Evidence map›Paper›PMID 34779652›Full record

Observational studyJournal of the American Heart Association2021

Relationship of Neighborhood Deprivation and Outcomes of a Comprehensive ST-Segment-Elevation Myocardial Infarction Protocol.

Chetan P Huded, Jarrod E Dalton, Anirudh Kumar, Nikolas I Krieger, Nicholas Kassis, Michael Phelan, Kathleen Kravitz, Grant W Reed, Amar Krishnaswamy, Samir R Kapadia and 1 more

Abstract readObservational Study
In one paragraph

Observational study 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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Disparities in PCSK9 Initiation Among US Veterans with Peripheral Arterial Disease or Cerebrovascular Disease.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2023
    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

11 authors.

Chetan P HudedDepartment of Cardiology Saint Luke's Mid-America Heart Institute Kansas City MO.
Jarrod E DaltonDepartment of Quantitative Health Sciences Lerner Research InstituteCleveland Clinic Cleveland OH.
Anirudh KumarDepartment of Cardiovascular Medicine Heart, Vascular, & Thoracic InstituteCleveland Clinic Cleveland OH.ORCID 0000-0002-4413-5439
Nikolas I KriegerDepartment of Quantitative Health Sciences Lerner Research InstituteCleveland Clinic Cleveland OH.ORCID 0000-0002-4581-3545
Nicholas KassisDepartment of Cardiovascular Medicine Heart, Vascular, & Thoracic InstituteCleveland Clinic Cleveland OH.
Michael PhelanDepartment of Emergency Medicine Emergency Services InstituteCleveland Clinic Cleveland OH.
Kathleen KravitzDepartment of Cardiovascular Medicine Heart, Vascular, & Thoracic InstituteCleveland Clinic Cleveland OH.
Grant W ReedDepartment of Cardiovascular Medicine Heart, Vascular, & Thoracic InstituteCleveland Clinic Cleveland OH.ORCID 0000-0001-8234-3135
Amar KrishnaswamyDepartment of Cardiovascular Medicine Heart, Vascular, & Thoracic InstituteCleveland Clinic Cleveland OH.
Samir R KapadiaDepartment of Cardiovascular Medicine Heart, Vascular, & Thoracic InstituteCleveland Clinic Cleveland OH.ORCID 0000-0002-0026-3391
Umesh KhotDepartment of Cardiovascular Medicine Heart, Vascular, & Thoracic InstituteCleveland Clinic Cleveland OH.ORCID 0000-0001-6121-1280

Funding

Modeling and Forecasting Atherosclerotic Risk: A Complex Systems ApproachR01AG055480 · NIA · CLEVELAND CLINIC LERNER COM-CWRU · PI DALTON, JARROD, PERZYNSKI, ADAM THOMAS · 2017 to 2020
$2.8M
NIA NIH HHS R01 AG055480
6 · The paper itself

Abstract

Background We evaluated whether a comprehensive ST-segment-elevation myocardial infarction protocol (CSP) focusing on guideline-directed medical therapy, transradial percutaneous coronary intervention, and rapid door-to-balloon time improves process and outcome metrics in patients with moderate or high socioeconomic deprivation. Methods and Results A total of 1761 patients with ST-segment-elevation myocardial infarction treated with percutaneous coronary intervention at a single hospital before (January 1, 2011-July 14, 2014) and after (July 15, 2014- July 15, 2019) CSP implementation were included in an observational cohort study. Neighborhood deprivation was assessed by the Area Deprivation Index and was categorized as low (≤50th percentile; 29.0%), moderate (51st -90th percentile; 40.8%), and high (>90th percentile; 30.2%). The primary process outcome was door-to-balloon time. Achievement of guideline-recommend door-to-balloon time goals improved in all deprivation groups after CSP implementation (low, 67.8% before CSP versus 88.5% after CSP; moderate, 50.7% before CSP versus 77.6% after CSP; high, 65.5% before CSP versus 85.6% after CSP; all

Indexed as

Poverty AreasResidence CharacteristicsST Elevation Myocardial InfarctionCohort StudiesHumansTreatment Outcomedisparitiesdoor‐to‐balloon timemyocardial infarctionsocioeconomic positionSTEMI

Identifiers

PMID34779652
PMCPMC9075260

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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.