Evidence map›Paper›PMID 31138146›Full record

Observational studyBMC cardiovascular disorders2019

Torsemide versus furosemide after acute decompensated heart failure: a retrospective observational study.

Alaa Rahhal, Mohamed Omar Saad, Kawthar Tawengi, Abed Al Raouf Assi, Masa Habra, Dalia Ahmed

Abstract readComparative StudyObservational Study
In one paragraph

Observational study in BMC cardiovascular disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
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  5. 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

6 authors.

Alaa RahhalHeart Hospital, Hamad Medical Corporation, P.O. Box 3050, Doha, Qatar. ARahhal1@hamad.qa.ORCID 0000-0002-2631-0184
Mohamed Omar SaadAl-Wakra Hospital, Hamad Medical Corporation, Doha, Qatar.
Kawthar TawengiHeart Hospital, Hamad Medical Corporation, P.O. Box 3050, Doha, Qatar.
Abed Al Raouf AssiHeart Hospital, Hamad Medical Corporation, P.O. Box 3050, Doha, Qatar.
Masa HabraHeart Hospital, Hamad Medical Corporation, P.O. Box 3050, Doha, Qatar.
Dalia AhmedHeart Hospital, Hamad Medical Corporation, P.O. Box 3050, Doha, Qatar.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLoop diuretics are recommended by clinical practice guidelines to treat volume overload in acute decompensated heart failure (ADHF). The effectiveness of switching furosemide to torsemide versus optimizing the furosemide dose following ADHF has not yet been evaluated.

methodsThis retrospective observational study aimed to assess the impact of switching furosemide to torsemide versus optimizing the furosemide dose after ADHF on HF-related hospitalization within 1 month and 6 months of discharge. The study included patients previously on furosemide admitted with ADHF to the Heart Hospital in Qatar between January 1, 2016 and June 30, 2017. The study included 2 groups: (1) patients discharged on torsemide; and (2) patients discharged on an optimized furosemide dose. Cox proportional hazard regression analysis was used to determine the association between diuretic use and hospitalization.

resultsOf the 232 patients included, 45 received torsemide and 187 received an optimized furosemide dose upon discharge. The majority of patients included were males (54%) with a mean age of 67 ± 12 years, and presented with HF with reduced ejection fraction (57%) and had a history of coronary artery disease (68%). The 1-month and 6-month HF-related hospitalization did not differ between the torsemide and optimized furosemide groups (aHR = 0.72; 95% CI 0.23-2.3, p = 0.57; aHR = 0.94, 95% CI 0.45-1.8, p = 0.87), respectively.

conclusionSwitching furosemide to torsemide after ADHF was not associated with reduced HF-related hospitalization compared to receiving an optimized furosemide dose. Larger prospective clinical trials are needed to confirm the findings of this study.

Indexed as

Drug SubstitutionAgedFemaleFurosemideHeart FailureHumansMaleMiddle AgedPatient ReadmissionQatarRetrospective StudiesSodium Potassium Chloride Symporter InhibitorsTime FactorsTorsemideTreatment OutcomeFurosemideSodium Potassium Chloride Symporter InhibitorsTorsemideAcute decompensated heart failureFurosemideHospitalizationTorsemide

Identifiers

PMID31138146
PMCPMC6540376

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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.