Evidence map›Paper›PMID 24952694›Full record

ArticleJACC. Heart failure2014

The burden of acute heart failure on U.S. emergency departments.

Alan B Storrow, Cathy A Jenkins, Wesley H Self, Pauline T Alexander, Tyler W Barrett, Jin H Han, Candace D McNaughton, Benjamin S Heavrin, Mihai Gheorghiade, Sean P Collins

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JACC. Heart failure, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 7 pooled it
–field-weighted citation impact
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

98 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Ultrafiltration for acute heart failure.The Cochrane database of systematic reviews · 2022
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Article
  11. Observational
  12. Article
  13. Observational
  14. Article
  15. Incidence of acute heart failure with and without concomitant pulmonary disease.International journal of cardiology. Heart & vasculature · 2025
    Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article

38 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Alan B StorrowDepartment of Emergency Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee. Electronic address: alan.storrow@vanderbilt.edu.
Cathy A JenkinsDepartment of Biostatistics, Vanderbilt University School of Medicine, Nashville, Tennessee.
Wesley H SelfDepartment of Emergency Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee.
Pauline T AlexanderDepartment of Emergency Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee.
Tyler W BarrettDepartment of Emergency Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee.
Jin H HanDepartment of Emergency Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee.
Candace D McNaughtonDepartment of Emergency Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee.
Benjamin S HeavrinDepartment of Emergency Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee.
Mihai GheorghiadeCenter for Cardiovascular Innovation, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Sean P CollinsDepartment of Emergency Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee.

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
The Vanderbilt Emergency Medicine Research Training Program (VEMRT)K12HL109019 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI COLLINS, SEAN PATRICK, STORROW, ALAN B · 2011 to 2015
$3.7M
Improving Heart Failure Risk Stratification in the EDR01HL088459 · NHLBI · VANDERBILT UNIVERSITY · PI STORROW, ALAN B · 2007 to 2010
$3.2M
Treatment Endpoints in Acute Decompensated Heart FailureK23HL085387 · NHLBI · VANDERBILT UNIVERSITY · PI COLLINS, SEAN PATRICK · 2008 to 2012
$797k
Delirium in the Emergency Department: Novel Screening and Natural CourseK23AG032355 · NIA · VANDERBILT UNIVERSITY · PI HAN, JIN HO · 2010 to 2014
$745k
Improving Atrial Fibrillation Risk Stratification in the EDK23HL102069 · NHLBI · VANDERBILT UNIVERSITY · PI BARRETT, TYLER WARREN · 2010 to 2014
$745k
THE INTERACTION BETWEEN HYPERTENSION AND BEHAVIORK04HL001090 · NHLBI · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI HARSHFIELD, GREGORY ALAN · 1985 to 1985
–
NCATS NIH HHS UL1 TR000445NCATS NIH HHS UL1TR000445NCRR NIH HHS UL1 RR024975NHLBI NIH HHS K12HL1090NHLBI NIH HHS K12 HL109019NHLBI NIH HHS K23 HL085387NHLBI NIH HHS K23HL085387NHLBI NIH HHS K23 HL102069NHLBI NIH HHS R01 HL088459NIA NIH HHS K23 AG032355NIA NIH HHS K23AG032355
6 · The paper itself

Abstract

objectivesThe goal of this study was to examine 2006 to 2010 emergency department (ED) admission rates, hospital procedures, lengths of stay, and costs for acute heart failure (AHF).

backgroundPatients with AHF are often admitted and are associated with high readmissions and cost.

methodsWe utilized Nationwide Emergency Department Sample AHF data from 2006 to 2010 to describe admission proportion, hospital length of stay (LOS), and ED charges as a surrogate for resource utilization. Results were compared across U.S. regions, patient insurance status, and hospital characteristics.

resultsThere were 958,167 mean yearly ED visits for AHF in the United States. Fifty-one percent of the patients were female, and the median age was 75.1 years (interquartile range [IQR]: 62.5 to 83.7 years). Overall, 83.7% (95% confidence interval: 83.1% to 84.2%) were admitted; the median LOS was 3.4 days (IQR: 1.9 to 5.8 days). Comparing 2006 with 2010, there was a small decrease in median LOS (0.09 days), but the proportion admitted did not change. Odds of admission, adjusting for age, sex, hospital characteristic (academic and safety net status), and insurance (Medicare, Medicaid, private, self-pay/no charge) were highest in the Northeast. Median ED charges were $1,075 (IQR: $679 to $1,665) in 2006 and $1,558 (IQR: $1,018 to $2,335) in 2010. Patients without insurance were more likely to be discharged from the ED, but when admitted, were more likely to receive a major diagnostic or therapeutic procedure.

conclusionsA very high proportion of ED patients with AHF are admitted nationally, with significant variation in disposition and procedural decisions based on region of the country and type of insurance, even after adjusting for potential confounding.

Indexed as

Acute DiseaseAgedAged, 80 and overCost of IllnessEmergency Service, HospitalFemaleHealth ResourcesHeart FailureHumansInsurance CoverageInsurance, HealthLength of StayMaleMiddle AgedResidence CharacteristicsRetrospective Studiesemergency medicineheart failureresource utilization

Identifiers

PMID24952694
PMCPMC4429129

What OpenQuestion holds

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Registered trials

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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.