Evidence map›Paper›PMID 31134379›Full record

ArticleHeart and vessels2019

Length of hospital stay and its impact on subsequent early readmission in patients with acute heart failure: a report from the WET-HF Registry.

Hidenori Moriyama, Takashi Kohno, Shun Kohsaka, Yasuyuki Shiraishi, Ryoma Fukuoka, Yuji Nagatomo, Ayumi Goda, Atsushi Mizuno, Keiichi Fukuda, Tsutomu Yoshikawa and 1 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Heart and vessels, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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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

11 authors.

Hidenori MoriyamaDivision of Cardiology, Department of Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Takashi KohnoDivision of Cardiology, Department of Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan. kohno.a2@keio.jp.
Shun KohsakaDivision of Cardiology, Department of Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Yasuyuki ShiraishiDivision of Cardiology, Department of Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Ryoma FukuokaDivision of Cardiology, Department of Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Yuji NagatomoDivision of Cardiology, Sakakibara Heart Institute, Tokyo, Japan.
Ayumi GodaDepartment of Cardiology, Kyorin University School of Medicine, Tokyo, Japan.
Atsushi MizunoDepartment of Cardiology, St. Lukes International Hospital, Tokyo, Japan.
Keiichi FukudaDivision of Cardiology, Department of Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Tsutomu YoshikawaDivision of Cardiology, Sakakibara Heart Institute, Tokyo, Japan.
West Tokyo Heart Failure Registry Investigators

Funding

Japan Agency for Medical Research and Development 201439013CMinistry of Education, Culture, Sports, Science and Technology 17K09526Ministry of Education, Culture, Sports, Science and Technology 18K15860Ministry of Education, Culture, Sports, Science and Technology 26461088Ministry of Health, Labour and Welfare 14528506
6 · The paper itself

Abstract

Heart failure (HF) is characterized by frequent rehospitalization and prolonged hospital stay. Although length of stay has been used as a surrogate marker for hospital performance, its association with early rehospitalization remains unknown. We investigated their precise association using contemporary Japanese HF registry. We analyzed the 2785 acute HF patients who were registered in the West Tokyo Heart Failure registry and discharged or transferred to the recuperation facilities (mean age, 73.8 ± 13.5 years; 60.8% were men). Median length of stay was 15 days (interquartile range, 10-23 days). One-hundred and fourteen patients (4.1%) were readmitted for worsening HF within 30 days after discharge. Thirty-day risk-adjusted HF readmission after a shorter length of stay (1-12 days; the lower tertile within the cohort) was higher than those after intermediate (13-19 days; the middle tertile) [HR 1.71, 95% confidence interval (CI) 1.05-2.77]. Even after a longer length of stay, there tended to be a higher risk of 30-day HF readmission (HR 1.59, 95% CI 0.96-2.65). In conclusion, the Japanese acute HF patients had low rates of early-HF readmission after quite a long length of stay at urban tertiary care centers. Shorter length of stay was associated with increased rates of 30-day HF readmission, while longer length of stay also the same trended.Clinical Trial Registration: https://www.umin.ac.jp/icdr/index-j.html . Unique identifier: UMIN000001171.

Indexed as

RegistriesUrban PopulationAcute DiseaseAgedFemaleFollow-Up StudiesHeart FailureHumansLength of StayMaleMorbidityPatient DischargePatient ReadmissionPrognosisProspective StudiesSurvival RateHeart failureLength of stayReadmissionRegistry-based study

Identifiers

PMID31134379

What OpenQuestion holds

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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.