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ArticleIndian heart journal

Impact of COVID-19 on heart failure hospitalization and outcome in India - A cardiological society of India study (CSI-HF in COVID 19 times study - "The COVID C-HF study").

Jayagopal P B, Ramakrishnan S, Mohanan P P, Jabir A, Venugopal K, M K Das, Santhosh K, Syam N, J Ezhilan, Rajeev Agarwal and 63 more

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Article in Indian heart journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

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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

73 authors at 20 institutions in 2 countries.

Jayagopal P BLakshmi Hospital, Chittur Road, Palakkad, Kerala, India. Electronic address: jaigopallakshmi@gmail.com.
Ramakrishnan SAll India Institute of Medical Sciences, New Delhi, India.
Mohanan P PWest Fort Hi-Tech Hospital, Thrissur, Kerala, India.
Jabir ALisie Hospital, Kochi, Kerala, India.
Venugopal KPushpagiri Medical College, Thiruvalla, Kerala, India.
M K DasBirla Heart Research Centre and the Calcutta Medical Research Institute (CMRI), Kolkata, India.
Santhosh KSri Jayadeva Institute of Cardiovascular Sciences and Research, Mysore, India.
Syam NDistrict Hospital, Kollam, Kerala, India.
J EzhilanMadras Medical Mission, Chennai, India.
Rajeev AgarwalJaswant Rias Speciality Hospital, Meerut, India.
Vaidyanathan P RGKNM, Coimbatore, Tamil Nadu, India.
Ahmed Hussain ChoudharySilchar Medical College & Hospital, Silchar, India.
Meena C BSMS Hospital, Jaipur, Rajasthan, India.
Amit MalviyaNEIGRIHM Shilong, North East, India.
Arun GopiMetromed International Cardiac Centre, Calicut, Kerala, India.
Chopra V KMAX Hospital, Saket, New Delhi, India.
Stigi JosephLittle Flower Hospital & Research Centre, Angamaly, Kochi, Kerala, India.
Krishna Kishore GoyalApollow CVHF Heart Institute Hospital, Ahmedabad, India.
John F JohnBaby Memorial Hospital, Calicut, Kerala, India.
Sandeep BansalVardhaman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.
Harikrishnan SSCTIMST, Trivandrum, Kerala, India.
Praveen NagulaOsmania Hospital, Hyderabad, India.
Johny JosephCaritas Hospital, Kottayam, Kerala, India.
Ajit BagawatKamalnayan Bajaj Hospital, Aurangabad, India.
Sandeep SethAll India Institute of Medical Sciences, New Delhi, India.
Urmil ShahCIMS, Ahmedabad, India.
Pravin K GoelMedanta Hospital, Lucknow, India.
P K AsokanFathima Hospital, Kozhikode, Kerala, India.
K K SethiDelhi Heart & Lung Institute, Delhi, India.
Satyavan SharmaBombay Hospital and Medical Research Centre, Mumbai, India.
Lt Gen Anup BanerjiMEDICA Superspecialty Hospital, Kolkata, India.
Sunandan SikdarNarayana Multispeciality Hospital, Kolkata, India.
ManojKumar AgarwalaApollo Hospitals, Hyderabad, India.
Sharad ChandraKing George Medical University, Lucknow, India.
BishwaBhushan BhartiFord Hospital, Khemnichak, New Bypass Road, Patna, India.
S M AshrafSahakarana Hridayalaya, Pariyaram Medical College, Kannur, Kerala, India.
Smit SrivastavaDr. Bhim Rao Ambedkar Memorial Hospital, Raipur, India.
B KesavamoorthyMeenakshi Hospital, Thanjavur, Tamil Nadu, India.
Harinder Kumar BaliParas Hospitals Panchkula, Haryana, India.
Dipak SarmaDr. Dipak Sarma' Chamber, Assam, India.
Rajendra Kumar JainKIMS Krishna Institute of Medical Sciences, Hyderabad, India.
Sameer I DaniApollo CVHF Heart Institute, Ahmedabad, India.
B H NateshSri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India.
Rabindra Nath ChakrabortyMedica Superspecialty Hospital, Kolkata, India.
Vivek GuptaIndraprastha Apollo Hospitals, New Delhi, India.
Narendra Nath KhannaIndraprastha Apollo Hospitals, New Delhi, India.
Dipankar MukhopadhyaySSKM Hospital, Kolkata, India.
Subroto MandalUbuntu Heart & Super Speciality Hospital, Ubbuntu, Bhopal, India.
Biswajit MajumderEskag Sanjeevani Multispeciality Hospital, Kolkata, India.
Sridhar LSri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India.
Meennahalli Palleda GirishGB Pant Hospital, New Delhi, India.
DipakRanjan DasSCB Medical College & Hospital, Cuttack, Odisha, India.
Tom DevasiaKasturba Medical College Manipal, Karnataka, India.
Bhavesh VajifdarLilavati Hospital and Research Centre, Mumbai, Maharashtra, India.
Tanuj BhatiaSGRRIHMS, Dehradun, Uttarakhand, India.
Zia AbdullahAll India Institute of Medical Sciences, New Delhi, India.
Sanjeev SharmaEHCC Hospital, Jaipur, Rajasthan, India.
Sudeep KumarAll India Institute of Medical Sciences, New Delhi, India.
Mathew LincySanjay Gandhi Postgraduate of Medical Sciences, Lucknow, Uttar Pradesh, India.
Nitish NaikLisie Hospital, Kochi, Kerala, India.
Dhiman KahaliM Birla Heart Research Centre, Kolkata, West Bengal, India.
Dhurjati Prasad SinhaCharnock Hospital, Teghoria, Kolkata, West Bengal, India.
Dipankar Ghosh DastidarMedical Superspeciality Hospital, Kolkata, West Bengal, India.
Gurpreet Sing WanderHero DMC Heart Institute, Dayanand Medical College, Ludhiana, Punjab, India.
Rakesh YadavAIIMS, New Delhi, India.
Satyendra TewariSanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Suman BhandariFortis Escorts Heart Institute, New Delhi, India.
Pratap Chandra RathApollo Hospitals, Jubilee Hills, Hyderabad, Telangana, India.
Vijay Harikisan BangLilavati Hospital and Research Centre, Mumbai, India.
Debabrata RoyN H Rabindranatha Tagore International Institute of Cardiac Sciences, Kolkata, West Bengal, India.
ParthoSarathi BanerjeeManipal Hospital, Kolkata, West Bengal, India.
S ShanmugasundaramBillroth Hospitals, Shenoy Nagar, Chennai, Tamil Nadu, India.
Geevar ZachariahMother Heart Care, Thrissur, Kerala, India.
Vardhman Mahavir Medical College & Safdarjung Hospital · INAll India Institute of Medical Sciences · INNethradhama Superspeciality Eye Hospital · INBombay Hospital · INIndraprastha Apollo Hospitals · INLilavati Hospital & Research Centre · INLourdes Hospital · INSanjay Gandhi Post Graduate Institute of Medical Sciences · INSri Jayadeva Institute of Cardiovascular Sciences and Research · INAll India Institute of Medical Sciences Raipur · INAmbedkar University Delhi · INApex Heart Institute · INApollo Hospitals · INApollo Hospitals · INArt Research Centre of the Slovak Academy of Sciences · SKBaby Memorial Hospital · INCare Institute of Medical Sciences · INCaritas Hospital · INCharnock Hospital · INDayanand Medical College & Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe presentation and outcomes of acute decompensated heart failure (ADHF) during COVID times (June 2020 to Dec 2020) were compared with the historical control during the same period in 2019.

methodsData of 4806 consecutive patients of acute HF admitted in 22 centres in the country were collected during this period. The admission patterns, aetiology, outcomes, prescription of guideline-directed medical therapy (GDMT) and interventions were analysed in this retrospective study.

resultsAdmissions for acute heart failure during the pandemic period in 2020 decreased by 20% compared to the corresponding six-month period in 2019, with numbers dropping from 2675 to 2131. However, no difference in the epidemiology was seen. The mean age of presentation in 2019 was 61.75 (±13.7) years, and 59.97 (±14.6) years in 2020. There was a significant decrease in the mean age of presentation (p = 0.001). Also. the proportion of male patients decreased significantly from 68.67% to 65.84% (p = 0.037). The in-hospital mortality for acute heart failure did not differ significantly between 2019 and 2020 (4.19% and 4.,97%) respectively (p = 0.19). The proportion of patients with HFrEF did not change in 2020 compared to 2019 (76.82% vs 75.74%, respectively). The average duration of hospital stay was 6.5 days.

conclusionThe outcomes of ADHF patients admitted during the Covid pandemic did not differ significantly. The length of hospital stay remained the same. The study highlighted the sub-optimal use of GDMT, though slightly improving over the last few years.

Indexed as

COVID-19Heart FailureAgedHospitalizationHumansMaleMiddle AgedRetrospective StudiesStroke VolumeAcute decompensated heart failureAcute heart failureCOVID-19GDMT in heart failure

Identifiers

PMID37652199
PMCPMC10568052
OpenAlexW4386248091

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