Evidence map›Paper›PMID 32850065›Full record

ArticleJournal of community hospital internal medicine perspectives2020

Discharge-ready volume status in acute decompensated heart failure: a survey of hospitalists.

Anna M Maw, Brian P Lucas, Brenda E Sirovich, Nilam J Soni

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of community hospital internal medicine perspectives, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06921603 (Point-of-Care Ultrasound-Guided Diuresis for Acute Decompensated Heart Failure to Reduce 30-Day Readmissions and Acute Kidney Injury), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 39% 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.

NCT06921603 narecruitingnot on this mapstarted 2025, after this paper: background citation

Point-of-Care Ultrasound-Guided Diuresis for Acute Decompensated Heart Failure to Reduce 30-Day Readmissions and Acute Kidney Injury

TypeinterventionalSponsorUniversity of PittsburghRan2025 to 2026Enrolled588ConditionsHeart Decompensation, Acute, Acute Kidney InjuriesArmsFurosemide (Standard Diuretic) Treatment, POCUS-Assessed Diuretic Management
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
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

4 authors at 3 institutions in 1 country.

Anna M MawDivision of Hospital Medicine, University of Colorado, Aurora, CO, USA.ORCID 0000-0002-2829-7331
Brian P LucasDepartment of Medicine, White River Junction VA Medical Center, White River Junction, VT, USA.ORCID 0000-0002-0687-2139
Brenda E SirovichDepartment of Medicine, White River Junction VA Medical Center, White River Junction, VT, USA.
Nilam J SoniSection of Hospital Medicine, South Texas Veterans Health Care System, San Antonio, TX, USA.
Dartmouth Institute for Health Policy and Clinical Practice · USSouth Texas Veterans Health Care System · USUniversity of Colorado Hospital · US

Funding

SYNERGY: The Dartmouth Center for clinical and Translational ScienceUL1TR001086 · NCATS · DARTMOUTH COLLEGE · PI GREEN, ALAN I · 2013 to 2017
$18.3M
IMPlementation to Achieve Clinical Transformation (IMPACT): The Colorado Training ProgramK12HL137862 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI GLASGOW, RUSSELL E, HAVRANEK, EDWARD PAUL · 2017 to 2021
$2.9M
Evaluation of Implementation of a National Point-of-care Ultrasound Training ProgramI50HX002263 · VA · SOUTH TEXAS VETERANS HEALTH CARE SYSTEM · PI SONI, NILAM · 2020 to 2021
–
HSRD VA I50 HX002263NCATS NIH HHS UL1 TR001086NHLBI NIH HHS K12 HL137862
6 · The paper itself

Abstract

Acute decompensated heart failure is the leading cause of hospitalization in older adults. Clinical practice guidelines recommend patients should be euvolemic at hospital discharge - yet accurate assessment of volume status is recognized to be exceptionally challenging. This conundrum led us to investigate how hospitalists are assessing volume status and discharge- readiness of patients hospitalized with heart failure. We collected audience response data during a didactic heart failure presentation at the 2019 Society of Hospital Medicine annual meeting. Respondents (n = 216), 76% of whom were practicing physician hospitalists caring for more than 20 acute heart failure patients per year, were presented six questions. Eighteen percent of respondents reported not being able to determine the completeness of decongestion on discharge and 32% reported that complete decongestion was not a treatment target. These findings suggest important differences between guideline recommendations and how hospitalists treat heart failure in current clinical practice.

Indexed as

Acute heart failuredischarge readinessheart failurevolume status

Identifiers

PMID32850065
PMCPMC7426988
OpenAlexW3035548391

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.