical College · INSree Balaji Dental College and Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives The primary goal of our study is to evaluate the mortality rate in inpatient recipients of multivessel percutaneous coronary intervention (MVPCI) and to evaluate the demographic risk factors and medical complications that increase the risk of in-hospital mortality. Methods We conducted a cross-sectional study using the Nationwide Inpatient Sample (NIS, 2016) and included 127,145 inpatients who received MVPCI as a primary procedure in United States' hospitals. We used a multivariable logistic regression model adjusted for demographic confounders to measure the odds ratio (OR) of association of medical complications and in-hospital mortality risk in MVPCI recipients. Results The in-hospital mortality rate was 2% in MVPCI recipients and was seen majorly in older-age adults (>64 years, 74%) and males (61%). Even though the prevalence of mortality among females was comparatively low, yet in the regression model, they were at a higher risk for in-hospital mortality than males (OR 1.2; 95% CI 1.13-1.37). While comparing ethnicities, in-hospital mortality was prevalent in whites (79%) followed by blacks (9%) and Hispanics (7.5%). Patients who developed cardiogenic shock were at higher odds of in-hospital mortality (OR 9.2; 95% CI 8.27-10.24) followed by respiratory failure (OR 5.9; 95% CI 5.39-6.64) and ventricular fibrillation (OR 3.5; 95% CI 3.18-3.92). Conclusion Accelerated use of MVPCI made it important to study in-hospital mortality risk factors allowing us to devise strategies to improve the utilization and improve the quality of life of these at-risk patients. Despite its effectiveness and comparatively lower mortality profile, aggressive usage of MVPCI is restricted due to the periprocedural complications and morbidity profile of the patients.

Indexed as

acute myocardial infarctionin-hospital mortalitynationwide inpatient sample (nis)perioperative mortalityprimary pciprimary percutaneous coronary intervention (pci)

Identifiers

PMID34603890
PMCPMC8476197
OpenAlexW3196736239

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.