Evidence map›Paper›PMID 32691387›Full record

ArticleEuropean geriatric medicine2020

Prognostic impact of infection in octogenarians with ST-segment elevation myocardial infarction.

Ahmet Gürdal, Kudret Keskin, Mutlu Çağan Sümerkan, Gökhan Çetinkal, Hakan Kilci, Şükrü Çetin, Kadriye Orta Kılıçkesmez

Abstract read
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In one paragraph

Article in European geriatric medicine, 2020. 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
0.1field-weighted citation impact, top 48% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  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

7 authors at 1 institution in 2 countries.

Ahmet GürdalDepartment of Cardiology, University of Health Sciences, Sisli Hamidiye Etfal Education and Research Hospital, 34360, Sisli/Istanbul, Turkey. gurdal27@hotmail.com.ORCID http://orcid.org/0000-0002-2168-4937
Kudret KeskinDepartment of Cardiology, University of Health Sciences, Sisli Hamidiye Etfal Education and Research Hospital, 34360, Sisli/Istanbul, Turkey.
Mutlu Çağan SümerkanDepartment of Cardiology, University of Health Sciences, Sisli Hamidiye Etfal Education and Research Hospital, 34360, Sisli/Istanbul, Turkey.
Gökhan ÇetinkalDepartment of Cardiology, University of Health Sciences, Sisli Hamidiye Etfal Education and Research Hospital, 34360, Sisli/Istanbul, Turkey.
Hakan KilciDepartment of Cardiology, University of Health Sciences, Sisli Hamidiye Etfal Education and Research Hospital, 34360, Sisli/Istanbul, Turkey.
Şükrü ÇetinDepartment of Cardiology, University of Health Sciences, Sisli Hamidiye Etfal Education and Research Hospital, 34360, Sisli/Istanbul, Turkey.
Kadriye Orta KılıçkesmezDepartment of Cardiology, University of Health Sciences, Sisli Hamidiye Etfal Education and Research Hospital, 34360, Sisli/Istanbul, Turkey.
Sağlık Bilimleri Üniversitesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeContemporary studies assessing outcomes in octogenarian patients presenting with ST-segment elevation myocardial infarction (STEMI) and infection are scarce. This study investigated the impact and prognostic value of infection on long-term mortality in octogenarian patients with STEMI.

methodsA total of 1564 patients admitted with STEMI between May 2015 and September 2019 were retrospectively analyzed, and 110 octogenarians were identified and included. Predictors of mortality were determined by multivariate Cox regression analysis. Survival curves were generated using the Kaplan-Meier method.

resultsThe mean age of the patients was 85 ± 4 years, and 58 (52%) were male. Median follow-up was 41 months. Patients with infection had higher rates of in-hospital (16.4% vs. 8.2%, p = 0.001) and long-term (33.6% vs. 20%, p = 0.001) mortality. Multivariate Cox regression analysis revealed that infection (HR 3.16; 95% CI 1.52-6.59; p = 0.002) and C-reactive protein levels (HR 0.99; 95% CI 0.98-1.00; p = 0.042) were independent predictors of mortality in patients with infection. Kaplan-Meier analysis also showed that patients with infection had a significantly higher mortality rate (p < 0.001).

conclusionInfection is an independent predictor of long-term mortality in octogenarian patients with STEMI.

Indexed as

Percutaneous Coronary InterventionST Elevation Myocardial InfarctionAged, 80 and overHumansInfant, NewbornMalePrognosisRetrospective StudiesTreatment OutcomeCoronary artery diseaseInfectionOctogenarianST-segment elevation myocardial infarction

Identifiers

PMID32691387
OpenAlexW3044594739

What Socratic holds

Textmetadata
Read underepoch 390

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 Socratic graph.