ArticleThe American journal of cardiology2015
Relation of dyspnea severity on admission for acute heart failure with outcomes and costs.
Article in The American journal of cardiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- Evaluation of machine learning methods for prediction of heart failure mortality and readmission: meta-analysis.BMC cardiovascular disorders · 2025Pooled it
- Body Weight Change During and After Hospitalization for Acute Heart Failure: Patient Characteristics, Markers of Congestion, and Outcomes: Findings From the ASCEND-HF Trial.JACC. Heart failure · 2017Trial
- Early emergency department decision support for heart failure hospitalization using triage-level unstructured and structured data: a retrospective cohort study.BMC medical informatics and decision making · 2026Article
- Intense optimization of oral therapy rapidly restores respiratory function in worsening heart failure patients.ESC heart failure · 2025Observational
- Advancing a machine learning-based decision support tool for pre-hospital assessment of dyspnoea by emergency medical service clinicians: a retrospective observational study.BMC emergency medicine · 2025Observational
- Descriptive qualitative study of breathlessness and its management of Turkish individuals with self-reported heart failure.BMJ open · 2024Article
- Spanish version of the Heart Failure Somatic Perception Scale (HFSPS v.3) - psychometric properties.Frontiers in cardiovascular medicine · 2023Article
- Patterns and predictors of dyspnoea following left ventricular assist device implantation.European journal of cardiovascular nursing · 2022Article
- Readmission following both cardiac and non-cardiac acute dyspnoea is associated with a striking risk of death.ESC heart failure · 2021Article
- Time-sensitive approach in the management of acute heart failure.ESC heart failure · 2021Review
- Should we overcome the resistance to bioelectrical impedance in heart failure?Expert review of medical devices · 2020Review
- A Novel In-hospital Congestion Score to Risk Stratify Patients Admitted for Worsening Heart Failure (from ASCEND-HF).Journal of cardiovascular translational research · 2020Article
- Clinical profiles in acute heart failure: an urgent need for a new approach.ESC heart failure · 2019Review
- Patterns of dyspnoea onset in patients with acute heart failure: clinical and prognostic implications.ESC heart failure · 2019Article
- The Impact of Unpredictability on Dyspnea Perception, Anxiety and Interoceptive Error Processing.Frontiers in physiology · 2019Article
- Resource Utilization in Pediatric Patients Supported With Ventricular Assist Devices in the United States: A Multicenter Study From the Pediatric Interagency Registry for Mechanically Assisted Circulatory Support and the Pediatric Health Information System.Journal of the American Heart Association · 2018Article
- Dyspnea in Community-Dwelling Older Persons: A Multifactorial Geriatric Health Condition.Journal of the American Geriatrics Society · 2016Article
- Pathophysiology and clinical evaluation of acute heart failure.Nature reviews. Cardiology · 2016Review
- Differences in health care use and outcomes by the timing of in-hospital worsening heart failure.American heart journal · 2015Article
- Patient selection in heart failure with preserved ejection fraction clinical trials.Journal of the American College of Cardiology · 2015Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
Hospitalization for heart failure (HF) is frequently related to dyspnea, yet associations among dyspnea severity, outcomes, and health care costs are unknown. The aim of this study was to describe the characteristics of patients hospitalized for acute HF by dyspnea severity and to examine associations among dyspnea severity, outcomes, and costs. Registry data for patients hospitalized for HF were linked with Medicare claims to evaluate dyspnea and outcomes in patients ≥65 years of age. We classified patients by patient-reported dyspnea severity at admission. Outcomes included length of stay, mortality 30 days after admission, days alive and out of the hospital, readmission, and Medicare payments 30 days after discharge. Of 48,616 patients with acute HF and dyspnea, 4,022 (8.3%) had dyspnea with moderate activity, 19,619 (40.3%) with minimal activity, and 24,975 (51.4%) at rest. Patients with dyspnea with minimal activity or at rest had greater co-morbidities, including renal insufficiency. Greater severity of baseline dyspnea was associated with mortality (moderate activity, 6.3%; minimal activity, 7.6%; at rest, 11.6%) and HF readmission (7.2%, 9.0%, and 9.4%). After multivariate adjustment, dyspnea at rest was associated with greater 30-day mortality and HF readmission, fewer days alive and out of the hospital, longer length of stay, and higher Medicare payments compared with dyspnea with moderate activity. In conclusion, dyspnea at rest on presentation was associated with greater mortality, readmission, length of stay, and health care costs in patients hospitalized with acute HF.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.