Evidence map›Paper›PMID 34584621›Full record

ArticleHeart views : the official journal of the Gulf Heart Association

The Effect of Early Aggressive Diuresis on Hospital Length of Stay in Acute Congestive Heart Failure.

Muhammad Butt, Ahmad Jabri, Hany Messeh, Abdullah Ahmed, Anas Alameh, Faris Haddadin, Andin Mullis, Claude S Elayi

Open access · diamondAbstract read
In one paragraph

Article in Heart views : the official journal of the Gulf Heart Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 47% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

8 authors at 2 institutions in 1 country.

Muhammad ButtHeart and Vascular Center, Case Western Reserve University/MetroHealth Medical Center, Ohio, USA.
Ahmad JabriHeart and Vascular Center, Case Western Reserve University/MetroHealth Medical Center, Ohio, USA.
Hany MessehDepartment of Internal Medicine, Mercy Hospital of Buffalo, The State University of New York at Buffalo, New York, USA.
Abdullah AhmedGill Heart and Vascular Institute, University of Kentucky, Kentucky, USA.
Anas AlamehDepartment of Internal Medicine, Cleveland Clinic Akron General, Ohio, USA.
Faris HaddadinSection of Cardiology, Baylor College of Medicine, Houston, Texas, USA.
Andin MullisGill Heart and Vascular Institute, University of Kentucky, Kentucky, USA.
Claude S ElayiDepartment of Cardiology, Saint Joseph Hospital CHI Commonspirit, Kentucky, USA.
MetroHealth Medical Center · USCase Western Reserve University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiuresis is the mainstay of treatment during hospitalization for patients admitted with congestive heart failure (CHF). Hospital length of stay (LOS) is considered an important patient outcome for CHF patients; previous studies comparing higher rates of diuresis (aggressive) versus relatively lower rates (nonaggressive) on patient outcomes have shown contradicting results. In fact, no specific guidelines to direct diuretic therapy exist. This investigation was designed to study the effect of early aggressive diuresis on hospital LOS.

methodsData from 194 CHF patients (admitted to the hospital for 1 year) were collected and analyzed in a retrospective cohort study design. Patients were divided into two cohorts based on urine output achieved in the first 24 h of admission; the aggressive diuresis cohort (urine output ≥2400 mL) comprised of 29 subjects while the nonaggressive diuresis cohort (urine output ≤2400 mL) had 165 subjects. The primary endpoint was LOS.

resultsMedian LOS for the aggressive diuresis cohort was 4 days (95% confidence interval [CI]: 2.95-5.06) as compared to 5 days (95% CI 4.40-5.60) for the nonaggressive diuresis cohort; log-rank test showed no significant differences between the hospitalized proportions between the two cohorts over time (

conclusionHospital LOS for CHF patients treated with early aggressive diuresis was not significantly different compared to patients treated with nonaggressive diuresis.

Indexed as

Congestive heart failurediuresishospital length of stay

Identifiers

PMID34584621
PMCPMC8445140
OpenAlexW3196827321

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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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.