Evidence map›Paper›PMID 39476037›Full record

Observational studyArquivos brasileiros de cardiologia2024

Risk Factors, Management, and Evolution after the First Acute Myocardial Infarction: A Real-World Study Comparing Cohorts of Women and Men in the TriNetX Network.

Camila Mota Guida, Eduardo Juvenal de Souza, Leandro Menezes Alves da Costa, Thiago Luis Scudeler, Rafael Amorim Belo Nunes, Gustavo Bernardes de Figueiredo Oliveira

Abstract readObservational StudyComparative Study
In one paragraph

Observational study in Arquivos brasileiros de cardiologia, 2024. 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
–field-weighted citation impact
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.

  1. Article
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

6 authors.

Camila Mota GuidaInstituto Dante Pazzanese de Cardiologia, São Paulo, SP - Brasil.ORCID 0000-0002-9679-388X
Eduardo Juvenal de SouzaHospital Alemão Oswaldo Cruz, São Paulo, SP - Brasil.
Leandro Menezes Alves da CostaHospital Alemão Oswaldo Cruz, São Paulo, SP - Brasil.ORCID 0000-0002-4148-190X
Thiago Luis ScudelerHospital Alemão Oswaldo Cruz, São Paulo, SP - Brasil.ORCID 0000-0001-5685-3633
Rafael Amorim Belo NunesHospital Alemão Oswaldo Cruz, São Paulo, SP - Brasil.
Gustavo Bernardes de Figueiredo OliveiraInstituto Dante Pazzanese de Cardiologia, São Paulo, SP - Brasil.ORCID 0000-0002-1815-6498

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInternational cohort studies have consistently demonstrated an unfavorable prognosis in female patients after the first acute myocardial infarction (AMI) over the past decades. However, national data on this topic are limited.

objectivesThis study aims to compare national cohorts of men and women hospitalized due to the first acute myocardial infarction, examining long-term outcomes.

methodsA retrospective, observational study using real-world data extracted from the global TriNetX platform, including patients of both sexes with a confirmed diagnosis of AMI according to the International Classification of Diseases (ICD), version 11, code I21. The level of statistical significance adopted in the analysis was 5% (0.05). The primary outcome assessed was a composite of death, new hospitalization for AMI, myocardial revascularization procedures, or heart failure after the hospital phase with a 5-year follow-up.

resultsData from 29,041 patients were evaluated, of which 11,284 (38.4%) were women. The mean age of the female and male populations was 64.4 and 59.8 years, respectively. The group of women showed a higher occurrence of the composite outcome of death, new hospitalization for AMI, myocardial revascularization procedures, or heart failure after the hospital phase with a 5-year follow-up (OR 1.058; CI 1.005 - 1.113; p = 0.03).

conclusionsIn this large Brazilian cohort, the female sex was associated with a higher occurrence of cardiovascular events within 5 years after hospital discharge.

backgroundReal-world study comparing female and male cohorts in the TriNetX network.

Indexed as

HospitalizationMyocardial InfarctionMyocardial RevascularizationAgedBrazilFemaleHeart FailureHumansMaleMiddle AgedPrognosisRetrospective StudiesRisk FactorsSex DistributionSex FactorsTime Factors

Identifiers

PMID39476037
PMCPMC11634215

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Registered trials

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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.