Evidence map›Paper›PMID 21982687›Full record

ArticleJournal of the American Medical Directors Association2012

In-hospital cardiology consultation and evidence-based care for nursing home residents with heart failure.

Wilbert S Aronow, Michael W Rich, Sarah J Goodlin, Thomas Birkner, Yan Zhang, Margaret A Feller, Inmaculada B Aban, Linda G Jones, Donna M Bearden, Richard M Allman and 1 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Medical Directors Association, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

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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

11 authors at 4 institutions in 1 country.

Wilbert S AronowNew York Medical College, Valhalla, NY, USA.
Michael W Rich
Sarah J Goodlin
Thomas Birkner
Yan Zhang
Margaret A Feller
Inmaculada B Aban
Linda G Jones
Donna M Bearden
Richard M Allman
Ali Ahmed
University of Alabama at Birmingham · USNew York Medical College · USOregon Health & Science University · USWashington University in St. Louis · US

Funding

The Impact on Diabetes on Left Ventricular RemodelingP50HL077100 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DELL'LTALIA, LOUIS · 2005 to 2009
$16.5M
UAB Biostatistics Pre-doctoral Training ProgramT32HL079888 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ALLISON, DAVID B, CUTTER, GARY R · 2005 to 2014
$2.3M
Heart failure, chronic kidney disease, and renin-angiotensin system inhibitionR01HL085561 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI AHMED, ALI · 2006 to 2009
$1.5M
UAB Pre and Post-Doctoral Training Program in BiostatisticsT32NS054584 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CUTTER, GARY R · 2007 to 2011
$765k
NHLBI NIH HHS 5-R01-HL085561-02NHLBI NIH HHS P50 HL077100NHLBI NIH HHS P50-HL077100NHLBI NIH HHS R01 HL085561NHLBI NIH HHS T32 HL079888NINDS NIH HHS T32 NS054584NINDS NIH HHS T32NS054584
6 · The paper itself

Abstract

objectivesTo determine the association between cardiology consultation and evidence-based care for nursing home (NH) residents with heart failure (HF).

participantsHospitalized NH residents (n = 646) discharged from 106 Alabama hospitals with a primary discharge diagnosis of HF during 1998-2001.

designObservational. MEASUREMENTS OF EVIDENCE-BASED CARE: Preadmission estimation of left ventricular ejection fraction (LVEF) for patients with known HF (n = 494), in-hospital LVEF estimation for HF patients without known LVEF (n = 452), and discharge prescriptions of angiotensin-converting enzyme inhibitors or angiotensin receptor blockers (ACEIs or ARBs) to systolic HF (LVEF <45%) patients discharged alive who were eligible to receive those drugs (n = 83). Eligibility for ACEIs or ARBs was defined as lack of prior allergy or adverse effect, serum creatinine lower than 2.5 mg/dL, serum potassium lower than 5.5 mEq/L, and systolic blood pressure higher than 100 mm Hg.

resultsPreadmission LVEF was estimated in 38% and 12% of patients receiving and not receiving cardiology consultation, respectively (adjusted odds ratio [AOR], 3.49; 95% CI, 2.16-5.66; P < .001). In-hospital LVEF was estimated in 71% and 28% of patients receiving and not receiving cardiology consultation, respectively (AOR, 6.01; 95% CI, 3.69-9.79; P < .001). ACEIs or ARBs were prescribed to 62% and 82% of patients receiving and not receiving cardiology consultation, respectively (AOR, 0.24; 95% CI, 0.07-0.81; P = .022).

conclusionIn-hospital cardiology consultation was associated with significantly higher odds of LVEF estimation among NH residents with HF; however, it did not translate into higher odds of discharge prescriptions for ACEIs or ARBs to NH residents with systolic HF who were eligible for the receipt of these drugs.

Indexed as

CardiologyEvidence-Based MedicineHeart FailureNursing HomesReferral and ConsultationAgedAged, 80 and overAlabamaAngiotensin-Converting Enzyme InhibitorsFemaleHumansMaleVentricular Function, LeftAngiotensin-Converting Enzyme Inhibitors

Identifiers

PMID21982687
PMCPMC3750116
OpenAlexW2011272484

What OpenQuestion holds

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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 OpenQuestion graph.