Evidence map›Paper›PMID 37649316›Full record

ArticleESC heart failure2023

Hospitalization for acute heart failure during non-working hours impacts on long-term mortality: the REPORT-HF registry.

Spyridon Katsanos, Wouter Ouwerkerk, Dimitrios Farmakis, Sean P Collins, Christiane E Angermann, Kenneth Dickstein, Jasper Tomp, Georg Ertl, John Cleland, Ulf Dahlström and 8 more

Abstract read
In one paragraph

Article in ESC heart failure, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

18 authors.

Spyridon KatsanosDepartment of Emergency Medicine, Attikon University Hospital, National and Kapodistrian University of Athens Medical School, Athens, Greece.
Wouter OuwerkerkNational Heart Centre Singapore, Singapore.
Dimitrios FarmakisCardio-Oncology Clinic, Heart Failure Unit, Attikon University Hospital, National and Kapodistrian University of Athens Medical School, Athens, Greece.
Sean P CollinsDepartment of Emergency Medicine, Vanderbilt University Medical Center and Geriatric Research and Education Center, Nashville VA, Nashville, TN, USA.
Christiane E AngermannDepartment of Medicine 1, Comprehensive Heart Failure Center University and University Hospital Würzburg, Würzburg, Germany.
Kenneth DicksteinUniversity of Bergen, Stavanger University Hospital, Stavanger, Norway.
Jasper TompSaw Swee Hock School of Public Health, National University of Singapore and the National University Health System, Singapore.
Georg ErtlDepartment of Medicine 1, Comprehensive Heart Failure Center University and University Hospital Würzburg, Würzburg, Germany.
John ClelandRobertson Centre for Biostatistics and Clinical Trials, Institute of Health and Well-Being, University of Glasgow, Glasgow, Scotland.
Ulf DahlströmDepartment of Cardiology, Linkoping University, Linkoping, Sweden.
Achim ObergfellNovartis Pharma AG, Basel, Switzerland.
Mathieu GhadanfarM-Ghadanfar Consulting Life Sciences, Basel, Switzerland.
Sergio V PerroneEl Cruce Hospital by Florencio Varela, Lezica Cardiovascular Institute, Sanctuary of the Trinidad Miter, Buenos Aires, Argentina.
Mahmoud HassaneinFaculty of Medicine, Department of Cardiology, Alexandria University, Alexandria, Egypt.
Konstantinos StamoulisSecond Department of Cardiology, Attikon University Hospital, National and Kapodistrian University of Athens Medical School, Rimini 1 Chardairi, Athens, Greece.
John ParissisDepartment of Emergency Medicine, Attikon University Hospital, National and Kapodistrian University of Athens Medical School, Athens, Greece.
Carolyn LamNational Heart Centre Singapore, Singapore.
Gerasimos FilippatosSecond Department of Cardiology, Attikon University Hospital, National and Kapodistrian University of Athens Medical School, Rimini 1 Chardairi, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsHospital admission during nighttime and off hours may affect the outcome of patients with various cardiovascular conditions due to suboptimal resources and personnel availability, but data for acute heart failure remain controversial. Therefore, we studied outcomes of acute heart failure patients according to their time of admission from the global International Registry to assess medical practice with lOngitudinal obseRvation for Treatment of Heart Failure. METHODS AND

resultsOverall, 18 553 acute heart failure patients were divided according to time of admission into 'morning' (7:00-14:59), 'evening' (15:00-22:59), and 'night' (23:00-06:59) shift groups. Patients were also dichotomized to admission during 'working hours' (9:00-16:59 during standard working days) and 'non-working hours' (any other time). Clinical characteristics, treatments, and outcomes were compared across groups. The hospital length of stay was longer for morning (odds ratio: 1.08; 95% confidence interval: 1.06-1.10, P < 0.001) and evening shift (odds ratio: 1.10; 95% confidence interval: 1.07-1.12, P < 0.001) as compared with night shift. The length of stay was also longer for working vs. non-working hours (odds ratio: 1.03; 95% confidence interval: 1.02-1.05, P < 0.001). There were no significant differences in in-hospital mortality among the groups. Admission during working hours, compared with non-working hours, was associated with significantly lower mortality at 1 year (hazard ratio: 0.88; 95% confidence interval: 0.80-0.96, P = 0.003).

conclusionsAcute heart failure patients admitted during the night shift and non-working hours had shorter length of stay but similar in-hospital mortality. However, patients admitted during non-working hours were at a higher risk for 1 year mortality. These findings may have implications for the health policies and heart failure trials.

Indexed as

Heart FailureHospitalizationHospital MortalityHumansRegistriesHeart failureHospitalizationMortalityPrognosis

Identifiers

PMID37649316
PMCPMC10567635

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.