Evidence map›Paper›PMID 33838022›Full record

ArticleESC heart failure2021

Prognostic impact of hospital-acquired disability in elderly patients with heart failure.

Masakazu Saitoh, Yuta Takahashi, Daisuke Okamura, Mitsutoshi Akiho, Hidetoshi Suzuki, Naoki Noguchi, Yukito Yamaguchi, Kentaro Hori, Yuichi Adachi, Tetsuya Takahashi

Open access · goldAbstract read
In one paragraph

Article in ESC heart failure, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 3% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
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  15. Current and Future Perspectives in Cardiac Rehabilitation.Journal of personalized medicine · 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

10 authors at 6 institutions in 2 countries.

Masakazu SaitohDepartment of Physical Therapy, Faculty of Health Science, Juntendo University Tokyo, 3-2-12, Hongo, Bunkyo-ku, Ochanomizu Centre Building 503, Tokyo, 113-0033, Japan.ORCID 0000-0001-8666-6353
Yuta TakahashiDepartment of Rehabilitation Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Daisuke OkamuraDepartment of Rehabilitation, St. Luke's International Hospital, Tokyo, Japan.
Mitsutoshi AkihoDepartment of Rehabilitation, Mitsui Memorial Hospital, Tokyo, Japan.
Hidetoshi SuzukiDepartment of Rehabilitation, Mitsui Memorial Hospital, Tokyo, Japan.
Naoki NoguchiDepartment of Rehabilitation, Ayase Heart Hospital, Tokyo, Japan.
Yukito YamaguchiDepartment of Rehabilitation, Ayase Heart Hospital, Tokyo, Japan.
Kentaro HoriDepartment of Rehabilitation, Sakakibara Heart Institute, Tokyo, Japan.
Yuichi AdachiDepartment of Rehabilitation, Sakakibara Heart Institute, Tokyo, Japan.
Tetsuya TakahashiDepartment of Physical Therapy, Faculty of Health Science, Juntendo University Tokyo, 3-2-12, Hongo, Bunkyo-ku, Ochanomizu Centre Building 503, Tokyo, 113-0033, Japan.
Mitsui Memorial Hospital · JPOchanomizu University · JPSakakibara Hospital · JPUniversity Hospital Ayr · GBJuntendo University · JPSt. Luke's International Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsFunctional decline is associated with worse outcomes in patients with elderly heart failure (HF), but little is known about the prognostic impact of hospital-acquired disability (HAD) during hospital stay after acute HF. The present study examines the prognostic significance of HAD in the prediction of all-cause mortality in elderly patients who admitted for acute HF. METHODS AND

resultsThis retrospective study was performed in 1941 elderly patients aged ≥65 years or older from the cardiovascular physiotherapy for acute HF patients in the Tokyo metropolitan area registry and excluded those who died in hospital. HAD was defined as any decline in the Barthel index (BI) before discharge compared with the BI within 1 month before hospital admission. The primary outcome of this study was all-cause death and HF readmission. A total of 565 (29%) deaths and 789 (41%) HF readmission occurred over a median follow-up period of 1.7 years. A total of 476 patients (25%) had HAD during hospital stay after acute HF. In multivariable analysis, HAD predicted all-cause death [hazard ratio (HR): 1.772; 95% confidence interval (CI): 1.450-2.167; P < 60; 0.001] and with risk of HF readmission (HR: 1.193; 95% CI: 1.005-1.416; P = 0.043) after adjusting for the Meta-analysis Global Group in Chronic Heart Failure risk score.

conclusionsHospital-acquired disability is associated with an increased risk of all-cause death and readmission for HF in elderly patients with acute HF.

Indexed as

Heart FailurePatient ReadmissionAgedHospitalsHumansPrognosisProspective StudiesRetrospective StudiesElderlyHeart failureHospital-acquired disabilityPrognosis

Identifiers

PMID33838022
PMCPMC8120367
OpenAlexW3141180795

What OpenQuestion holds

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Registered trials

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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.