Evidence map›Paper›PMID 37763022›Full record

ArticleJournal of clinical medicine2023

The Worsening of Heart Failure with Reduced Ejection Fraction: The Impact of the Number of Hospital Admissions in a Cohort of Patients.

Jorge Perea-Armijo, José López-Aguilera, Rafael González-Manzanares, Cristina Pericet-Rodriguez, Juan Carlos Castillo-Domínguez, Gloria Heredia-Campos, Álvaro Roldán-Guerra, Cristina Urbano-Sánchez, Lucas Barreiro-Mesa, Nerea Aguayo-Caño and 6 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

9 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Observational
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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

16 authors at 1 institution in 1 country.

Jorge Perea-ArmijoHeart Failure Unit, Cardiology Departament, Reina Sofía University Hospital, Av. Menendez Pidal s/n, 14004 Cordoba, Spain.ORCID 0000-0003-0521-7332
José López-AguileraHeart Failure Unit, Cardiology Departament, Reina Sofía University Hospital, Av. Menendez Pidal s/n, 14004 Cordoba, Spain.ORCID 0000-0001-6160-5044
Rafael González-ManzanaresHeart Failure Unit, Cardiology Departament, Reina Sofía University Hospital, Av. Menendez Pidal s/n, 14004 Cordoba, Spain.ORCID 0000-0001-8446-7369
Cristina Pericet-RodriguezHeart Failure Unit, Cardiology Departament, Reina Sofía University Hospital, Av. Menendez Pidal s/n, 14004 Cordoba, Spain.
Juan Carlos Castillo-DomínguezHeart Failure Unit, Cardiology Departament, Reina Sofía University Hospital, Av. Menendez Pidal s/n, 14004 Cordoba, Spain.ORCID 0000-0002-3164-0823
Gloria Heredia-CamposHeart Failure Unit, Cardiology Departament, Reina Sofía University Hospital, Av. Menendez Pidal s/n, 14004 Cordoba, Spain.
Álvaro Roldán-GuerraHeart Failure Unit, Cardiology Departament, Reina Sofía University Hospital, Av. Menendez Pidal s/n, 14004 Cordoba, Spain.
Cristina Urbano-SánchezHeart Failure Unit, Cardiology Departament, Reina Sofía University Hospital, Av. Menendez Pidal s/n, 14004 Cordoba, Spain.
Lucas Barreiro-MesaHeart Failure Unit, Cardiology Departament, Reina Sofía University Hospital, Av. Menendez Pidal s/n, 14004 Cordoba, Spain.
Nerea Aguayo-CañoHeart Failure Unit, Cardiology Departament, Reina Sofía University Hospital, Av. Menendez Pidal s/n, 14004 Cordoba, Spain.
Mónica Delgado-OrtegaHeart Failure Unit, Cardiology Departament, Reina Sofía University Hospital, Av. Menendez Pidal s/n, 14004 Cordoba, Spain.
Manuel Crespín-CrespínHeart Failure Unit, Cardiology Departament, Reina Sofía University Hospital, Av. Menendez Pidal s/n, 14004 Cordoba, Spain.
Martín Ruiz-OrtizHeart Failure Unit, Cardiology Departament, Reina Sofía University Hospital, Av. Menendez Pidal s/n, 14004 Cordoba, Spain.ORCID 0000-0002-1479-7044
Dolores Mesa-RubioHeart Failure Unit, Cardiology Departament, Reina Sofía University Hospital, Av. Menendez Pidal s/n, 14004 Cordoba, Spain.ORCID 0000-0002-1693-7784
Manuel Pan-Álvarez OsorioHeart Failure Unit, Cardiology Departament, Reina Sofía University Hospital, Av. Menendez Pidal s/n, 14004 Cordoba, Spain.
Manuel Anguita-SánchezHeart Failure Unit, Cardiology Departament, Reina Sofía University Hospital, Av. Menendez Pidal s/n, 14004 Cordoba, Spain.
Instituto Maimónides de Investigación Biomédica de Córdoba · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWorsening heart failure (WFH) includes heart failure (HF) hospitalisation, representing a strong predictor of mortality in patients with heart failure with reduced ejection fraction (HFrEF). However, there is little evidence analysing the impact of the number of previous HF admissions. Our main objective was to analyse the clinical profile according to the number of previous admissions for HF and its prognostic impact in the medium and long term.

methodsA retrospective study of a cohort of patients with HFrEF, classified according to previous admissions: cohort-1 (0-1 previous admission) and cohort-2 (≥2 previous admissions). Clinical, echocardiographic and therapeutic variables were analysed, and the medium- and long-term impacts in terms of hospital readmissions and cardiovascular mortality were assessed. A total of 406 patients were analysed.

resultsThe mean age was 67.3 ± 12.6 years, with male predominance (73.9%). Some 88.9% (361 patients) were included in cohort-1, and 45 patients (11.1%) were included in cohort-2. Cohort-2 had a higher proportion of atrial fibrillation (49.9% vs. 73.3%;

conclusionsPatients with HFrEF and ≥2 previous admissions for HF have a higher proportion of comorbidities. These patients are associated with worse reverse remodelling and worse medium- and long-term prognoses from the early stages, wherein early identification is essential for close follow-up and optimal intensive treatment.

Indexed as

hospital admissionmortalityprognosisreduced LVEFworsening of heart failure

Identifiers

PMID37763022
PMCPMC10531712
OpenAlexW4386933790

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.