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Record W4386151402 · doi:10.1002/ejhf.2990

Baseline Characteristics of Patients Enrolled in the EMPACT-MI Trial

2023· article· en· W4386151402 on OpenAlexafffund
Josephine Harrington, Jacob A. Udell, W. Schuyler Jones, Stefan D. Anker, Deepak L. Bhatt, Mark C. Petrie, Knut Robert Andersen, Mikhail Sumin, Isabella Zwiener, Adrian F. Hernandez, Javed Butler

Bibliographic record

VenueEuropean Journal of Heart Failure · 2023
Typearticle
Languageen
FieldMedicine
TopicDiabetes Treatment and Management
Canadian institutionsToronto General HospitalWomen's College HospitalUniversity of Toronto
FundersJanssen PharmaceuticalsSt. Jude MedicalHLS TherapeuticsDaiichi Sankyo EuropeServierAssistance publique-Hôpitaux de ParisAgency for Healthcare Research and QualityVifor PharmaPfizerModernaIdorsia PharmaceuticalsImpulse DynamicsMedicines CompanyRegado BiosciencesBelvoir Media GroupNovo NordiskMyoKardiaAstraZenecaAmarin CorporationIronwood Pharmaceuticals, IncorporatedNational Institutes of HealthRegeneron PharmaceuticalsDuke Clinical Research InstituteEisaiBrigham and Women's HospitalBoston VA Research InstituteBoston Scientific CorporationEli Lilly and CompanyCleveland ClinicBristol-Myers SquibbCSL BehringBritish Heart FoundationAmgenSanofiAmerican Heart Association
KeywordsMedicineEmpagliflozinMyocardial infarctionInternal medicineHeart failureCardiologyEjection fractionPopulationInterquartile rangeDiabetes mellitusType 2 diabetesPlacebo

Abstract

fetched live from OpenAlex

AIMS: Empagliflozin has been shown to reduce the risk of adverse cardiovascular outcomes in patients with type 2 diabetes and in those with heart failure. The impact of empagliflozin in post-acute myocardial infarction (AMI) patients is unknown. METHODS AND RESULTS: The Study to Test the Effect of Empagliflozin on Hospitalization for Heart Failure and Mortality in Patients with Acute Myocardial Infarction (EMPACT-MI) trial screened 6610 participants with AMI and randomized 6522 to empagliflozin or placebo in addition to standard of care. The median (interquartile) age was 64 (56-71) years and 75.1% of patients were male. Major comorbidities included hypertension (69.1%), type 2 diabetes (31.7%), prior myocardial infarction (13.0%), and atrial fibrillation (10.9%). The majority (74.3%) of patients presented with an ST-elevation myocardial infarction. Overall, 56.9% of patients had acute signs or symptoms of congestion requiring treatment and 78.3% had left ventricular systolic dysfunction with ejection fraction <45%. Clinical characteristics, including baseline demographics, rates of revascularization, and cardiovascular medications at discharge were largely comparable to recent trials of the post-AMI population. CONCLUSION: The EMPACT-MI trial will establish the benefit and risks of empagliflozin treatment in patients with AMI.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.003
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.005
Threshold uncertainty score0.018

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0020.003
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0000.001
Science and technology studies0.0010.000
Scholarly communication0.0010.001
Open science0.0000.000
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0050.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.017
GPT teacher head0.254
Teacher spread0.237 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations21
Published2023
Admission routes2
Has abstractyes

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