Evidence map›Paper›PMID 22549300›Full record

Trial reportJournal of general internal medicine2012

The average lifespan of patients discharged from hospital with heart failure.

David A Alter, Dennis T Ko, Jack V Tu, Therese A Stukel, Douglas S Lee, Andreas Laupacis, Alice Chong, Peter C Austin

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

22 citing papers in PubMed, 52 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Kidney Function and Outcomes in Patients Hospitalized With Heart Failure.Journal of the American College of Cardiology · 2021
    Article
  6. Article
  7. Noncardiac-Related Morbidity, Mobility Limitation, and Outcomes in Older Adults With Heart Failure.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020
    Article
  8. Review
  9. Article
  10. Article
  11. End-of-life discussions in advanced heart failure.Canadian family physician Medecin de famille canadien · 2019
    Article
  12. Article
  13. Article
  14. Article
  15. Caregiver determinants of patient clinical event risk in heart failure.European journal of cardiovascular nursing · 2017
    Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

8 authors at 5 institutions in 2 countries.

David A AlterInstitute for Clinical Evaluative Sciences, Toronto, Ontario, Canada. david.alter@ices.on.ca
Dennis T Ko
Jack V Tu
Therese A Stukel
Douglas S Lee
Andreas Laupacis
Alice Chong
Peter C Austin
Institute for Clinical Evaluative Sciences · CACanadian Heart Research Centre · CASt. Michael's Hospital · CAToronto General Hospital · CAUniversity of Toronto · CA

Funding

Canadian Institutes of Health Research MOP 79514
6 · The paper itself

Abstract

backgroundThere are no life-tables quantifying the average life-spans of post-hospitalized heart failure populations across various strata of risk.

objectiveTo quantify the life-expectancies (i.e., average life-spans) of heart failure patients at the time of hospital discharge according to age, gender, predictive 30-day mortality heart failure risk index, and comorbidity burden.

designPopulation-based retrospective cohort study.

settingOntario, Canada. PATIENTS: 7,865 heart failure patients discharged from Ontario hospitals between 1999 and 2000. MEASUREMENTS: Data were obtained from the Enhanced Feedback for Effective Cardiac Treatment EFFECT provincial quality improvement initiative. All patients were linked to administrative data, and tracked longitudinally until March 31, 2010. Detailed clinical variables were obtained from medical chart abstraction, and death data were obtained from vital statistics. Average life-spans were calculated using Cox Proportion Hazards models in conjunction with the Declining Exponential Approximation of Life Expectancy (D.E.A.L.E) method to extrapolate life-expectancy, adjusting for age, gender, predicted 30-day mortality, left ventricular function and comorbidity, and was reported according to key prognostic risk-strata.

resultsThe average life-span of the cohort was 5.5 years (STD +/- 10.0) ranging from 19.5 years for low-risk women of less than 50 years old to 2.9 years for high-risk octogenarian males. Average life-spans were lower by 0.13 years among patients with impaired as compared with preserved left ventricular function, and by approximately one year among patients with three or more as compared with no concomitant comorbidities. In total, 17.4 % and 27 % of patients had died within 6 months and 1 year respectively, despite having predicted life-spans exceeding one-year. LIMITATIONS: Data regarding changes in patient clinical status over time were unavailable.

conclusionsThe development of risk-adjusted life-tables for heart failure populations is feasible and mirrored those with advanced malignant diseases. Average life span varied widely across clinical risk strata, and may be less accurate among those at or near their end of life.

Indexed as

AgedAged, 80 and overCohort StudiesHeart FailureHumansLife ExpectancyMaleMiddle AgedPatient DischargePopulation SurveillanceRetrospective StudiesSurvival Rate

Identifiers

PMID22549300
PMCPMC3515002
OpenAlexW2040435339

What OpenQuestion 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 OpenQuestion graph.