Evidence map›Paper›PMID 35576889›Full record

Observational studyAtencion primaria2022

[Clinical and prognostic profile evolution of patients discharged from hospital due to heart failure in the first two decades of the 21st century. The INCA-Ex Registry].

Daniel Fernández-Bergés, Reyes González-Fernández, Francisco Javier Félix-Redondo, José Arevalo Lorido, Lorena Yeguas Rosa, Miriam Hernández-González, Alessia Rubini, Miguel Galán Montejano, María Carmen Gamero, Luis Lozano Mera

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Atencion primaria, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 41% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Observational
  3. 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

10 authors at 4 institutions in 2 countries.

Daniel Fernández-BergésUnidad de Investigación, Área de Salud Don Benito-Villanueva, Servicio Extremeño de Salud, Villanueva de la Serena, Badajoz, España; Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), Badajoz, España. Electronic address: daniel.fernandezb@salud-juntaex.es.
Reyes González-FernándezInstituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), Badajoz, España; Cardiología Intervencionista, Servicio de Cardiología, Hospital Universitario de Badajoz, Badajoz, España.
Francisco Javier Félix-RedondoUnidad de Investigación, Área de Salud Don Benito-Villanueva, Servicio Extremeño de Salud, Villanueva de la Serena, Badajoz, España; Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), Badajoz, España; Centro de Salud Villanueva Norte, Villanueva de la Serena, Badajoz, España.
José Arevalo LoridoServicio de Medicina Interna, Hospital Universitario de Badajoz, Badajoz, España.
Lorena Yeguas RosaInstituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), Badajoz, España.
Miriam Hernández-GonzálezUnidad de Investigación, Área de Salud Don Benito-Villanueva, Servicio Extremeño de Salud, Villanueva de la Serena, Badajoz, España; Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), Badajoz, España.
Alessia RubiniUnidad de Investigación, Área de Salud Don Benito-Villanueva, Servicio Extremeño de Salud, Villanueva de la Serena, Badajoz, España; Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), Badajoz, España.
Miguel Galán MontejanoDepartamento de Medicina Interna, Complejo Hospitalario Don Benito-Villanueva, Don Benito, Badajoz, España.
María Carmen GameroCentro Saúde Moura (ULSBA), Moura, Alentejo, Portugal.
Luis Lozano MeraUnidad de Investigación, Área de Salud Don Benito-Villanueva, Servicio Extremeño de Salud, Villanueva de la Serena, Badajoz, España; Centro de Salud Mérida Urbano I, Mérida, Badajoz, España.
Departamento de Salud · ESCentro de Implantología Cirugía Oral y Maxilofacial · ESAdministração Regional de Saúde de Lisboa e Vale do Tejo · PTInstituto de Arqueología-Mérida · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo study the evolution of the clinical profile of a population discharged with a main diagnosis of heart failure (HF) in the first two decades of the century and the predictive variables of mortality and readmission in the first year of discharge.

designObservational, retrospective, longitudinal study. SITE: Don Benito Villanueva de la Serena Badajoz health area.

participantsAll patients discharged with a main diagnosis of HF between 2000 and 2019 in a general hospital complex were included. MAIN MEASUREMENTS: Sociodemographic and clinical variables were collected, and a one-year follow-up; the result variable was a composite of mortality and/or readmission.

resultsA total of 4107 discharges were included, mean age 77.1 (SD±10.5) years, 53.1% women. The number of admissions, age, history of neoplasms, stroke, kidney failure, and anemia increased, as did readmissions (P for trends <.001), while mortality remained constant. Predictive variables for readmission and/or death were HR (95%CI): age (per year) 1.04 (1.03-1.04), diabetes: 1.11 (1.01-1.24), previous HF 1.41 (1.28-1.57), composite variable myocardial infarction, stroke and/or peripheral artery disease 1.24 (1.11-1.38), chronic obstructive pulmonary disease (COPD) 1.29 (1.15-1.44), neoplasia 1.33 (1.16-1.53), anemia 1.63 (1.41-1.86), chronic kidney failure 1.42 (1.26-1.60).

conclusionsIn the last 20 years, admissions for heart failure, patient age, and comorbidity have increased. Predictive variables for mortality and/or readmission were age, diabetes, previous cardiovascular disease, neoplasms, COPD, kidney failure, and anemia; however, mortality at one year remained constant.

Indexed as

AnemiaHeart FailurePulmonary Disease, Chronic ObstructiveRenal InsufficiencyStrokeAgedFemaleHospitalsHumansLongitudinal StudiesMalePatient DischargePatient ReadmissionPrognosisRegistriesRetrospective StudiesHeart failureInsuficiencia cardíacaMortalidadMortalityPatient readmissionReadmisión del paciente

Identifiers

PMID35576889
PMCPMC9118354
OpenAlexW4280580665

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.