Evidence map›Paper›PMID 36583422›Full record

ArticleJournal of the American Heart Association2023

New Classification for the Combined Assessment of the Fractional Excretion of Urea Nitrogen and Estimated Plasma Volume Status in Acute Heart Failure.

Kazutaka Nogi, Tomoya Ueda, Takuya Nakamura, Maki Nogi, Satomi Ishihara, Yasuki Nakada, Yukihiro Hashimoto, Hitoshi Nakagawa, Taku Nishida, Ayako Seno and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 9 citations in OpenAlex.

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  11. Bedside Prognostication in Decompensated Heart Failure: No "Easy Button".Journal of the American Heart Association · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Kazutaka NogiDepartment of Cardiovascular Medicine Nara Medical University Kashihara Japan.ORCID 0000-0003-0516-8753
Tomoya UedaDepartment of Cardiovascular Medicine Nara Medical University Kashihara Japan.ORCID 0000-0002-0656-3336
Takuya NakamuraDepartment of Cardiovascular Medicine Nara Medical University Kashihara Japan.
Maki NogiDepartment of Cardiovascular Medicine Nara Medical University Kashihara Japan.
Satomi IshiharaDepartment of Cardiovascular Medicine Nara Medical University Kashihara Japan.
Yasuki NakadaDepartment of Cardiovascular Medicine Nara Medical University Kashihara Japan.ORCID 0000-0003-0510-6923
Yukihiro HashimotoDepartment of Cardiovascular Medicine Nara Medical University Kashihara Japan.
Hitoshi NakagawaDepartment of Cardiovascular Medicine Nara Medical University Kashihara Japan.ORCID 0000-0002-1394-8509
Taku NishidaDepartment of Cardiovascular Medicine Nara Medical University Kashihara Japan.ORCID 0000-0001-7025-0310
Ayako SenoDepartment of Cardiovascular Medicine Nara Medical University Kashihara Japan.ORCID 0000-0001-8051-6119
Kenji OnoueDepartment of Cardiovascular Medicine Nara Medical University Kashihara Japan.ORCID 0000-0003-3233-4913
Makoto WatanabeDepartment of Cardiovascular Medicine Nara Medical University Kashihara Japan.
Yoshihiko SaitoDepartment of Cardiovascular Medicine Nara Medical University Kashihara Japan.ORCID 0000-0001-5574-3571
Nara Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background The fractional excretion of urea nitrogen (FEUN) has been used as a renal blood flow index related to cardiac output, and the estimated plasma volume status (ePVS) as a body fluid volume index. However, the usefulness of their combination in acute decompensated heart failure (HF) management is unclear. We investigated the effect of 4 hemodynamic categories according to the high and low FEUN and ePVS values at discharge on the long-term prognosis of patients with acute decompensated HF. Methods and Results Between April 2011 and December 2018, we retrospectively identified 466 patients with acute decompensated HF with FEUN and ePVS values at discharge. Primary end point was postdischarge all-cause death. Secondary end points were (1) the composite of all-cause death and HF readmission, and (2) HF readmission in a time-to-event analysis. The patients were divided into 4 groups according to the high/low FEUN (≥35%, <35%) and ePVS (>5.5%, ≤5.5%) values at discharge: high-FEUN/low-ePVS, high-FEUN/high-ePVS, low-FEUN/low-ePVS, and low-FEUN/high-ePVS groups. During a median follow-up period of 28.1 months, there were 173 all-cause deaths (37.1%), 83 cardiovascular deaths (17.8%), and 121 HF readmissions (26.0%). The Kaplan-Meier curve analysis showed that the high-FEUN/low-ePVS group had a better prognosis than the other groups (log-rank test,

Indexed as

Body FluidsHeart FailureAftercareHumansNitrogenPatient DischargePlasma VolumePrognosisRetrospective StudiesUreaNitrogenUreaADHFePVSFEUNheart failure

Identifiers

PMID36583422
PMCPMC9973588
OpenAlexW4313523189

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.