Evidence map›Paper›PMID 29973147›Full record

Observational studyBMC cardiovascular disorders2018

Predictors of high-cost hospitalization in the treatment of acute coronary syndrome in Asia: findings from EPICOR Asia.

Stephen Jan, Stephen W-L Lee, Jitendra P S Sawhney, Tiong K Ong, Chee Tang Chin, Hyo-Soo Kim, Rungroj Krittayaphong, Vo T Nhan, Stuart J Pocock, Ana M Vega and 2 more

Registry-linked trialAbstract readComparative StudyMulticenter StudyObservational Study
In one paragraph

Observational study in BMC cardiovascular disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01361386 (Long-Term Follow-up of Antithrombotic Management Patterns in Acute Coronary Syndrome Patients in Asia), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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.

NCT01361386 completednot on this map

Long-Term Follow-up of Antithrombotic Management Patterns in Acute Coronary Syndrome Patients in Asia

TypeobservationalSponsorAstraZenecaRan2011 to 2014Enrolled13,011ConditionsAcute Coronary Syndrome
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. 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

12 authors.

Stephen JanThe George Institute for Global Health, Sydney Medical School, University of Sydney, King George V Building, 83-117 Missenden Rd, Camperdown, NSW, 2050, Australia. sjan@georgeinstitute.org.ORCID 0000-0003-2839-1405
Stephen W-L LeeQueen Mary Hospital, Hong Kong, SAR, China.
Jitendra P S SawhneySir Ganga Ram Hospital, New Delhi, India.
Tiong K OngSarawak General Hospital, Kuching, Malaysia.
Chee Tang ChinNational Heart Centre Singapore, Singapore, Singapore.
Hyo-Soo KimSeoul National University Hospital, Seoul, South Korea.
Rungroj KrittayaphongSiriraj Hospital, Bangkok, Thailand.
Vo T NhanCho Ray Hospital, Ho Chi Minh City, Vietnam.
Stuart J PocockLondon School of Hygiene and Tropical Medicine, London, UK.
Ana M VegaObservational Research Centre, Global Medical Affairs, AstraZeneca, Madrid, Spain.
Nobuya HayashiAstraZeneca, Osaka, Japan.
Yong HuoPeking University First Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe EPICOR Asia (long-tErm follow-uP of antithrombotic management patterns In acute CORonary syndrome patients in Asia) study (NCT01361386) was an observational study of patients hospitalized for acute coronary syndromes (ACS) enrolled in 218 hospitals in eight countries/regions in Asia. This study examined costs, length of stay and the predictors of high costs during an ACS hospitalization. METHODS AND

resultsData for patients hospitalized for an ACS (n = 12,922) were collected on demographics, medical history, event characteristics, socioeconomic and insurance status at discharge. Patients were followed up at 6 weeks' post-hospitalization for an ACS event to assess associated treatment costs from a health sector perspective. Primary outcome was the incurring of costs in the highest quintile by country and index event diagnosis, and identification of associated predictors. Cost data were available for 10,819 patients. Mean length of stay was 10.1 days. The highest-cost countries were China, Singapore, and South Korea. Significant predictors of high-cost care were age, male sex, income, country, prior disease history, hospitalization in 3 months before index event, no dependency before index event, having an invasive procedure, hospital type and length of stay.

conclusionsSubstantial variability exists in healthcare costs for hospitalized ACS patients across Asia. Of concern is the observation that the highest costs were reported in China, given the rapidly increasing numbers of procedures in recent years.

trial registrationNCT01361386 .

Indexed as

Hospital CostsAcute Coronary SyndromeAgedAsiaFemaleHealthcare DisparitiesHospitalizationHumansLength of StayMaleMiddle AgedProcess Assessment, Health CareProspective StudiesRisk FactorsTime FactorsTreatment OutcomeAcute coronary syndromeAsiaCostsHealth insuranceHospitalization

Identifiers

PMID29973147
PMCPMC6033225

What Socratic holds

Textmetadata
LicenceCC BY
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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 Socratic graph.