Evidence map›Paper›PMID 37156061›Full record

ArticleHeart & lung : the journal of critical care

Sex differences in the impact of physical frailty on outcomes in heart failure.

Sara H Archer, Christopher S Lee, Nandita Gupta, Mary Roberts Davis, Shirin O Hiatt, Jonathan Q Purnell, Deanne Tibbitts, Kerri Winters-Stone, Quin E Denfeld

Open access · greenAbstract read
In one paragraph

Article in Heart & lung : the journal of critical care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.8field-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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. 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

9 authors at 2 institutions in 2 countries.

Sara H ArcherOregon Health & Science University, Hillsboro Medical Center, Hillsboro, OR, United States.
Christopher S LeeBoston College, William F. Connell School of Nursing, Chestnut Hill, MA, United States; Australian Catholic University, Melbourne, Australia.
Nandita GuptaOregon Health & Science University, Hillsboro Medical Center, Hillsboro, OR, United States; Knight Cardiovascular Institute, Oregon Health & Science University, Portland, OR, United States.
Mary Roberts DavisSchool of Nursing, Oregon Health & Science University, Portland, OR, United States.
Shirin O HiattSchool of Nursing, Oregon Health & Science University, Portland, OR, United States.
Jonathan Q PurnellKnight Cardiovascular Institute, Oregon Health & Science University, Portland, OR, United States.
Deanne TibbittsKnight Cancer Institute, Oregon Health & Science University, Portland, OR, United States.
Kerri Winters-StoneKnight Cancer Institute, Oregon Health & Science University, Portland, OR, United States.
Quin E DenfeldKnight Cardiovascular Institute, Oregon Health & Science University, Portland, OR, United States; School of Nursing, Oregon Health & Science University, Portland, OR, United States. Electronic address: denfeldq@ohsu.edu.
Oregon Health & Science University · USBoston College · US

Funding

Oregon Clinical and Translational Research Institute - The National COVID Cohort Collaborative (N3C)UL1TR002369 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI Cynthia D Morris, Christopher G. Slatore · 2017 to 2026
$78.4M
Scholars in Women's Health Research Across the LifespanK12HD043488 · NICHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI MYATT, LESLIE · 2002 to 2023
$10.4M
Oregon BIRCWH: Scholars in Women's Health Research Across the LifespanK12AR084221 · NIAMS · OREGON HEALTH & SCIENCE UNIVERSITY · PI LESLIE MYATT · 2023 to 2026
$2.2M
NCATS NIH HHS UL1 TR002369NIAMS NIH HHS K12 AR084221NICHD NIH HHS K12 HD043488
6 · The paper itself

Abstract

backgroundPhysical frailty is strongly related to adverse outcomes in heart failure (HF), and women are more likely to be physically frail than men; however, it is unknown if this sex difference affects outcomes.

objectivesTo determine if there are sex differences in the associations between physical frailty and health-related quality of life (HRQOL) and clinical outcomes in HF.

methodsWe conducted a prospective study of adults with HF. Physical frailty was assessed using the Frailty Phenotype Criteria. HRQOL was assessed using the Minnesota Living with HF Questionnaire. One-year clinical events (all-cause death or cardiovascular hospitalization or emergency department visit) were ascertained. We used generalized linear modeling to quantify associations between physical frailty and HRQOL, and Cox proportional hazards modeling to quantify associations between physical frailty and clinical events, adjusting for Seattle HF Model scores.

resultsThe sample (n = 115) was 63.5 ± 15.7 years old and 49% women. Physical frailty was associated with significantly worse total HRQOL among women (p = 0.005) but not men (p = 0.141). Physical frailty was associated with worse physical HRQOL among both women (p < 0.001) and men (p = 0.043). There was a 46% higher clinical event risk for every one-point increase in physical frailty score among men (p = 0.047) but not women (p = 0.361).

conclusionsPhysical frailty is associated with worse overall HRQOL among women and higher clinical event risk among men, indicating a need to better understand contributors to sex-specific health differences associated with physical frailty in HF.

Indexed as

FrailtyHeart FailureFemaleHumansMaleProspective StudiesQuality of LifeSex CharacteristicsFrailtyHeart failureOutcomesQuality of lifeSex

Identifiers

PMID37156061
PMCPMC10524847
OpenAlexW4372329685

What OpenQuestion holds

Textmetadata
LicenceTDM
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.