Evidence map›Paper›PMID 31615409›Full record

ArticleBMC cardiovascular disorders2019

Impact of multi-disciplinary treatment strategy on systolic heart failure outcome.

Shyh-Ming Chen, Yen-Nan Fang, Lin-Yi Wang, Ming-Kung Wu, Po-Jui Wu, Tsung-Hsun Yang, Yung-Lung Chen, Chi-Ling Hang

Open access · goldAbstract readMulticenter Study
In one paragraph

Article 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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.6field-weighted citation impact, top 14% 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

11 citing papers in PubMed, 20 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

8 authors at 2 institutions in 1 country.

Shyh-Ming ChenSection of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, 123 Tai Pei Road, Niao Sung District, Kaohsiung City, 83301, Taiwan, Republic of China. syming99@gmail.com.ORCID 0000-0001-5256-7429
Yen-Nan FangSection of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, 123 Tai Pei Road, Niao Sung District, Kaohsiung City, 83301, Taiwan, Republic of China.
Lin-Yi WangHeart Failure Center, Kaohsiung Chang Gung Memorial Hospital, 123 Tai Pei Road, Niao Sung District, Kaohsiung City, 83301, Taiwan, Republic of China.
Ming-Kung WuHeart Failure Center, Kaohsiung Chang Gung Memorial Hospital, 123 Tai Pei Road, Niao Sung District, Kaohsiung City, 83301, Taiwan, Republic of China.
Po-Jui WuSection of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, 123 Tai Pei Road, Niao Sung District, Kaohsiung City, 83301, Taiwan, Republic of China.
Tsung-Hsun YangHeart Failure Center, Kaohsiung Chang Gung Memorial Hospital, 123 Tai Pei Road, Niao Sung District, Kaohsiung City, 83301, Taiwan, Republic of China.
Yung-Lung ChenSection of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, 123 Tai Pei Road, Niao Sung District, Kaohsiung City, 83301, Taiwan, Republic of China.
Chi-Ling HangSection of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, 123 Tai Pei Road, Niao Sung District, Kaohsiung City, 83301, Taiwan, Republic of China.
Chang Gung University · TWKaohsiung Chang Gung Memorial Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with reduced ejection fraction have high rates of mortality and readmission after hospitalization for heart failure. In Taiwan, heart failure disease management programs (HFDMPs) have proven effective for reducing readmissions for decompensated heart failure or other cardiovascular causes by up to 30%. However, the benefits of HFDMP in different populations of heart failure patients is unknown.

methodThis observational cohort study compared mortality and readmission in heart failure patients who participated in an HFDMP (HFDMP group) and heart failure patients who received standard care (non-HFDMP group) over a 1-year follow-up period after discharge (December 2014 retrospectively registered). The components of the intervention program included a patient education program delivered by the lead nurse of the HFDMP; a cardiac rehabilitation program provided by a physical therapist; consultation with a dietician, and consultation and assessment by a psychologist. The patients were followed up for at least 1 year after discharge or until death. Patient characteristics and clinical demographic data were compared between the two groups. Cox proportional hazards regression analysis was performed to calculate hazard ratios (HRs) for death or recurrent events of hospitalization in the HFDMP group in comparison with the non-HFDMP group while controlling for covariates.

resultsThe two groups did not significantly differ in demographic characteristics. The risk of readmission was lower in the HFDMP group, but the difference was not statistically significant (HR = 0.36, p = 0.09). In patients with ischemic cardiomyopathy, the risk of readmission was significantly lower in the HFDMP group compared to the non-HFDMP group (HR = 0.13, p = 0.026). The total mortality rate did not have significant difference between this two groups.

conclusionThe HFDMP may be beneficial for reducing recurrent events of heart failure hospitalization, especially in patients with ischemic cardiomyopathy.

trial registrationLongitudinal case-control study ISRCTN98483065 , 24/09/2019, retrospectively registered.

Indexed as

Cardiac RehabilitationPatient Care TeamAgedAged, 80 and overCause of DeathCombined Modality TherapyDisease ProgressionFemaleHeart Failure, SystolicHumansMaleMiddle AgedNursing Staff, HospitalNutritionistsPatient ReadmissionPhysical TherapistsCardiac rehabilitationDisease management programHeart failureReadmission

Identifiers

PMID31615409
PMCPMC6794772
OpenAlexW2980868929

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.