Evidence map›Paper›PMID 35096031›Full record

ArticleJornal vascular brasileiro2021

In-hospital mortality in patients with acute limb ischemia over a 12-year period in the Brazilian public health-care system.

João Henrique Fonseca do Nascimento, André Gusmão Cunha, André Bouzas de Andrade, Monique Magnavita Borba da Fonseca Cerqueira

Open access · diamondAbstract read
In one paragraph

Article in Jornal vascular brasileiro, 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
0.4field-weighted citation impact, top 34% 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, 3 citations in OpenAlex.

  1. Observational
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

4 authors at 1 institution in 1 country.

João Henrique Fonseca do NascimentoUniversidade do Estado da Bahia - UNEB, Departamento de Ciências da Vida, Salvador, BA, Brasil.ORCID 0000-0001-8750-6116
André Gusmão CunhaUniversidade do Estado da Bahia - UNEB, Departamento de Ciências da Vida, Salvador, BA, Brasil.ORCID 0000-0001-7762-168X
André Bouzas de AndradeUniversidade do Estado da Bahia - UNEB, Departamento de Ciências da Vida, Salvador, BA, Brasil.ORCID 0000-0002-4010-0415
Monique Magnavita Borba da Fonseca CerqueiraUniversidade do Estado da Bahia - UNEB, Departamento de Ciências da Vida, Salvador, BA, Brasil.ORCID 0000-0002-9836-7788
Universidade do Estado da Bahia · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArterial diseases represent a severe public health problem in the 21st century. Although men have a higher overall prevalence, reports have suggested that women may exhibit atypical manifestations, be asymptomatic, and have hormonal peculiarities, resulting in worse outcomes and severe emergencies, such as acute limb ischemia (ALI).

objectivesTo analyze the morbidity and mortality profile of ALI emergencies in Brazil between 2008 and 2019.

methodsAn ecological study was carried out with secondary data from SIH/SUS, using ICD-10 code I.74 The proportions of emergency hospital admissions and in-hospital mortality rates (HMR) by gender, ethnicity, and age were extracted from the overall figures. P<0.05 was considered significant.

resultsFrom 2008 to 2019, there were 195,567 urgent hospitalizations due to ALI in Brazil, 111,145 (56.8%) of which were of men. Women had a higher HMR (112:1,000 hospitalizations) than men (85:1,000 hospitalizations) (p<0.05), and a higher chance of death (OR=1.36; p<0.05). Furthermore, mean survival was significantly higher among men (8,483/year versus 6,254/year; p<0.05). Stratified by ethnicity, women who self-identified as white (OR=1.44; p<0.05), black (OR=1.33; p<0.05), and brown (RR=1.25; p <0.05) had greater chances of death than men in the same ethnicity categories. Moreover, women over the age of 50 years had a higher chance of death, with a progressive increment in risk as age increased.

conclusionsThere was a trend to worse prognosis in ALI emergencies associated with women, especially in older groups. The literature shows that the reasons for these differences are still poorly investigated and more robust studies of this relevant disease in the area of vascular surgery are encouraged.

Indexed as

arterial obstructive diseasesemergenciesgenderin-hospital mortalityperipheral arterial diseases

Identifiers

PMID35096031
PMCPMC8759584
OpenAlexW4206647199

What OpenQuestion holds

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LicenceCC BY
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.