Evidence map›Paper›PMID 33289458›Full record

Trial reportJournal of the American Heart Association2020

Ultrafiltration in Acute Heart Failure: Implications of Ejection Fraction and Early Response to Treatment From CARRESS-HF.

Marat Fudim, Jeremy Brooksbank, Anna Giczewska, Stephen J Greene, Justin L Grodin, Pieter Martens, Jozine M Ter Maaten, Abhinav Sharma, Frederik H Verbrugge, Hrishikesh Chakraborty and 5 more

Abstract readClinical TrialComparative Study
In one paragraph

Trial report in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Ultrafiltration for acute heart failure.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Review
  7. Heart failure with preserved ejection fraction: diagnosis, risk assessment, and treatment.Clinical research in cardiology : official journal of the German Cardiac Society · 2024
    Review
  8. Review
  9. Article
  10. New Insight in Cardiorenal Syndrome: From Biomarkers to Therapy.International journal of molecular sciences · 2023
    Review
  11. Article
  12. New aspects in cardiorenal syndrome and HFpEF.Clinical kidney journal · 2022
    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

15 authors.

Marat FudimDivision of Cardiology Duke University Medical Center Durham NC.
Jeremy BrooksbankDivision of Cardiology Duke University Medical Center Durham NC.
Anna GiczewskaDuke Clinical Research Institute Durham NC.
Stephen J GreeneDivision of Cardiology Duke University Medical Center Durham NC.
Justin L GrodinDivision of Cardiology UT Southwestern Dallas TX.
Pieter MartensDepartment of Cardiology Ziekenhuis Oost-Limburg Genk Belgium.
Jozine M Ter MaatenDepartment of Cardiology Ziekenhuis Oost-Limburg Genk Belgium.
Abhinav SharmaDepartment of Cardiology Ziekenhuis Oost-Limburg Genk Belgium.
Frederik H VerbruggeDepartment of Nephrology Dialysis and Renal Transplantation, University Hospitals Leuven Leuven Belgium.
Hrishikesh ChakrabortyDuke Clinical Research Institute Durham NC.
Bradley A BartDivision of Cardiology Hennepin County Medical Center Minneapolis MN.
Javed ButlerUniversity of Mississippi School of Medicine Jackson MI.
Adrian F HernandezDivision of Cardiology Duke University Medical Center Durham NC.
G Michael FelkerDivision of Cardiology Duke University Medical Center Durham NC.
Robert J MentzDivision of Cardiology Duke University Medical Center Durham NC.

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
Heart Failure Clinical Research Network Regional Clinical Center (U10)U10HL110312 · NHLBI · DUKE UNIVERSITY · PI FELKER, GARY M · 2012 to 2018
$3.5M
NHLBI NIH HHS U01 HL125511NHLBI NIH HHS U10 HL110312NIA NIH HHS R01 AG045551
6 · The paper itself

Abstract

Background Ultrafiltration is not commonly used because of higher incidence of worsening renal function without improved decongestion. We examined differential outcomes of high versus low fluid removal and preserved versus reduced ejection fraction (EF) in CARRESS-HF (Cardiorenal Rescue Study in Acute Decompensated Heart Failure). Methods and Results Baseline characteristics in the ultrafiltration arm were compared according to 24-hour ultrafiltration-based fluid removal above versus below the median. Patients were stratified by EF (≤40% or >40%). We compared clinical parameters of clinical decongestion during the hospitalization based on initial (≤24 hours) response to ultrafiltration. Cox-proportional hazards models were used to identify associations between fluid removal <24 hours and composite of death, hospitalization, or unscheduled outpatient/emergency department visit during study follow-up. The intention-to-treat analysis included 93 patients. Within 24 hours, median fluid removal was 1.89 L (Q1, Q3: 1.22, 3.16). The high fluid removal group had a greater urine output (9.08 versus 6.23 L,

Indexed as

Acute DiseaseAgedAldosteroneCreatinineFemaleHeart FailureHospitalizationHumansIntention to Treat AnalysisKidney DiseasesMaleMiddle AgedRetrospective StudiesStroke VolumeTreatment OutcomeUltrafiltrationAldosteroneCreatininecongestionheart failureultrafiltration

Identifiers

PMID33289458
PMCPMC7955382

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.