Evidence map›Paper›PMID 36378758›Full record

Observational studyCirculation. Heart failure2022

Neighborhood Socioeconomic Disadvantage and Hospitalized Heart Failure Outcomes in the American Heart Association Get With The Guidelines-Heart Failure Registry.

Vishal N Rao, Robert J Mentz, Amanda C Coniglio, Michelle D Kelsey, Marat Fudim, Gregg C Fonarow, Roland A Matsouaka, Adam D DeVore, Melissa C Caughey

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Circulation. Heart failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02693509 (Get With The Guidelines-Heart Failure Registry), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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.

NCT02693509 recruitingnot on this map

Get With The Guidelines-Heart Failure Registry

Typeobservational_patient_registrySponsorAmerican Heart AssociationRan2005 to 2040Enrolled128,026ConditionsHeart FailureArmsGWTG Heart Failure program
3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Observational
  2. Heart failure readmissions in urban and rural hospital settings: An analysis of 30-day readmissions using the 2021 Nationwide Readmissions Database.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Observational
  9. Impact of Social Determinants of Health on Cardiovascular Disease.Journal of the American Heart Association · 2025
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Observational
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

9 authors.

Vishal N RaoDivision of Cardiology, Duke University Medical Center, Durham, NC (V.N.R., R.J.M., A.C.C., M.D.K., M.F., A.D.D.).ORCID 0000-0003-3545-4267
Robert J MentzDivision of Cardiology, Duke University Medical Center, Durham, NC (V.N.R., R.J.M., A.C.C., M.D.K., M.F., A.D.D.).ORCID 0000-0002-3222-1719
Amanda C ConiglioDivision of Cardiology, Duke University Medical Center, Durham, NC (V.N.R., R.J.M., A.C.C., M.D.K., M.F., A.D.D.).ORCID 0000-0002-7044-9730
Michelle D KelseyDivision of Cardiology, Duke University Medical Center, Durham, NC (V.N.R., R.J.M., A.C.C., M.D.K., M.F., A.D.D.).ORCID 0000-0002-2169-043X
Marat FudimDivision of Cardiology, Duke University Medical Center, Durham, NC (V.N.R., R.J.M., A.C.C., M.D.K., M.F., A.D.D.).ORCID 0000-0002-8671-7007
Gregg C FonarowDivision of Cardiology, Department of Medicine, University of California at Los Angeles (G.C.F.).ORCID 0000-0002-3192-8093
Roland A MatsouakaDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC (V.N.R., R.J.M., M.D.K., M.F., R.A.M., A.D.D.).ORCID 0000-0002-0271-5400
Adam D DeVoreDivision of Cardiology, Duke University Medical Center, Durham, NC (V.N.R., R.J.M., A.C.C., M.D.K., M.F., A.D.D.).ORCID 0000-0002-4679-2221
Melissa C CaugheyJoint Department of Biomedical Engineering, University of North Carolina and North Carolina State University, Chapel Hill (M.C.C.).ORCID 0000-0001-8433-5147

Funding

Postdoctoral Training in Cardiovascular Clinical ResearchT32HL069749 · NHLBI · DUKE UNIVERSITY · PI MARK, DANIEL B · 2003 to 2023
$6.7M
Congestion Phenotypes and Splanchnic Nerve Modulation in Chronic Heart FailureK23HL151744 · NHLBI · DUKE UNIVERSITY · PI FUDIM, MARAT · 2021 to 2022
$376k
NHLBI NIH HHS K23 HL151744NHLBI NIH HHS T32 HL069749
6 · The paper itself

Abstract

backgroundNeighborhood socioeconomic status (SES) is associated with worse health outcomes, yet its relationship with in-hospital heart failure (HF) outcomes and quality metrics are underexplored. We examined the association between socioeconomic neighborhood disadvantage and in-hospital HF outcomes for patients from diverse neighborhoods in the Get With The Guidelines-Heart Failure registry.

methodsSES-disadvantage scores were derived from geocoded US census data using a validated algorithm, which incorporated household income, home value, rent, education, and employment. We examined the association between SES-disadvantage quintiles with all-cause in-hospital mortality, adjusting for demographics and comorbidities.

resultsOf 593 053 patients hospitalized for HF between 2017 and 2020, 321 314 (54%) had residential ZIP Codes recorded. Patients from the most compared with least disadvantaged neighborhoods were younger (mean age 67 versus 76 years), more often Black (42% versus 9%) or Hispanic (14% versus 5%), and had higher comorbidity burden. Demographic-adjusted length of stay increased by ≈1.5 hours with each increment in worsening SES-disadvantage quintiles. Adjusted-mortality odds ratios increased with worsening SES-disadvantage quintiles (

conclusionsPatients hospitalized for HF from disadvantaged neighborhoods were younger and more often Black or Hispanic. SES disadvantage was independently associated with higher in-hospital mortality. Further research is needed to characterize care delivery patterns in disadvantaged neighborhoods and to address social determinants of health among patients hospitalized for HF. CLINICALTRIALS: gov; Unique identifier: NCT02693509.

Indexed as

Heart FailureAgedAmerican Heart AssociationHumansRegistriesResidence CharacteristicsRisk FactorsSocial ClassSocioeconomic FactorsUnited Statesalgorithmsheart failurehospitalizationmortalityquality improvement

Identifiers

PMID36378758
PMCPMC9673180

What OpenQuestion holds

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Registered trials

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.