Evidence map›Paper›PMID 34823623›Full record

ArticleBJPsych bulletin2023

Cardiac monitoring in memory clinics: national survey of UK practice.

George Crowther, Noura Ahmed, Deepa Kasa, Zoe Goff, Muzahir H Tayebjee

Open access · diamondFull text read
In one paragraph

Article in BJPsych bulletin, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

5 authors at 3 institutions in 1 country.

George CrowtherLeeds and York Partnership NHS Foundation Trust, UK.ORCID https://orcid.org/0000-0002-5102-4593
Noura AhmedLeeds Teaching Hospitals NHS Trust, UK.ORCID https://orcid.org/0000-0003-2120-3678
Deepa KasaLeeds and York Partnership NHS Foundation Trust, UK.
Zoe GoffLeeds and York Partnership NHS Foundation Trust, UK.ORCID https://orcid.org/0000-0002-4995-8012
Muzahir H TayebjeeLeeds Teaching Hospitals NHS Trust, UK.
Leeds and York Partnership NHS Foundation Trust · GBLeeds Teaching Hospitals NHS Trust · GBUniversity of Leeds · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS AND

methodPeople diagnosed with dementia are often started on acetylcholinesterase inhibitors (AChEIs). As AChEIs can be associated with cardiac side-effects, an electrocardiogram (ECG) is sometimes requested before treatment. Previous work has suggested there is little consensus as to when or how ECGs should be obtained. This can create inconsistent practice, with patient safety, economic and practical repercussions. We surveyed 305 UK memory clinic practitioners about prescribing practice.

resultsMore than 84% of respondents completed a pulse and cardiac history before prescribing AChEIs. Opinion was divided as to who should fund and conduct ECGs. It was believed that obtaining an ECG causes patients inconvenience and delays treatment. Despite regularly interpreting ECGs, 76% of respondents did not update this clinical skill regularly. CLINICAL IMPLICATIONS: The variation in practice observed has service-level and patient implications and raises potential patient safety concerns. Implementing national guidelines or seeking novel ways of conducting cardiac monitoring could help standardise practice.

Indexed as

acetylcholinesterase inhibitorsCardiac monitoringdementianational surveyUK memory clinics

Identifiers

PMID34823623
PMCPMC10028537
OpenAlexW3216168134

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read42
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.