Evidence map›Paper›PMID 37277219›Full record

ArticleBMJ open2023

In-hospital therapies and determinants of treatment strategy selection in patients with atrial fibrillation and left ventricular systolic dysfunction in China: a retrospective study based on the Improving Care for Cardiovascular Disease in China-Atrial Fibrillation (CCC-AF) project, 2015-2019.

Pengkang He, Yannan Pan, Jie Jiang, Fangfang Fan, Jing Zhou, Yulong Xia, Jun Liu, Na Yang, Yongchen Hao, Jianping Li and 4 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02309398 (Improving Care for Cardiovascular Disease in China), which is not on this 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.

NCT02309398 completednot on this map

Improving Care for Cardiovascular Disease in China: A Collaborative Project of AHA and CSC (CCC Project) - Atrial Fibrillation

TypeobservationalSponsorBeijing Institute of Heart, Lung and Blood Vessel DiseasesRan2015 to 2020Enrolled67,028ConditionsAtrial Fibrillation
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 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

14 authors at 2 institutions in 1 country.

Pengkang He *Department of Cardiology, Peking University First Hospital, Beijing, China.
Yannan Pan *Department of Cardiology, Peking University First Hospital, Beijing, China.ORCID 0000-0003-4868-6649
Jie JiangDepartment of Cardiology, Peking University First Hospital, Beijing, China jiangjie417@vip.163.com.ORCID 0000-0002-4077-0056
Fangfang FanDepartment of Cardiology, Peking University First Hospital, Beijing, China.ORCID 0000-0001-8351-4821
Jing ZhouDepartment of Cardiology, Peking University First Hospital, Beijing, China.
Yulong XiaDepartment of Cardiology, Peking University First Hospital, Beijing, China.
Jun LiuDepartment of Epidemiology, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing, China.
Na YangDepartment of Epidemiology, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing, China.
Yongchen HaoDepartment of Epidemiology, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing, China.
Jianping LiDepartment of Cardiology, Peking University First Hospital, Beijing, China.
Jing LiuDepartment of Epidemiology, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing, China.
Dong ZhaoDepartment of Epidemiology, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing, China.ORCID 0000-0002-3239-3449
Yong HuoDepartment of Cardiology, Peking University First Hospital, Beijing, China.
CCC-AF investigators
Peking University · CNCapital Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe optimal treatment strategy remains debatable in patients with atrial fibrillation (AF) and heart failure. Our objectives were to summarise in-hospital therapies and determine factors associated with treatment strategy selections.

designA retrospective study analysing the Improving Care for Cardiovascular Disease in China-Atrial Fibrillation (CCC-AF) project from 2015 to 2019.

settingThe CCC-AF project included patients from 151 tertiary and 85 secondary hospitals across 30 provinces in China.

participantsPatients with AF and left ventricular systolic dysfunction (LVSD, defined as left ventricular ejection fraction<50%) were included, with 5560 patients in the study sample.

methodsPatients were classified by treatment strategies. In-hospital treatments and trends of therapies were analysed. Multiple logistic regression models were used to find determinants of treatment strategies.

resultsRhythm control therapies were used in 16.9% of patients with no significant trends (

conclusionIn China, non-rhythm control strategy remained the dominant choice in patients with AF and LVSD. Age, AF types, prior treatments, left atrial diameters, platelet counts and comorbidities were major determinants of treatment strategies. Guideline-adherent therapies should be further promoted. STUDY REGISTRATION NUMBER: NCT02309398.

Indexed as

Atrial FibrillationCardiovascular DiseasesCatheter AblationVentricular Dysfunction, LeftHumansQuality ImprovementRetrospective StudiesStroke VolumeTreatment OutcomeVentricular Function, LeftAdult cardiologyHeart failurePacing & electrophysiology

Identifiers

PMID37277219
PMCPMC10254788
OpenAlexW4379471722

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

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.