Evidence map›Paper›PMID 35198192›Full record

ArticleAnnals of medicine and surgery (2012)2022

Determinant of repeat revascularization within 5 years of Percutaneous Coronary Intervention at a tertiary care hospital, Karachi: A matched case-control study.

Komal Valliani, Azmina Artani, Iqbal Azam, Javed Tai, M Masood Kadir

Abstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Komal VallianiAga Khan Development Network Digital Health Resource Centre, Aga Khan University, Karachi, Pakistan.
Azmina ArtaniDepartment of Medicine, Aga Khan University, Karachi, Pakistan.
Iqbal AzamDepartment of Community Health Sciences, Aga Khan University, Karachi, Pakistan.
Javed TaiDepartment of Medicine, Aga Khan University, Karachi, Pakistan.
M Masood KadirDepartment of Community Health Sciences, Aga Khan University, Karachi, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine factors associated with repeat revascularization among adults aged 25 years and above within 5 years of first Percutaneous Coronary Intervention (PCI) at a tertiary care hospital.

methodsA matched case-control study was conducted through a hospital records review. A total of 90 cases with repeat revascularization and 180 controls without repeat revascularization were included. Data was analyzed using Multiple Conditional Logistic Regression.

resultsThe mean age was similar in cases and controls (60.05 ± 10.01 vs 62.20 ± 10.43 years) and sex (male: 77.8% vs. 76.1%). History of being an ever-smoker (40% vs. 25%), overweight (36.3% vs. 30.6%), and poor glycemic control (23.3% vs. 12.2%) were more among the cases than controls. However, obesity (53.7% vs. 44.3%) and pre-diabetes (16.1% vs. 7.8%) were more in controls compared to cases.Upon matching on the time of index PCI, the adjusted odds of ever smokers among patients with repeat revascularization was 2.47 times the odds of ever smokers among patients who did not undergo revascularization. Increasing stent diameter by 1 mm was found to reduce the risk of repeat revascularization by 51%.

conclusionsSmoking cessation and appropriate selection of stent diameter in patients undergoing revascularization can reduce the risk of repeat revascularization in the future.

Indexed as

AHA, American Heart AssociationBMI, Body Mass IndexBMS, Bare Metal StentCABG, Coronary Artery Bypass GraftingCAD, Coronary Artery DiseaseCI, Confidence IntervalCoronary artery diseaseDBP, Diastolic Blood PressureDES, Drug Eluting StentHIMS, Hospital Information Management SystemIQR, Inter-quartiles rangeISR, In-stent restenosisJCI, Joint Commission InternationalMACE, Major Adverse Cardiac EventsMOR, Matched Odds RatioPCI, Percutaneous Coronary InterventionPercutaneous coronary interventionRepeat revascularizationSBP, Systolic Blood Pressure

Identifiers

PMID35198192
PMCPMC8851281

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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.