Evidence map›Paper›PMID 32186520›Full record

ArticleJMIR cardio2020

The Added Value of In-Hospital Tracking of the Efficacy of Decongestion Therapy and Prognostic Value of a Wearable Thoracic Impedance Sensor in Acutely Decompensated Heart Failure With Volume Overload: Prospective Cohort Study.

Christophe J P Smeets, Seulki Lee, Willemijn Groenendaal, Gabriel Squillace, Julie Vranken, Hélène De Cannière, Chris Van Hoof, Lars Grieten, Wilfried Mullens, Petra Nijst and 1 more

Open access · goldAbstract read
In one paragraph

Article in JMIR cardio, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
1.8field-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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

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  11. Artificial intelligence and digital health for volume maintenance in hemodialysis patients.Hemodialysis international. International Symposium on Home Hemodialysis · 2022
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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 at 3 institutions in 2 countries.

Christophe J P SmeetsMobile Health Unit, Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium.ORCID https://orcid.org/0000-0002-1746-7585
Seulki LeeConnected Health Solutions, Holst Centre/Interuniversity Microelectronics Center The Netherlands, Eindhoven, Netherlands.ORCID https://orcid.org/0000-0003-4900-2085
Willemijn GroenendaalConnected Health Solutions, Holst Centre/Interuniversity Microelectronics Center The Netherlands, Eindhoven, Netherlands.ORCID https://orcid.org/0000-0003-1024-0756
Gabriel SquillaceConnected Health Solutions, Holst Centre/Interuniversity Microelectronics Center The Netherlands, Eindhoven, Netherlands.ORCID https://orcid.org/0000-0002-4526-4179
Julie VrankenMobile Health Unit, Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium.ORCID https://orcid.org/0000-0002-2691-0569
Hélène De CannièreMobile Health Unit, Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium.ORCID https://orcid.org/0000-0002-7681-3011
Chris Van HoofConnected Health Solutions, Holst Centre/Interuniversity Microelectronics Center The Netherlands, Eindhoven, Netherlands.ORCID https://orcid.org/0000-0002-4645-3326
Lars GrietenMobile Health Unit, Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium.ORCID https://orcid.org/0000-0001-5452-6137
Wilfried MullensDepartment of Cardiology, Ziekenhuis Oost-Limburg, Genk, Belgium.ORCID https://orcid.org/0000-0001-9995-8590
Petra NijstDepartment of Cardiology, Ziekenhuis Oost-Limburg, Genk, Belgium.ORCID https://orcid.org/0000-0002-7325-7734
Pieter M VandervoortMobile Health Unit, Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium.ORCID https://orcid.org/0000-0003-3118-7560
Ziekenhuis Oost-Limburg · BEHolst Centre (Netherlands) · NLIMEC · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncomplete relief of congestion in acute decompensated heart failure (HF) is related to poor outcomes. However, congestion can be difficult to evaluate, stressing the urgent need for new objective approaches. Due to its inverse correlation with tissue hydration, continuous bioimpedance monitoring might be an effective method for serial fluid status assessments.

objectiveThis study aimed to determine whether in-hospital bioimpedance monitoring can be used to track fluid changes (ie, the efficacy of decongestion therapy) and the relationships between bioimpedance changes and HF hospitalization and all-cause mortality.

methodsA wearable bioimpedance monitoring device was used for thoracic impedance measurements. Thirty-six patients with signs of acute decompensated HF and volume overload were included. Changes in the resistance at 80 kHz (R

resultsDuring hospitalization, R

conclusionsThe wearable bioimpedance device was able to track changes in fluid status during hospitalization and is a convenient method to assess the efficacy of decongestion therapy during hospitalization. Patients who do not show an improvement in thoracic impedance tend to have worse clinical outcomes, indicating the potential use of thoracic impedance as a prognostic parameter.

Indexed as

congestive heart failureelectric impedanceprognosis

Identifiers

PMID32186520
PMCPMC7113802
OpenAlexW2975091319

What OpenQuestion holds

Textmetadata
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.