Evidence map›Paper›PMID 40333795›Full record

Observational studyPloS one2025

Development of a multidimensional prediction model for long-term prognostic risk in patients with acute coronary syndromes after percutaneous coronary intervention: A retrospective observational cohort study.

Bojian Wang, Yanwei Du, Pengyu Cao, Min Liu, Jinting Yang, Ningning Zhang, Wangshu Shao, Lijing Zhao, Rongyu Li, Lin Wang

Abstract readObservational Study
In one paragraph

Observational study in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

10 authors.

Bojian WangSchool of Nursing, Jilin University, Changchun, Jilin, China.ORCID https://orcid.org/0009-0009-3935-3448
Yanwei DuSchool of Nursing, Jilin University, Changchun, Jilin, China.
Pengyu CaoThe Second People's Hospital of Changzhou, The Third Affiliated Hospital of Nanjing Medical University, Changzhou Jiangsu, China.ORCID https://orcid.org/0000-0003-0560-5159
Min LiuThe Second People's Hospital of Changzhou, The Third Affiliated Hospital of Nanjing Medical University, Changzhou Jiangsu, China.
Jinting YangSchool of Nursing, Jilin University, Changchun, Jilin, China.
Ningning ZhangThe Second People's Hospital of Changzhou, The Third Affiliated Hospital of Nanjing Medical University, Changzhou Jiangsu, China.
Wangshu ShaoThe Cardiovascular Center, First Hospital of Jilin University, Changchun, Jilin, China.
Lijing ZhaoSchool of Nursing, Jilin University, Changchun, Jilin, China.
Rongyu LiThe Cardiovascular Center, First Hospital of Jilin University, Changchun, Jilin, China.
Lin WangThe Cardiovascular Center, First Hospital of Jilin University, Changchun, Jilin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study is to examine the critical variables that impact the long-term prognosis of patients with acute coronary syndrome (ACS) after percutaneous coronary intervention (PCI) and to create a multidimensional predictive risk assessment model that can serve as a theoretical basis for accurate cardiac rehabilitation.

methodsThe study involved ACS patients who received PCI at the First Hospital of Jilin University from June 2020 to March 2021. Participants were categorized into two groups: acute myocardial infarction (AMI) and unstable angina (UA), according to clinical data and angiographic findings. Hospitalization data, physical performance, exercise tolerance prior to discharge, average daily steps, major adverse cardiac events (MACE), and a follow-up period of 36 months were documented. The dates for accessing data for research purposes are February 10, 2022 (10/2/2022) to December 10, 2023 (10/12/2023).

resultsWe observed substantial increases in weight, fasting plasma glucose (FPG), total cholesterol, high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), white blood cell (WBC) count, neutrophil granulocyte count, monocyte count, hemoglobin (Hb) levels, aspartate aminotransferase (AST), and alanine aminotransferase (ALT) levels in the acute myocardial infarction (AMI) cohort relative to the unstable angina (UA) cohort. We found white blood cell count (WBC) (OR: 4.110) and the effective average number of daily steps (ANS) (OR: 2.689) as independent prognostic risk factors for acute myocardial infarction (AMI). The independent risk factors for unstable angina prognosis were white blood cell count (OR: 6.257), VO2 at anaerobic threshold (OR: 4.294), and effective autonomic nervous system function (OR: 4.097). The whole prognostic risk assessment score for acute myocardial infarction (AMI) is 5 points, with 0 points signifying low risk, 2-3 points representing intermediate risk, and 5 points indicating high risk. The overall prognostic risk assessment score for UA is 7 points, with 0-3 classified as low risk, 4-5 as intermediate risk, and 6-7 as high risk.

conclusionThis study developed a multimodal predictive model that integrates the inflammatory response after onset, physical performance and exercise tolerance before discharge, and daily activity after discharge to predict the long-term prognosis of patients with ACS. The multidimensional model is more effective than the single-factor model for assessing risk in ACS patients. This work also establishes a theoretical basis for improving the prognosis of potentially high-risk individuals with accurate and reasonable exercise prescriptions.

Indexed as

Acute Coronary SyndromePercutaneous Coronary InterventionAgedAngina, UnstableFemaleHumansMaleMiddle AgedMyocardial InfarctionPrognosisRetrospective StudiesRisk AssessmentRisk Factors

Identifiers

PMID40333795
PMCPMC12057874

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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.