Evidence map›Paper›PMID 28806975›Full record

ArticleCardiovascular diabetology2017

Admission blood glucose and 10-year mortality among patients with or without pre-existing diabetes mellitus hospitalized with heart failure.

Osnat Itzhaki Ben Zadok, Ran Kornowski, Ilan Goldenberg, Robert Klempfner, Yoel Toledano, Yitschak Biton, Enrique Z Fisman, Alexander Tenenbaum, Gregory Golovchiner, Ehud Kadmon and 3 more

Abstract read
In one paragraph

Article in Cardiovascular diabetology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  11. Heart failure in diabetes.Metabolism: clinical and experimental · 2021
    Review
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  13. Observational
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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

13 authors.

Osnat Itzhaki Ben ZadokDepartment of Cardiology, Rabin Medical Center, 39 Jabotinski St., Petah Tikva, Israel.
Ran KornowskiDepartment of Cardiology, Rabin Medical Center, 39 Jabotinski St., Petah Tikva, Israel.
Ilan Goldenberg"Leviev" Heart Center, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel.
Robert Klempfner"Leviev" Heart Center, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel.
Yoel ToledanoDivision of Maternal-Fetal Medicine, Helen Schneider Hospital for Women, Rabin Medical Center, Petah Tikva, Israel.
Yitschak Biton"Leviev" Heart Center, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel.
Enrique Z Fisman"Leviev" Heart Center, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel.
Alexander Tenenbaum"Leviev" Heart Center, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel.
Gregory GolovchinerDepartment of Cardiology, Rabin Medical Center, 39 Jabotinski St., Petah Tikva, Israel.
Ehud KadmonDepartment of Cardiology, Rabin Medical Center, 39 Jabotinski St., Petah Tikva, Israel.
Alexander OmelchenkoDepartment of Cardiology, Rabin Medical Center, 39 Jabotinski St., Petah Tikva, Israel.
Tuvia Ben GalDepartment of Cardiology, Rabin Medical Center, 39 Jabotinski St., Petah Tikva, Israel.
Alon BarsheshetDepartment of Cardiology, Rabin Medical Center, 39 Jabotinski St., Petah Tikva, Israel. barshesheta@gmail.com.ORCID 0000-0002-7219-9552

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh admission blood glucose (ABG) level has been associated with a poor short-term outcome among non-diabetic patients with heart failure (HF). We aimed to investigate the association between ABG levels and long-term (10 years) mortality in patients with or without pre-existing diabetes mellitus (DM) admitted with HF.

methodsWe analyzed data on 1811 patients with DM and 2182 patients without pre-existing DM who were hospitalized with HF during a prospective national survey. The relationship between ABG and 10-year mortality was assessed using the Cox proportional hazard model adjusting for multiple variables. ABG was analyzed both as a categorical (<110, 110-140, 140-200, and >200 mg/dL) and as a continuous variable.

resultsAt 10 years of follow-up the cumulative probability of mortality was 85 and 78% among patients with DM and patients with no pre-existing DM (p < 0.001), respectively. Among patients with no pre-existing DM, glucose levels of 110-140, 140-200 and ≥200 mg/dL were associated with 9% (p = 0.140), 16% (p = 0.031) and 53% (p < 0.001) increased mortality risk compared to ABG < 110 mg/dL. Each 18-mg/dL (1-mmol/L) increase in glucose level was associated with a 5% increased risk of mortality (p < 0.001) among patients with no-pre-existing DM. In contrast, among patients with DM, only those with glucose levels >200 mg/dL had an increased mortality risk (>200 mg/dL versus <110 mg/dL; HR = 1.20, p = 0.032).

conclusionAmong hospitalized HF patients with no pre-existing DM there is a linear relationship between ABG level and long-term mortality, whereas among patients with DM only ABG level >200 mg/dL is associated with increased mortality risk.

Indexed as

AgedAged, 80 and overBlood GlucoseDiabetes MellitusFemaleFollow-Up StudiesHeart FailureHospitalizationHospital MortalityHumansMalePatient AdmissionProspective StudiesTime FactorsBlood GlucoseAdmission blood glucoseDiabetes mellitusHeart failurePrognosis

Identifiers

PMID28806975
PMCPMC5557317

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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.