Evidence map›Paper›PMID 35240866›Full record

ArticleCirculation. Heart failure2022

Management and Outcomes of Acute Myocardial Infarction-Cardiogenic Shock in Uninsured Compared With Privately Insured Individuals.

Saraschandra Vallabhajosyula, Vinayak Kumar, Pranathi R Sundaragiri, Wisit Cheungpasitporn, P Elliott Miller, Sri Harsha Patlolla, Bernard J Gersh, Amir Lerman, Allan S Jaffe, Nilay D Shah and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Circulation. Heart failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.8field-weighted citation impact, top 10% 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

5 citing papers in PubMed, 12 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

13 authors at 5 institutions in 1 country.

Saraschandra VallabhajosyulaSection of Cardiovascular Medicine, Department of Medicine, Wake Forest University School of Medicine, Winston-Salem, NC (S.V.).ORCID 0000-0002-1631-8238
Vinayak KumarDepartment of Cardiovascular Medicine (V.K., B.J.G., A.L., A.S.J., D.R.H., M.R.B., G.W.B.), Mayo Clinic, Rochester, MN.ORCID 0000-0002-1899-0386
Pranathi R SundaragiriDepartment of Primary Care Internal Medicine, Wake Forest Baptist Health, High Point, NC (P.R.S.).
Wisit CheungpasitpornDivision of Nephrology and Hypertension, Department of Medicine (W.C.), Mayo Clinic, Rochester, MN.ORCID 0000-0001-9954-9711
P Elliott MillerDivision of Cardiovascular Medicine, Department of Medicine, Yale University School of Medicine, New Haven, CT (P.E.M.).ORCID 0000-0002-0595-1492
Sri Harsha PatlollaDepartment of Cardiovascular Surgery (S.H.P.), Mayo Clinic, Rochester, MN.ORCID 0000-0001-7952-0217
Bernard J GershDepartment of Cardiovascular Medicine (V.K., B.J.G., A.L., A.S.J., D.R.H., M.R.B., G.W.B.), Mayo Clinic, Rochester, MN.ORCID 0000-0001-5605-900X
Amir LermanDepartment of Cardiovascular Medicine (V.K., B.J.G., A.L., A.S.J., D.R.H., M.R.B., G.W.B.), Mayo Clinic, Rochester, MN.ORCID 0000-0002-9446-5313
Allan S JaffeDepartment of Cardiovascular Medicine (V.K., B.J.G., A.L., A.S.J., D.R.H., M.R.B., G.W.B.), Mayo Clinic, Rochester, MN.ORCID 0000-0003-1183-3959
Nilay D ShahRobert D. and Patricia E. Kern Center for the Science of Healthcare Delivery (N.D.S.), Mayo Clinic, Rochester, MN.
David R HolmesDepartment of Cardiovascular Medicine (V.K., B.J.G., A.L., A.S.J., D.R.H., M.R.B., G.W.B.), Mayo Clinic, Rochester, MN.ORCID 0000-0002-0037-0373
Malcolm R BellDepartment of Cardiovascular Medicine (V.K., B.J.G., A.L., A.S.J., D.R.H., M.R.B., G.W.B.), Mayo Clinic, Rochester, MN.
Gregory W BarsnessDepartment of Cardiovascular Medicine (V.K., B.J.G., A.L., A.S.J., D.R.H., M.R.B., G.W.B.), Mayo Clinic, Rochester, MN.ORCID 0000-0002-6353-6780
Mayo Clinic · USAtrium Health Wake Forest Baptist · USMayo Clinic in Arizona · USWake Forest University · USYale University · US

Funding

Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
NCATS NIH HHS UL1 TR000135
6 · The paper itself

Abstract

backgroundThere are limited data on uninsured patients presenting with acute myocardial infarction-cardiogenic shock (AMI-CS). This study sought to compare the management and outcomes of AMI-CS between uninsured and privately insured individuals.

methodsUsing the National Inpatient Sample (2000-2016), a retrospective cohort of adult (≥18 years) uninsured admissions (primary payer-self-pay or no charge) were compared with privately insured individuals. Interhospital transfers were excluded. Outcomes of interest included in-hospital mortality, temporal trends in admissions, use of cardiac procedures, do-not-resuscitate status, palliative care referrals, and resource utilization.

resultsOf 402 182 AMI-CS admissions, 21 966 (5.4%) and 93 814 (23.3%) were uninsured and privately insured. Compared with private insured individuals, uninsured admissions were younger, male, from a lower socioeconomic status, had lower comorbidity, higher rates of acute organ failure, ST-segment elevation AMI-CS (77.3% versus 76.4%), and concomitant cardiac arrest (33.8% versus 31.9%; all

conclusionsUninsured individuals have higher in-hospital mortality and lower use of guideline-directed therapies in AMI-CS compared with privately insured individuals.

Indexed as

Heart FailureMyocardial InfarctionAdultHospital MortalityHumansInsurance, HealthMaleMedically UninsuredRetrospective StudiesShock, CardiogenicUnited Statesacute myocardial infarctioncardiogenic shockhealth careinsuranceoutcomes research

Identifiers

PMID35240866
PMCPMC9930186
OpenAlexW4214815447

What OpenQuestion holds

Textmetadata
LicenceTDM
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.