Evidence map›Paper›PMID 27774258›Full record

ArticleESC heart failure2015

Single baseline serum creatinine measurements predict mortality in critically ill patients hospitalized for acute heart failure.

Joerg C Schefold, Mitja Lainscak, Lea Majc Hodoscek, Stefan Blöchlinger, Wolfram Doehner, Stephan von Haehling

Open access · goldAbstract read
In one paragraph

Article in ESC heart failure, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.1field-weighted citation impact, top 20% 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

10 citing papers in PubMed, 18 citations in OpenAlex.

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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

6 authors at 6 institutions in 3 countries.

Joerg C SchefoldDepartment of Nephrology and Intensive Care MedicineCharité University MedicineBerlinGermany; Department of Intensive Care Medicine, InselspitalBern University HospitalBernSwitzerland.
Mitja LainscakDepartment of CardiologyGeneral and Teaching Hospital CeljeCeljeSlovenia; Faculty of MedicineUniversity of LjubljanaLjubljanaSlovenia.
Lea Majc HodoscekDepartment of Internal Medicine General Hospital Murska Sobota Murska Sobota Slovenia.
Stefan BlöchlingerDeptartment of Cardiology, Inselspital Bern University Hospital Bern Switzerland.
Wolfram DoehnerCenter for Stroke Research BerlinCharité Universitätsmedizin BerlinBerlinGermany; Department of CardiologyCharité Universitätsmedizin BerlinBerlinGermany.
Stephan von HaehlingDepartment of CardiologyCharité Universitätsmedizin BerlinBerlinGermany; Department of Cardiology and Center for Innovative TrialsUniversity of GöttingenGöttingenGermany.
Berlin Institute of Health at Charité - Universitätsmedizin Berlin · DECharité - Universitätsmedizin Berlin · DEPomurski muzej Murska Sobota · SIUniversity Hospital of Bern · CHUniversity of Göttingen · DEUniversity of Ljubljana · SI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute heart failure (AHF) is a leading cause of death in critically ill patients and is often accompanied by significant renal dysfunction. Few data exist on the predictive value of measures of renal dysfunction in large cohorts of patients hospitalized for AHF.

methodsSix hundred and eighteen patients hospitalized for AHF (300 male, aged 73.3 ± 10.3 years, 73% New York Heart Association Class 4, mean hospital length of stay 12.9 ± 7.7 days, 97% non-ischaemic AHF) were included in a retrospective single-centre data analysis. Echocardiographic data, serum creatinine/urea levels, estimated glomerular filtration rate (eGFR), and clinical/laboratory markers were recorded. Mean follow-up time was 2.9 ± 2.1 years. All-cause mortality was recorded, and univariate/multivariate analyses were performed.

resultsNormal renal function defined as eGFR > 90 mL/min/1.73 m

conclusionsIn a large cohort of patients with mostly non-ischaemic AHF, enhanced serum creatinine levels and reduced eGFR independently predict death. It appears that patients with eGFR < 30 mL/min/1.73 m

Indexed as

Cardiac failureCardiac shockCardiorenal syndromeICU

Identifiers

PMID27774258
PMCPMC5054851
OpenAlexW2140913734

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.