Evidence map›Paper›PMID 32486833›Full record

ArticleCirculation2020

Temporal Trends in Prevalence and Prognostic Implications of Comorbidities Among Patients With Acute Decompensated Heart Failure: The ARIC Study Community Surveillance.

Ambarish Pandey, Muthiah Vaduganathan, Sameer Arora, Arman Qamar, Robert J Mentz, Sanjiv J Shah, Patricia P Chang, Stuart D Russell, Wayne D Rosamond, Melissa C Caughey

Open access · greenAbstract read
In one paragraph

Article in Circulation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 pooled it
7.9field-weighted citation impact, top 2% 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

61 citing papers in PubMed, 1 synthesis or guideline pooled it, 97 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Peak OESC heart failure · 2022
    Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Observational
  10. Comorbidity patterns and mortality in HFpEF: A retrospective longitudinal cohort study.International journal of cardiology. Cardiovascular risk and prevention · 2025
    Article
  11. Comorbidity Disease Pattern in Japanese Elderly Population: A Network-Based Analysis.Mayo Clinic proceedings. Innovations, quality & outcomes · 2025
    Article
  12. Article
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1 more citing papers are in PubMed but not listed here.

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

10 authors at 2 institutions in 1 country.

Ambarish PandeyDivision of Cardiology, Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX (A.P.).
Muthiah VaduganathanBrigham and Women's Hospital Heart and Vascular Center, Department of Medicine, Harvard Medical School, Boston, MA (M.V.).
Sameer AroraDivision of Cardiology, Department of Medicine (S.A., P.P.C.), University of North Carolina at Chapel Hill, NC.
Arman QamarDivision of Cardiology, Department of Internal Medicine, New York University School of Medicine (A.Q.).
Robert J MentzDuke Clinical Research Institute, Durham, NC (R.J.M.).
Sanjiv J ShahDivision of Cardiology, Department of Internal Medicine, Northwestern University School of Medicine, Chicago, IL (S.J.S.).
Patricia P ChangDivision of Cardiology, Department of Medicine (S.A., P.P.C.), University of North Carolina at Chapel Hill, NC.
Stuart D RussellDivision of Cardiology, Duke University School of Medicine, Durham, NC (S.D.R.).
Wayne D RosamondDepartment of Epidemiology, Gillings School of Global Public Health (W.D.R.), University of North Carolina at Chapel Hill, NC.
Melissa C CaugheyJoint Department of Biomedical Engineering, University of North Carolina and North Carolina State University, Chapel Hill (M.C.C.).
Clinical Research Institute · USSouthwestern Medical Center

Funding

TRANSFORM-HF CCCU01HL125511 · NHLBI · YALE UNIVERSITY · PI MENTZ, ROBERT JOHN, VELAZQUEZ, ERIC J · 2017 to 2021
$7.7M
REHAB-HF: A Trial of Rehabilitation Therapy in Older Acute Heart Failure PatientsR01AG045551 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI KITZMAN, DALANE W · 2014 to 2018
$6.8M
NHLBI NIH HHS HHSN268201700001CNHLBI NIH HHS HHSN268201700001INHLBI NIH HHS HHSN268201700002CNHLBI NIH HHS HHSN268201700002INHLBI NIH HHS HHSN268201700003CNHLBI NIH HHS HHSN268201700003INHLBI NIH HHS HHSN268201700004CNHLBI NIH HHS HHSN268201700004INHLBI NIH HHS HHSN268201700005CNHLBI NIH HHS HHSN268201700005INHLBI NIH HHS U01 HL125511NIA NIH HHS R01 AG045551
6 · The paper itself

Abstract

backgroundPatients with heart failure (HF) have multiple coexisting comorbidities. The temporal trends in the burden of comorbidities and associated risk of mortality among patients with HF with preserved ejection fraction (HFpEF) and HF with reduced ejection fraction (HFrEF) are not well established.

methodsHF-related hospitalizations were sampled by stratified design from 4 US areas in 2005 to 2014 by the community surveillance component of the ARIC study (Atherosclerosis Risk in Communities). Acute decompensated HF was classified by standardized physician review and a previously validated algorithm. An ejection fraction <50% was considered HFrEF. A total of 15 comorbidities were abstracted from the medical record. Mortality outcomes were ascertained for up to 1-year postadmission by linking hospital records with death files.

resultsA total of 5460 hospitalizations (24 937 weighted hospitalizations) classified as acute decompensated HF had available ejection fraction data (53% female, 68% white, 53% HFrEF, 47% HFpEF). The average number of comorbidities was higher for patients with HFpEF versus HFrEF, both for women (5.53 versus 4.94;

Indexed as

AgedComorbidityCost of IllnessFemaleHeart FailureHeart Function TestsHospitalizationHumansMaleMiddle AgedMyocardial RevascularizationPrevalencePrognosisProportional Hazards ModelsPublic Health Surveillancecomorbidityheart failuremortality

Identifiers

PMID32486833
PMCPMC7654711
OpenAlexW3031619341

What OpenQuestion holds

Textmetadata
LicenceTDM
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.