Evidence map›Paper›PMID 32635768›Full record

ArticleCirculation. Heart failure2020

Racial Differences in Diuretic Efficiency, Plasma Renin, and Rehospitalization in Subjects With Acute Heart Failure.

Alanna A Morris, Aditi Nayak, Yi-An Ko, Melroy D'Souza, G Michael Felker, Margaret M Redfield, W H Wilson Tang, Jeffrey M Testani, Javed Butler

Open access · bronzeAbstract read
In one paragraph

Article in Circulation. Heart failure, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.2field-weighted citation impact, top 10% 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

7 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

9 authors at 6 institutions in 2 countries.

Alanna A MorrisDivision of Cardiology, Emory University School of Medicine, Atlanta, GA (A.A.M., A.N., M.D.).
Aditi NayakDivision of Cardiology, Emory University School of Medicine, Atlanta, GA (A.A.M., A.N., M.D.).
Yi-An KoDepartment of Biostatistics and Bioinformatics, Emory Rollins School of Public Health, Atlanta, GA (Y.-A.K.).
Melroy D'SouzaDivision of Cardiology, Emory University School of Medicine, Atlanta, GA (A.A.M., A.N., M.D.).
G Michael FelkerDivision of Cardiology, Duke University, Durham, NC (G.M.F.).
Margaret M RedfieldDivision of Cardiology, Mayo Clinic, Rochester, MN (M.M.R.).
W H Wilson TangDivision of Cardiology, Cleveland Clinic, OH (W.H.W.T.).
Jeffrey M TestaniDivision of Cardiology, Yale University School of Medicine, New Haven, CT (J.M.T.).
Javed ButlerDepartment of Medicine, University of Mississippi Medical Center, Jackson (J.B.).
Emory University · USCleveland Clinic · USDuke University · USJackson Memorial Hospital · USMayo Clinic in Arizona · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Diagnosing and Targeting Mechanisms of Diuretic Resistance in Heart FailureR01HL128973 · NHLBI · YALE UNIVERSITY · PI TESTANI, JEFFREY M · 2015 to 2019
$3.8M
Heart Failure Clinical Research Network Regional Clinical Center (U10)U10HL110312 · NHLBI · DUKE UNIVERSITY · PI FELKER, GARY M · 2012 to 2018
$3.5M
Cardio-Renal Effects of Torsemide vs. Furosemide: A TRANSFORM-HF Mechanistic Sub-StudyR01HL148354 · NHLBI · YALE UNIVERSITY · PI TESTANI, JEFFREY M · 2019 to 2022
$3.3M
Diet, Gut Microbiota, and Heart FailureR01HL126827 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI HAZEN, STANLEY L, TANG, WAI HONG WILSON · 2016 to 2019
$3.1M
Dietary Choline, Gut Microbiota, and Susceptibility for Chronic Kidney DiseaseR01DK106000 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI HAZEN, STANLEY L, TANG, WAI HONG WILSON · 2015 to 2018
$2.8M
Metabolomics, Oxidative Stress, and Vascular Function in Heart Failure PatientsK23HL124287 · NHLBI · EMORY UNIVERSITY · PI MORRIS, ALANNA AMYRE · 2015 to 2019
$804k
Understanding Racial Differences in Vascular Function and Ventricular-Vascular Coupling in Heart Failure with Preserved Ejection FractionR03HL146874 · NHLBI · EMORY UNIVERSITY · PI MORRIS, ALANNA AMYRE · 2019 to 2020
$156k
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS K23 HL124287NHLBI NIH HHS R01 HL126827NHLBI NIH HHS R01 HL128973NHLBI NIH HHS R01 HL148354NHLBI NIH HHS R03 HL146874NHLBI NIH HHS U10 HL110312NIDDK NIH HHS R01 DK106000
6 · The paper itself

Abstract

backgroundBlack patients have higher rates of hospitalization for acute heart failure than other race/ethnic groups. We sought to determine whether diuretic efficiency is associated with racial differences in risk for rehospitalization after acute heart failure.

methodsA post hoc analysis was performed on 721 subjects (age, 68±13 years; 22% black) enrolled in 3 acute heart failure clinical trials: ROSE-AHF (Renal Optimization Strategies Evaluation in Acute Heart Failure), DOSE-AHF (Diuretic Optimization Strategy Evaluation in Acute Decompensated Heart Failure), and CARRESS-HF (Cardiorenal Rescue Study in Acute Decompensated Heart Failure). Repeated-measures ANOVA was used to test for a race×time effect on measures of decongestion. Diuretic efficiency was calculated as net fluid balance per total furosemide equivalents. In a subset of subjects, Cox regression was used to examine the association between race and rehospitalization according to plasma renin activity (PRA).

resultsCompared with nonblack patients, black patients were younger and more likely to have nonischemic heart failure. During the first 72 to 96 hours, there was greater fluid loss (

conclusionsHigher diuretic efficiency in black patients with acute heart failure may be related to racial differences in activity of the renin-angiotensin-aldosterone system.

Indexed as

Black or African AmericanAcute DiseaseAgedAged, 80 and overDiureticsFemaleHeart FailureHospitalizationHumansMaleMiddle AgedPatient ReadmissionRacial GroupsRandomized Controlled Trials as TopicReninRenin-Angiotensin SystemDiureticsRenindisparitiesdiureticsheart failurehumansrace factorsrenin

Identifiers

PMID32635768
PMCPMC7474850
OpenAlexW3041823821

What OpenQuestion holds

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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.