Evidence map›Paper›PMID 34527521›Full record

ArticleCardiovascular diagnosis and therapy2021

Differences in socio-demographic and risk factor profile, clinical presentation, and outcomes between patients with and without RHD heart failure in Sub-Saharan Africa: results from the THESUS-HF registry.

Clovis Nkoke, Albertino Damasceno, Christopher Edwards, Beth Davison, Gad Cotter, Mahmoud Sani, Lauren Gaeta, Okechukwu S Ogah, Charles Mondo, Dike Ojji and 5 more

Open access · diamondAbstract read
In one paragraph

Article in Cardiovascular diagnosis and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 42% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Observational
  3. Review
  4. Utility of shock index to predict mortality risk in decompensated heart failure.Journal of the colleges of medicine of South Africa · 2025
    Article
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 at 10 institutions in 7 countries.

Clovis NkokeDepartment of Internal Medicine, Buea Regional Hospital, Buea, Cameroon.
Albertino DamascenoEduardo Mondlane University, Maputo, Mozambique.
Christopher EdwardsMomentum Research Inc., Durham, North Carolina, USA.
Beth DavisonMomentum Research Inc., Durham, North Carolina, USA.
Gad CotterMomentum Research Inc., Durham, North Carolina, USA.
Mahmoud SaniDepartment of Medicine, Bayero University Kano/Aminu Kano Teaching Hospital, Kano, Nigeria.
Lauren GaetaMomentum Research Inc., Durham, North Carolina, USA.
Okechukwu S OgahCardiology Unit, Department of Medicine, University of Ibadan/University College Hospital, Ibadan, Oyo State.
Charles MondoKiruddu National Referral Hospital, Kampala, Uganda.
Dike OjjiCardiology Unit, Department of Medicine, University of Abuja Teaching Hospital, Abuja, Nigeria.
Ahmed SulimanFaculty of Medicine, University of Khartoum, Khartoum, Sudan.
Gerald YongaDepartment of Medicine, Aga Khan University, Nairobi, Kenya.
Serigne Abdou BaService de cardiologie, Faculte de medecine de Dakar, Dakar, Senegal.
Anastase DzudieClinical Research Education, Networking and Consultancy, Douala, Cameroon.
Karen SliwaHatter Institute for Cardiovascular Research in Africa, Cape Town, South Africa.
University of Buea · CMMomentum Research · USUniversity of Douala · CMAga Khan University Nairobi · KEAminu Kano Teaching Hospital · NGEduardo Mondlane University · MZInserm · FRMarqueurs cardiovasculaires en situation de stressUniversity of Abuja · NGUniversity of Ibadan · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRheumatic heart disease (RHD) was found in the THESUS-HF registry to be the third most common cause of acute heart failure (AHF) in Sub-Saharan Africa.

methodsOne thousand six patients with AHF from 9 Sub-Saharan African countries were recruited in THESUS-HF, of which 143 (14.3%) had RHD-AHF. Clinical characteristics and outcomes in patients with RHD-AHF and non-RHD-AHF were compared. Kaplan-Meier plots for time to all-cause death and/or HF readmission according to the presence of RHD-AHF and non-RHD-AHF were performed and survival distributions compared using the log-rank test. Cox regression was used to determine the hazard ratio of death to day 180 and death or readmission to day 60 after adjusting for confounders.

resultsPatients with RHD-AHF were younger, more often females, had higher rates of atrial fibrillation, had less hypertension, hyperlipidemia and diabetes, had lower BP, and higher pulse rate and better kidney function and echocardiographic higher ejection fraction larger left atria and more diastolic dysfunction. Patients with RHD-AHF had a numerically longer mean stay in the hospital (10.5

conclusionsIn conclusion, patients with HF related to RHD were younger, have higher rate of atrial fibrillation and have a worse short-term outcome compared to HF related to other etiologies in Sub-Saharan Africa.

Indexed as

AfricaHeart failure (HF)outcomerheumatic heart disease (RHD)

Identifiers

PMID34527521
PMCPMC8410489
OpenAlexW3186842538

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.