Evidence map›Paper›PMID 40153759›Full record

Observational studyMedicine2025

Predictive value of cumulative SII for MACE in STEMI patients after PCI.

Weifeng Zhang, Haiyan Jia, Xingzhou Zhao, Wanqing Song, Weiwei Sun, Qianyi Wang, Yanling Li, Xiaowei Wang

Abstract readObservational Study
In one paragraph

Observational study in Medicine, 2025. 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. Review
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

8 authors.

Weifeng ZhangDepartment of Cardiology, Affiliated Hospital of Hebei University, Baoding, China.
Haiyan JiaDepartment of Cardiology, Affiliated Hospital of Hebei University, Baoding, China.ORCID 0009-0009-0540-5895
Xingzhou ZhaoDepartment of Cardiology, Affiliated Hospital of Hebei University, Baoding, China.
Wanqing SongDepartment of Cardiovascular Medicine, Baoding NO.1 central hospital, Baoding, China.
Weiwei SunYixian Hospital, Hebei Province, Baoding, China.
Qianyi WangDepartment of Cardiology, Affiliated Hospital of Hebei University, Baoding, China.
Yanling LiDepartment of Cardiology, Affiliated Hospital of Hebei University, Baoding, China.
Xiaowei WangDepartment of Cardiology, Affiliated Hospital of Hebei University, Baoding, China.

Funding

Health Commission project 20151634
6 · The paper itself

Abstract

The systemic immune-inflammation index (SII) has been used effectively to effectively assess the prognosis of patients with a variety of diseases. But few evidence on the relationship between SII and long-term prognosis of myocardial infarction. We thus aimed to evaluate the relationships of cumulative exposure to SII and its accumulation time course with major adverse cardiovascular events (MACE) events in patients with acute myocardial infarction after percutaneous coronary intervention. To evaluate the predictive value of SII in MACE events in patients with acute myocardial infarction. A total of 480 patients with acute ST-elevation myocardial infarction who underwent emergency coronary angiography at the Department of Cardiology, Affiliated Hospital of Hebei University from August 2022 to August 2023 were enrolled in this study. Eighteen patients were lost to follow-up, with a loss rate of 3.8%. Time-weighted cumulative SII was calculated as the weighted sum of the mean SII value for each time interval, then normalized by total exposure duration, the exposure duration was from hospitalization to 1-year follow-up. Duration of high SII exposure was defined as the duration with high SII and ranged from hospitalization to 1-year follow-up. The time course of SII accumulation was categorized by the combination of time-weighted cumulative SII < or ≥ median and SII slope. At 1-year follow-up, after adjusting for potential confounders, the time-weighted cumulative SII was divided into 2 groups. The S2 group which is above the median had a higher risk of MACE (hazard ratio, 1.090; 95% confidence interval 1.035-1.149), the high time-weighted cumulative SII group with a positive slope had a higher risk of MACE (hazard ratio, 4.096; 95% confidence interval 1.851-9.065). Long-term cumulative exposure to SII increases the risk of MACE in patients with acute ST-elevation myocardial infarction undergoing coronary angiography, and late high SII results in a higher risk of MACE events at the same time-weighted cumulative SII, underscoring the importance of late inflammation control.

Indexed as

InflammationPercutaneous Coronary InterventionST Elevation Myocardial InfarctionAgedCoronary AngiographyFemaleHumansMaleMiddle AgedPredictive Value of TestsPrognosisRetrospective StudiesRisk FactorsTime Factors

Identifiers

PMID40153759
PMCPMC11957611

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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.