Evidence map›Paper›PMID 35946752›Full record

ArticleArquivos brasileiros de cardiologia2022

Predictors of Hospital Mortality Based on Primary Angioplasty Treatment: A Multicenter Case-Control Study.

Pedro Paulo Neves de Castro, Marco Antonio Nazaré Castro, Guilherme Abreu Nascimento, Isabel Moura, José Luiz Barros Pena

Open access · diamondAbstract readMulticenter Study
In one paragraph

Article in Arquivos brasileiros de cardiologia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

5 citing papers in PubMed, 4 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Pedro Paulo Neves de CastroHospital Marcio Cunha - Hemodinâmica, Ipatinga, MG - Brasil.ORCID 0000-0003-3024-341X
Marco Antonio Nazaré CastroHospital Marcio Cunha - Hemodinâmica, Ipatinga, MG - Brasil.
Guilherme Abreu NascimentoHospital Marcio Cunha - Hemodinâmica, Ipatinga, MG - Brasil.
Isabel MouraFaculdade de Ciências Médicas de Minas Gerais - Programa de Pós-Graduação stricto sensu em Ciências da Saúde, Belo Horizonte, MG - Brasil.
José Luiz Barros PenaFaculdade de Ciências Médicas de Minas Gerais - Programa de Pós-Graduação stricto sensu em Ciências da Saúde, Belo Horizonte, MG - Brasil.ORCID 0000-0001-8920-5173
Ação Educativa · BRFaculdade de Ciências Médicas de Minas Gerais · BRHospital Felício Rocho · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdentification of high-risk patients undergoing primary angioplasty (PCI) is essential.

objectiveIdentify factors related to the causes of death in PCI patients.

methodsThis work consisted of a multicenter case-control study using a Brazilian registry of cardiovascular interventions as the data source. The association between each variable and death was assessed using a binary logistic regression model, p <0.05 was considered significant.

resultsA total of 26,990 records were analyzed, of which 18,834 (69.8%) were male patients, with a median age of 61 (±17) years. In the multivariate analysis, the main variables related to the causes of death with their respective odds ratios and 95%confidence intervals (CI) were advanced age, 70-79 years (2.46; 1.64-3.79) and ≥ 80 years (3.69; 2.38-5.81), p<0.001; the classification of Killip II (2.71; 1.92-3.83), Killip III (8.14; 5.67-11.64), and Killip IV (19.83; 14.85-26.69), p<0.001; accentuated global dysfunction (3.63; 2,39-5.68), p<0.001; and the occurrence of infarction after intervention (5.01; 2.57-9.46), p<0.001. The main protective factor was the post-intervention thrombolysis in myocardial infarction (TIMI) III flow (0.18; 0.13-0.24), p<0.001, followed by TIMI II (0.59; 0.41 -0.86), p=0.005, and male (0.79; 0.64-0.98), p = 0.032; dyslipidemia (0.69; 0.59-0.85), p<0.001; and number of lesions treated (0.86; 0.9-0.94), p<0.001.

conclusionThe predictors of mortality in patients undergoing PCI were Killip's classification, reinfarction, advanced age, severe left ventricular dysfunction, female gender, and post-intervention TIMI 0 / I flow.

Indexed as

Angioplasty, Balloon, CoronaryMyocardial InfarctionAdultAgedCase-Control StudiesFemaleHospital MortalityHumansLogistic ModelsMaleMiddle AgedTreatment Outcome

Identifiers

PMID35946752
PMCPMC9438550
OpenAlexW4289433289

What Socratic holds

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LicenceCC BY
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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.