Evidence map›Paper›PMID 37421279›Full record

ArticleJournal of the American Heart Association2023

Frailty, Treatments, and Outcomes in Older Patients With Myocardial Infarction: A Nationwide Registry-Based Study.

Daniel Mølager Christensen, Jarl Emanuel Strange, Alexander Christian Falkentoft, Mohamad El-Chouli, Pauline B Ravn, Anne Christine Ruwald, Emil Fosbøl, Lars Køber, Gunnar Gislason, Thomas S G Sehested and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

7 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

11 authors at 5 institutions in 1 country.

Daniel Mølager ChristensenDanish Heart Foundation Copenhagen Denmark.ORCID 0000-0003-4029-1060
Jarl Emanuel StrangeDepartment of Cardiology Herlev and Gentofte University Hospital Copenhagen Denmark.ORCID 0000-0002-1803-5266
Alexander Christian FalkentoftDepartment of Cardiology Zealand University Hospital Roskilde Roskilde Denmark.
Mohamad El-ChouliDanish Heart Foundation Copenhagen Denmark.ORCID 0000-0001-6022-1380
Pauline B RavnDepartment of Cardiology Zealand University Hospital Roskilde Roskilde Denmark.ORCID 0000-0001-9445-131X
Anne Christine RuwaldDepartment of Cardiology Zealand University Hospital Roskilde Roskilde Denmark.
Emil FosbølDepartment of Cardiology Rigshospitalet Copenhagen Denmark.ORCID 0000-0002-2048-4167
Lars KøberDepartment of Cardiology Rigshospitalet Copenhagen Denmark.
Gunnar GislasonDanish Heart Foundation Copenhagen Denmark.ORCID 0000-0002-0548-402X
Thomas S G SehestedDanish Heart Foundation Copenhagen Denmark.ORCID 0000-0003-0564-0237
Morten SchouDepartment of Cardiology Herlev and Gentofte University Hospital Copenhagen Denmark.ORCID 0000-0002-4271-2466
Danish National Research Foundation · DKZealand University Hospital · DKGentofte Hospital · DKRigshospitalet · DKUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Guidelines recommend that patients with myocardial infarction (MI) receive equal care regardless of age. However, withholding treatment may be justified in elderly and frail patients. This study aimed to investigate trends in treatments and outcomes of older patients with MI according to frailty. Methods and Results All patients aged ≥75 years with first-time MI during 2002 to 2021 were identified through Danish nationwide registries. Frailty was categorized using the Hospital Frailty Risk Score. One-year risk and hazard ratios (HRs) for days 0 to 28 and 29 to 365 were calculated for all-cause death. A total of 51 022 patients with MI were included (median, 82 years; 50.2% women). Intermediate/high frailty increased from 26.7% in 2002 to 2006 to 37.1% in 2017 to 2021. Use of treatment increased substantially regardless of frailty: for example, 28.1% to 48.0% (statins), 21.8% to 33.7% (dual antiplatelet therapy), and 7.6% to 28.0% (percutaneous coronary intervention) for high frailty (all

Indexed as

FrailtyMyocardial InfarctionPercutaneous Coronary InterventionAgedFemaleHumansMaleRegistriesRisk FactorsTreatment Outcomefrailtyguidelinesmyocardial infarctionoldoutcomestrends

Identifiers

PMID37421279
PMCPMC10382124
OpenAlexW4383619215

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.