Evidence map›Paper›PMID 34677193›Full record

ArticleJournal of cardiovascular development and disease2021

Use of Echocardiography and Heart Failure In-Hospital Mortality from Registry Data in Japan.

Kenya Kusunose, Yuichiro Okushi, Yoshihiro Okayama, Robert Zheng, Michikazu Nakai, Yoko Sumita, Takayuki Ise, Koji Yamaguchi, Shusuke Yagi, Daiju Fukuda and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of cardiovascular development and disease, 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
0.6field-weighted citation impact, top 33% 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, 6 citations in OpenAlex.

  1. Trial
  2. Article
  3. Remote and Telerobotic Ultrasound Imaging.Methodist DeBakey cardiovascular journal · 2025
    Review
  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

14 authors at 3 institutions in 1 country.

Kenya KusunoseDepartment of Cardiovascular Medicine, Tokushima University Hospital, Tokushima 770-8503, Japan.ORCID 0000-0002-4909-754X
Yuichiro OkushiDepartment of Cardiovascular Medicine, Tokushima University Hospital, Tokushima 770-8503, Japan.
Yoshihiro OkayamaClinical Research Center for Developmental Therapeutics, Tokushima University Hospital, Tokushima 770-8503, Japan.
Robert ZhengDepartment of Cardiovascular Medicine, Tokushima University Hospital, Tokushima 770-8503, Japan.
Michikazu NakaiCenter for Cerebral and Cardiovascular Disease Information, National Cerebral and Cardiovascular Center, Osaka 564-8565, Japan.
Yoko SumitaCenter for Cerebral and Cardiovascular Disease Information, National Cerebral and Cardiovascular Center, Osaka 564-8565, Japan.
Takayuki IseDepartment of Cardiovascular Medicine, Tokushima University Hospital, Tokushima 770-8503, Japan.
Koji YamaguchiDepartment of Cardiovascular Medicine, Tokushima University Hospital, Tokushima 770-8503, Japan.
Shusuke YagiDepartment of Cardiovascular Medicine, Tokushima University Hospital, Tokushima 770-8503, Japan.
Daiju FukudaDepartment of Cardiovascular Medicine, Tokushima University Hospital, Tokushima 770-8503, Japan.
Hirotsugu YamadaDepartment of Community Medicine for Cardiology, Tokushima University Graduate School of Biomedical Sciences, Tokushima 770-8503, Japan.
Takeshi SoekiDepartment of Cardiovascular Medicine, Tokushima University Hospital, Tokushima 770-8503, Japan.
Tetsuzo WakatsukiDepartment of Cardiovascular Medicine, Tokushima University Hospital, Tokushima 770-8503, Japan.
Masataka SataDepartment of Cardiovascular Medicine, Tokushima University Hospital, Tokushima 770-8503, Japan.
Tokushima University Hospital · JPNational Cerebral and Cardiovascular Center · JPTokushima University · JP

Funding

Japan Society for the Promotion of Science 19H03654Japan Society for the Promotion of Science Number 20K17084Takeda Science Foundation N/A
6 · The paper itself

Abstract

backgroundEchocardiography requires a high degree of skill on the part of the examiner, and the skill may be more improved in larger volume centers. This study investigated trends and outcomes associated with the use and volume of echocardiographic exams from a real-world registry database of heart failure (HF) hospitalizations.

methodsThis study was based on the Diagnosis Procedure Combination database in the Japanese Registry of All Cardiac and Vascular Datasets (JROAD-DPC). A first analysis was performed to assess the trend of echocardiographic examinations between 2012 and 2016. A secondary analysis was performed to assess whether echocardiographic use was associated with in-hospital mortality in 2015.

resultsDuring this period, the use of echocardiography grew at an average annual rate of 6%. Patients with echocardiography had declining rates of hospital mortality, and these trends were associated with high hospitalization costs. In the 2015 sample, a total of 52,832 echocardiograms were examined, corresponding to 65.6% of all HF hospital admissions for that year. We found that the use and volume of echocardiography exams were associated with significantly lower odds of all-cause hospital mortality in heart failure (adjusted odds ratio (OR): 0.48 for use of echocardiography and 0.78 for the third tertile; both

conclusionsThe use of echocardiography was associated with decreased odds of hospital mortality in HF. The volumes of echocardiographic examinations were also associated with hospital mortality.

Indexed as

big dataechocardiographyheart failuremortality

Identifiers

PMID34677193
PMCPMC8536984
OpenAlexW3204236550

What OpenQuestion holds

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LicenceCC BY
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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.