Evidence map›Paper›PMID 35433536›Full record

ArticleFrontiers in pediatrics2022

Real-World Use of Carvedilol in Children With Dilated Cardiomyopathy: Long-Term Effect on Survival and Ventricular Function.

Rachele Adorisio, Nicoletta Cantarutti, Marco Ciabattini, Antonio Amodeo, Fabrizio Drago

Open access · goldAbstract read
In one paragraph

Article in Frontiers in pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Guideline
  2. Review
  3. 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

5 authors at 1 institution in 1 country.

Rachele AdorisioAdvanced Cardiovascular Therapies, Department of Cardiology, Cardiac Surgery, Heart and Lung Transplant, Bambino Gesù Children Hospital and Research Institute, Rome, Italy.
Nicoletta CantaruttiPediatric Cardiology and Arrhythmias/Syncope Units, Department of Cardiology, Cardiac Surgery, Heart and Lung Transplant, Bambino Gesù Children Hospital and Research Institute, Rome, Italy.
Marco CiabattiniClinical Trial Center, University Department of Pediatrics, Bambino Gesù Children Hospital and Research Institute, Rome, Italy.
Antonio AmodeoAdvanced Cardiovascular Therapies, Department of Cardiology, Cardiac Surgery, Heart and Lung Transplant, Bambino Gesù Children Hospital and Research Institute, Rome, Italy.
Fabrizio DragoPediatric Cardiology and Arrhythmias/Syncope Units, Department of Cardiology, Cardiac Surgery, Heart and Lung Transplant, Bambino Gesù Children Hospital and Research Institute, Rome, Italy.
Bambino Gesù Children's Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Carvedilol is recommended for chronic heart failure (HF) treatment in children. However, the ideal dosage and administration are not standardized, and data on its long-term effects are lacking. This study aimed to assess the effect of a high dosage regimen of carvedilol on cardiac outcomes in children with HF. Methods: We conducted a retrospective cohort study including all children with HF and dilated cardiomyopathy. We analyzed medical records before starting treatment, at 1 and 3 years after reaching the maximum therapeutic dosage. All data were compared with a historical control group. Kaplan-Meier analysis and Cox proportional hazard regression have been used to evaluate the effect of high dosage carvedilol therapy. The main outcome was a composite of all-cause mortality and heart transplant. Results: One hundred thirty-five were included in the study and 65 treated with a high dosage of carvedilol regimen (up to 1 mg/kg/day). Heart rate reduction (mean reduction 30%, Conclusions: Treatment with the high dosage of carvedilol, in addition to standard HF therapy, significantly improves ventricular function and survival in children with dilated cardiomyopathy and chronic HF.

Indexed as

carvedilolchildrendilated cardiomyopathyheart failureβ-blockers

Identifiers

PMID35433536
PMCPMC9010785
OpenAlexW4220957585

What OpenQuestion holds

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LicenceCC BY
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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.