Evidence map›Paper›PMID 34993437›Full record

ArticleCJC open2021

Racial Disparities in Management and Outcomes of Out-of-Hospital Cardiac Arrest Complicating Myocardial Infarction: A National Study From England and Wales.

Mohamed Dafaalla, Muhammad Rashid, Rachel M Bond, Triston Smith, Purvi Parwani, Ritu Thamman, Saadiq M Moledina, Michelle M Graham, Mamas A Mamas

Open access · goldAbstract read
In one paragraph

Article in CJC open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

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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

9 authors at 7 institutions in 3 countries.

Mohamed DafaallaKeele Cardiovascular Research Group, School of Medicine, Keele University, Stoke-on-Trent, United Kingdom.
Muhammad RashidKeele Cardiovascular Research Group, School of Medicine, Keele University, Stoke-on-Trent, United Kingdom.
Rachel M BondWomen's Heart Health, Dignity Health, Gilbert, Arizona, USA.
Triston SmithDepartment of Cardiology, Trinity Health System, Steubenville, Ohio, USA.
Purvi ParwaniDivision of Cardiology, Department of Medicine, Loma Linda University Health, Loma Linda, California, USA.
Ritu ThammanUniversity of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Saadiq M MoledinaKeele Cardiovascular Research Group, School of Medicine, Keele University, Stoke-on-Trent, United Kingdom.
Michelle M GrahamDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Mamas A MamasKeele Cardiovascular Research Group, School of Medicine, Keele University, Stoke-on-Trent, United Kingdom.
Royal Stoke University Hospital · GBCreighton University · USLoma Linda University · USThomas Jefferson University · USTrinity Health · USUniversity of Alberta · CAUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies of racial disparities in care of patients admitted with an out-of-hospital cardiac arrest (OHCA) in the setting of acute myocardial infarction (AMI) have shown inconsistent results. Whether these differences in care exist in the universal healthcare system in United Kingdom is unknown.

methodsPatients admitted with a diagnosis of AMI and OHCA between 2010 and 2017 from the Myocardial Ischaemia National Audit Project (MINAP) were studied. All patients were stratified based on ethnicity into a Black, Asian, or minority ethnicity (BAME) group vs a White group. We used multivariable logistic regression models to evaluate the predictors of clinical outcomes and treatment strategy.

resultsFrom 14,287 patients admitted with AMI complicated by OHCA, BAME patients constituted a minority of patients (1185 [8.3%]), compared with a White group (13,102 [91.7%]). BAME patients were younger (median age [interquartile range]) for BAME group, 58 [50-70] years; for White group, 65 [55-74] years). Cardiogenic shock (BAME group, 33%; White group, 20.7%;

conclusionsBAME patients were more likely to be seen by a cardiologist and receive coronary angiography than White patients. Despite this difference, the in-hospital mortality of BAME patients, particularly in the Asian population, was significantly higher.

Identifiers

PMID34993437
PMCPMC8712673
OpenAlexW3204652542

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.