Evidence map›Paper›PMID 27668089›Full record

ArticleESC heart failure2016

Higher risk for incident heart failure and cardiovascular mortality among community-dwelling octogenarians without pneumococcal vaccination.

Momanna B Ahmed, Kanan Patel, Gregg C Fonarow, Charity J Morgan, Javed Butler, Vera Bittner, Andrzej Kulczycki, Raya E Kheirbek, Wilbert S Aronow, Ross D Fletcher and 2 more

Open access · goldAbstract read
In one paragraph

Article in ESC heart failure, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 28 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Influenza and Pneumococcal Vaccination in Coronary Artery Disease.Journal of atherosclerosis and thrombosis · 2021
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Medical Management and Device-Based Therapies in Chronic Heart Failure.Journal of the Society for Cardiovascular Angiography & Interventions
    Review
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

12 authors at 7 institutions in 1 country.

Momanna B AhmedUniversity of Alabama at Birmingham Birmingham AL USA.
Kanan PatelUniversity of California San Francisco CA USA.
Gregg C FonarowUniversity of California Los Angeles CA USA.
Charity J MorganUniversity of Alabama at Birmingham Birmingham AL USA.
Javed ButlerStony Brook University Stony Brook NY USA.
Vera BittnerUniversity of Alabama at Birmingham Birmingham AL USA.
Andrzej KulczyckiUniversity of Alabama at Birmingham Birmingham AL USA.
Raya E KheirbekVeterans Affairs Medical Center Washington DC USA.
Wilbert S AronowNew York Medical College Valhalla NY USA.
Ross D FletcherVeterans Affairs Medical Center Washington DC USA.
Cynthia J BrownUniversity of Alabama at BirminghamBirminghamALUSA; Veterans Affairs Medical CenterBirminghamALUSA.
Ali AhmedUniversity of Alabama at BirminghamBirminghamALUSA; Veterans Affairs Medical CenterWashingtonDCUSA.
University of Alabama at Birmingham · USVeterans Health Administration · USBirmingham VA Medical Center · USNew York Medical College · USStony Brook University · USUniversity of California, Los Angeles · USUniversity of California, San Francisco · US

Funding

Heart failure, chronic kidney disease, and renin-angiotensin system inhibitionR01HL085561 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI AHMED, ALI · 2006 to 2009
$1.5M
Neurohormonal Blockade and Outcomes in Diastolic Heart FailureR01HL097047 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI AHMED, ALI · 2009 to 2010
$915k
NHLBI NIH HHS R01 HL085561NHLBI NIH HHS R01 HL097047
6 · The paper itself

Abstract

aimsOctogenarians have the highest incidence of heart failure (HF) that is not fully explained by traditional risk factors. We explored whether lack of pneumococcal vaccination is associated with higher risk of incident HF among octogenarians. METHODS AND

resultsIn the Cardiovascular Health Study (CHS), 5290 community-dwelling adults, ≥65 years of age, were free of baseline HF and had data on pneumococcal vaccination. Of these, 851 were octogenarians, of whom, 593 did not receive pneumococcal vaccination. Multivariable-adjusted hazard ratios (aHR) and 95% confidence intervals (CI) for associations of lack of pneumococcal vaccination with incident HF and other outcomes during 13 years of follow-up were estimated using Cox regression models, adjusting for demographics and other HF risk factors including influenza vaccination. Octogenarians had a mean (±SD) age of 83 (±3) years; 52% were women and 17% African American. Overall, 258 participants developed HF and 662 died. Lack of pneumococcal vaccination was associated with higher relative risk of incident HF (aHR, 1.37; 95% CI, 1.01-1.85;

conclusionsAmong community-dwelling octogenarians, lack of pneumococcal vaccination was associated with a significantly higher independent risk of incident HF and mortality, and trend for higher pneumonia hospitalization.

Indexed as

Heart failureMortalityOctogenariansPneumococcal vaccination

Identifiers

PMID27668089
PMCPMC5019269
OpenAlexW2153224365

What OpenQuestion holds

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LicenceCC BY-NC
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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.