Evidence map›Paper›PMID 28776539›Full record

ArticleChinese medical journal2017

Characteristics, Management, and Outcomes of Acute Heart Failure in the Emergency Department: A Multicenter Registry Study with 1-year Follow-up in a Chinese Cohort in Beijing.

Guo-Gan Wang, Si-Jia Wang, Jian Qin, Chun-Sheng Li, Xue-Zhong Yu, Hong Shen, Li-Pei Yang, Yan Fu, Ya-An Zheng, Bin Zhao and 17 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Chinese medical journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. 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

27 authors.

Guo-Gan WangEmergency and Critical Center, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China.
Si-Jia WangDepartment of Cardiology, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037; Department of Emergency, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.
Jian QinDepartment of Emergency, Xuanwu Hospital, Capital Medical University, Beijing 100053, China.
Chun-Sheng LiDepartment of Emergency, Beijing Chao Yang Hospital, Beijing 100020, China.
Xue-Zhong YuDepartment of Emergency, Peking Union Medical College Hospital, Beijing 100032, China.
Hong ShenDepartment of Emergency, The General Hospital of Chinese People's Liberation Army, Beijing 100853, China.
Li-Pei YangDepartment of Emergency, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.
Yan FuDepartment of Emergency, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China.
Ya-An ZhengDepartment of Emergency, Peking University Third Hospital, Beijing 100083, China.
Bin ZhaoDepartment of Emergency, Beijing Jishuitan Hospital, Beijing 100035, China.
Dong-Min YuDepartment of Emergency, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China.
Fu-Jun QinDepartment of Emergency, Fangshan District Liangxiang Hospital, Beijing 102400, China.
De-Gui ZhouDepartment of Emergency, The Hospital of Shunyi District, Beijing 101300, China.
Ying LiDepartment of Emergency, People's Hospital of Beijing Daxing District, Beijing 102600, China.
Fu-Jun LiuDepartment of Emergency, The Luhe Teaching Hospital of the Capital Medical University, Beijing 101100, China.
Wei LiMedical Research and Biometrics Centre, National Centre for Cardiovascular Diseases, Cardiovascular Institute and Fuwai Hospital, Chinese Academy of Medical Sciences, Xishan Institute of Fuwai Hospital, Beijing 102300, China.
Wei ZhaoInformation Technology Centre, Fuwai Hospital, Beijing 100037, China.
Xin GaoEmergency and Critical Center, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China.
Zheng WangDepartment of Emergency, Xuanwu Hospital, Capital Medical University, Beijing 100053, China.
Ming JinDepartment of Emergency, Beijing Chao Yang Hospital, Beijing 100020, China.
Hong ZengDepartment of Emergency, Beijing Chao Yang Hospital, Beijing 100020, China.
Yi LiDepartment of Emergency, Peking Union Medical College Hospital, Beijing 100032, China.
Guo-Xing WangDepartment of Emergency, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.
Hong ZhouDepartment of Emergency, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China.
Xiao-Lu SunDepartment of Cardiology, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China.
Peng-Bo WangDepartment of Cardiology, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037; Heart Center, First Hospital of Tsinghua University, Beijing 100016, China.
Kam-Sang WooDepartment of Medicine and Therapeutics, School of Life Sciences, The Chinese University of Hong Kong, Hong Kong 999077, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe emergency department (ED) has a pivotal influence on the management of acute heart failure (AHF), but data concerning current ED management are scarce. This Beijing AHF Registry Study investigated the characteristics, ED management, and short- and long-term clinical outcomes of AHF.

methodsThis prospective, multicenter, observational study consecutively enrolled 3335 AHF patients who visited 14 EDs in Beijing from January 1, 2011, to September 23, 2012. Baseline data on characteristics and management were collected in the EDs. Follow-up data on death and readmissions were collected until November 31, 2013, with a response rate of 92.80%. The data were reported as median (interquartile range) for the continuous variables, or as number (percentage) for the categorical variables.

resultsThe median age of the enrolled patients was 71 (58-79) years, and 46.84% were women. In patients with AHF, coronary heart disease (43.27%) was the most common etiology, and myocardium ischemia (30.22%) was the main precipitant. Most of the patients in the ED received intravenous treatments, including diuretics (79.28%) and vasodilators (74.90%). Fewer patients in the ED received neurohormonal antagonists, and 25.94%, 31.12%, and 33.73% of patients received angiotensin converting enzyme inhibitors/angiotensin receptor blockers, beta-blockers, and spironolactone, respectively. The proportions of patients who were admitted, discharged, left against medical advice, and died were 55.53%, 33.58%, 7.08%, and 3.81%, respectively. All-cause mortalities at 30 days and 1 year were 15.30% and 32.27%, respectively.

conclusionsSubstantial details on characteristics and ED management of AHF were investigated. The clinical outcomes of AHF patients were dismal. Thus, further investigations of ED-based therapeutic approaches for AHF are needed.

Indexed as

Heart FailureAcute DiseaseAgedBeijingEmergency Service, HospitalFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesRegistries

Identifiers

PMID28776539
PMCPMC5555121

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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.