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Analysis of institutional authors

Cepas-Guillén PlAuthorFlores-Umanzor EAuthorVidal PAuthorFreixa XAuthorSabate MCorresponding Author

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January 24, 2021
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Sex-gender disparities in nonagenarians with acute coronary syndrome

Publicated to:Clinical Cardiology. 44 (3): 371-378 - 2021-03-01 44(3), DOI: 10.1002/clc.23545

Authors: Cepas-Guillen, PL; Flores-Umanzor, E; Fernandez-Valledor, A; Vidal, P; Freixa, X; Sabate, M; Echarte-Morales, J; Tundidor-Sanz, E; Borrego-Rodriguez, J; Fernández-Vázquez, F; Caldentey, G; Llagostera, M; Quiroga, X; Viana-Tejedor, A; Gomez, EM

Affiliations

Cardiology Department, Cardiovascular Institute (ICCV), Hospital Clinic, IDIBAPS, University of Barcelona, Barcelona, Spain. - Author
Cardiology Department, Complejo Asistencial Universitario de León, León, Spain. - Author
Cardiology Department, Hospital del Mar, Barcelona, Spain. - Author
Cardiology Department, Hospital Universitario Clínico San Carlos, Madrid, Spain. - Author
‎ Complejo Asistencial Univ Leon, Cardiol Dept, Leon, Spain - Author
‎ Hosp del Mar, Cardiol Dept, Barcelona, Spain - Author
‎ Hosp Univ Clin San Carlos, Cardiol Dept, Madrid, Spain - Author
‎ Univ Barcelona, IDIBAPS, Hosp Clin, Cardiol Dept,Cardiovasc Inst ICCV, Barcelona, Spain - Author
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Abstract

Acute coronary syndrome (ACS) remains one of the leading causes of mortality for women, increasing with age. There is an unmet need regarding this condition in a fast-growing and predominantly female population, such as nonagenarians.Our aim is to compare sex-based differences in ACS management and long-term clinical outcomes between women and men in a cohort of nonagenarians.We included consecutive nonagenarian patients with ACS admitted at four academic centers between 2005 and 2018. The study was approved by the Ethics Committee of each center.A total of 680 nonagenarians were included (59% females). Of them, 373 (55%) patients presented with non-ST-segment elevation ACS and 307 (45%) with ST-segment elevation myocardial infarction (STEMI). Men presented a higher disease burden compared to women. Conversely, women were frailer with higher disability and severe cognitive impairment. In the STEMI group, women were less likely than men to undergo percutaneous coronary intervention (PCI) (60% vs. 45%; p = .01). Overall mortality rates were similar in both groups but PCI survival benefit at 1-year was greater in women compared to their male counterparts (82% vs. 68%; p = .008), persisting after sensitivity analyses using propensity-score matching (80% vs. 64%; p = .03).Sex-gender disparities have been observed in nonagenarians. Despite receiving less often invasive approaches, women showed better clinical outcomes. Our finding may help increase awareness and reduce the current gender gap in ACS management at any age.© 2021 The Authors. Clinical Cardiology published by Wiley Periodicals LLC.

Keywords

definitionselderlyhealthinterventionmanagementmyocardial infarctionmyocardial-infarctionst-segment elevation myocardial infarctiontrialswomenAcute coronary syndromeAged, 80 and overElderlyFemaleHumansMaleMyocardial infarctionPercutaneous coronary interventionPropensity scoreRisk factorsSex factorsSt elevation myocardial infarctionSt-segment elevation myocardial infarctionSt-segment-elevationTreatment outcomeWomen

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Clinical Cardiology due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2021, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Medicine (Miscellaneous).

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 4.01, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Aug 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-08-02, the following number of citations:

  • WoS: 7
  • Scopus: 8
  • Europe PMC: 6

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-08-02:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 31.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 35 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 4.
  • The number of mentions in news outlets: 1 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.

Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Cepas Guillen, Pedro Luis) and Last Author (Sabaté Tenas, Manel).

the author responsible for correspondence tasks has been Sabaté Tenas, Manel.