Evidence map›Paper›PMID 36635633›Full record

Observational studyBMC cardiovascular disorders2023

Factors related to early readmissions after acute heart failure: a nested case-control study.

Susana Garcia-Gutierrez, Ane Villanueva, Iratxe Lafuente, Ibon Rodriguez, Ainara Lozano-Bahamonde, Nekane Murga, Josefina Orus, Emilia Rosa Camacho, Jose María Quintana, Raul Quiros and 1 more

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC cardiovascular disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03300791 (Predictive Models of Readmission in Heart Failure), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 22% 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.

NCT03300791 completednot on this map

Predictive Models of Readmission in Heart Failure: Profile of Readmitted Patients

TypeobservationalSponsorHospital Galdakao-UsansoloRan2017 to 2020Enrolled1,250ConditionsHeart FailureArmsAdmitted
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  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

11 authors at 5 institutions in 1 country.

Susana Garcia-GutierrezResearch Unit, Galdakao-Usansolo University Hospital, Barrio Labeaga s/n, 48960, Galdakao, Vizcaya, Spain. susana.garciagutierrez@osakidetza.eus.
Ane VillanuevaResearch Unit, Galdakao-Usansolo University Hospital, Barrio Labeaga s/n, 48960, Galdakao, Vizcaya, Spain.
Iratxe LafuenteResearch Unit, Galdakao-Usansolo University Hospital, Barrio Labeaga s/n, 48960, Galdakao, Vizcaya, Spain.
Ibon RodriguezCardiology Department, Hospital Galdakao-Usansolo, Galdakao, Spain.
Ainara Lozano-BahamondeCardiology Department, Hospital Basurto, Bilbo, Spain.
Nekane MurgaCardiology Department, Hospital Basurto, Bilbo, Spain.
Josefina OrusCardiology Department, Hospital Parc Taulí, Sabadell, Spain.
Emilia Rosa CamachoInternal Medicine Department, Hospital Costa del Sol, Marbella, Spain.
Jose María QuintanaResearch Unit, Galdakao-Usansolo University Hospital, Barrio Labeaga s/n, 48960, Galdakao, Vizcaya, Spain.
Raul QuirosInternal Medicine Department, Hospital Costa del Sol, Marbella, Spain.
ReIC-REDISSEC working group
Red de Investigación en Actividades Preventivas y Promoción de la Salud · ESHospital Costa del Sol · ESHospital de Basurto · ESHospital de Galdakao · ESDeleted Institution

Funding

Instituto de Salud Carlos III PI15/01343
6 · The paper itself

Abstract

aimsTo describe the main characteristics of patients who were readmitted to hospital within 1 month after an index episode for acute decompensated heart failure (ADHF). METHODS AND

resultsThis is a nested case-control study in the ReIC cohort, cases being consecutive patients readmitted after hospitalization for an episode of ADHF and matched controls selected from those who were not readmitted. We collected clinical data and also patient-reported outcome measures, including dyspnea, Minnesota Living with Heart Failure Questionnaire (MLHFQ), Tilburg Frailty Indicator (TFI) and Hospital Anxiety and Depression Scale scores, as well as symptoms during a transition period of 1 month after discharge. We created a multivariable conditional logistic regression model. Despite cases consulted more than controls, there were no statistically significant differences in changes in treatment during this first month. Patients with chronic decompensated heart failure were 2.25 [1.25, 4.05] more likely to be readmitted than de novo patients. Previous diagnosis of arrhythmia and time since diagnosis ≥ 3 years, worsening in dyspnea, and changes in MLWHF and TFI scores were significant in the final model.

conclusionWe present a model with explanatory variables for readmission in the short term for ADHF. Our study shows that in addition to variables classically related to readmission, there are others related to the presence of residual congestion, quality of life and frailty that are determining factors for readmission for heart failure in the first month after discharge.

trial registrationClinicalTrials.gov Identifier: NCT03300791. First registration: 03/10/2017.

Indexed as

FrailtyHeart FailureCase-Control StudiesDyspneaHumansPatient ReadmissionQuality of LifeAcute heart failurePROMSReadmissionsTransitional period

Identifiers

PMID36635633
PMCPMC9837935
OpenAlexW4315709970

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.