Evidence map›Paper›PMID 27604456›Full record

ArticleJournal of the American Heart Association2016

Mortality Risk Among Heart Failure Patients With Depression: A Nationwide Population-Based Cohort Study.

Kasper Adelborg, Morten Schmidt, Jens Sundbøll, Lars Pedersen, Poul Videbech, Hans Erik Bøtker, Kenneth Egstrup, Henrik Toft Sørensen

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

31 citing papers in PubMed, 39 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Anxiety and Depression in Heart Failure.The Journal of innovations in cardiac rhythm management · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Incidence of depression in patients with cardiovascular disease and type 2 diabetes: a nationwide cohort study.Clinical research in cardiology : official journal of the German Cardiac Society · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Acute heart failure.Nature reviews. Disease primers · 2020 · on this map
    Review
  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 3 institutions in 1 country.

Kasper AdelborgDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus N, Denmark Department of Cardiology, Aarhus University Hospital, Aarhus N, Denmark kade@clin.au.dk.
Morten SchmidtDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus N, Denmark Department of Medical Research, Odense University Hospital, Svendborg Hospital, Svendborg, Denmark.
Jens SundbøllDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus N, Denmark Department of Cardiology, Aarhus University Hospital, Aarhus N, Denmark.
Lars PedersenDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus N, Denmark.
Poul VidebechMental Health Center Glostrup, Glostrup, Denmark.
Hans Erik BøtkerDepartment of Cardiology, Aarhus University Hospital, Aarhus N, Denmark.
Kenneth EgstrupDepartment of Medical Research, Odense University Hospital, Svendborg Hospital, Svendborg, Denmark.
Henrik Toft SørensenDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus N, Denmark.
Aarhus University Hospital · DKGlostrup Hospital · DKSvendborg Sygehus · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of depression is 4- to 5-fold higher in heart failure patients than in the general population. We examined the influence of depression on all-cause mortality in patients with heart failure. METHODS AND

resultsUsing Danish medical registries, this nationwide population-based cohort study included all patients with a first-time hospitalization for heart failure (1995-2014). All-cause mortality risks and 19-year mortality rate ratios were estimated based on Cox regression analysis, adjusting for age, sex, time period, comorbidity, and socioeconomic status. The analysis included 9636 patients with and 194 887 patients without a diagnosis of depression. Compared with patients without a history of depression, those with depression had higher 1-year (36% versus 33%) and 5-year (68% versus 63%) mortality risks. Overall, the adjusted mortality rate ratio was 1.03 (95% CI 1.01-1.06). Compared with no depression, the adjusted mortality rate ratios for mild, moderate, and severe depression, as defined by diagnostic codes, were 1.06 (95% CI 1.00-1.13), 1.03 (95% CI 0.99-1.08), and 1.02 (95% CI 0.96-1.09), respectively. In a subcohort of patients, the mortality rate ratios were modified by left ventricular ejection fraction, with adjusted mortality rate ratios of 1.17 (95% CI, 1.05-1.31) for ≤35%, 0.98 (95% CI 0.81-1.18) for 36% to 49%, and 0.96 (95% CI 0.74-1.25) for ≥50%. Results were consistent after adjustment for alcohol abuse and smoking.

conclusionsA history of depression was an adverse prognostic factor for all-cause mortality in heart failure patients with left ventricular ejection fraction ≤35% but not for other heart failure patients.

Indexed as

MortalityRegistriesAgedAged, 80 and overCause of DeathCohort StudiesDenmarkDepressionDepressive DisorderFemaleHeart FailureHumansMajor Depressive DisorderMaleProportional Hazards ModelsSeverity of Illness Indexcohort studydepressionheart failuremortality

Identifiers

PMID27604456
PMCPMC5079053
OpenAlexW2516923328

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.