Evidence map›Paper›PMID 38158646›Full record

ArticleESC heart failure2024

Effect of constipation on readmission for heart failure in patients with acute heart failure.

Shigeto Namiuchi, Atsushi Tanita, Shinichiro Sunamura, Kenta Onodera, Tsuyoshi Ogata, Kazuki Noda, Toru Takii, Yoshio Nitta, Seijiro Yoshida

Open access · goldAbstract read
In one paragraph

Article in ESC heart failure, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Forensic considerations in cases of fatal constipation.Forensic science, medicine, and pathology · 2025
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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

9 authors at 1 institution in 1 country.

Shigeto NamiuchiDepartment of Cardiology, Sendai City Medical Center, Sendai, Japan.ORCID https://orcid.org/0000-0002-2368-9897
Atsushi TanitaDepartment of Cardiology, Sendai City Medical Center, Sendai, Japan.
Shinichiro SunamuraDepartment of Cardiology, Sendai City Medical Center, Sendai, Japan.
Kenta OnoderaDepartment of Cardiology, Sendai City Medical Center, Sendai, Japan.
Tsuyoshi OgataDepartment of Cardiology, Sendai City Medical Center, Sendai, Japan.
Kazuki NodaDepartment of Cardiology, Sendai City Medical Center, Sendai, Japan.
Toru TakiiDepartment of Cardiology, Sendai City Medical Center, Sendai, Japan.
Yoshio NittaDepartment of Cardiovascular Surgery, Sendai City Medical Center, Sendai, Japan.
Seijiro YoshidaDepartment of Cardiovascular Surgery, Sendai City Medical Center, Sendai, Japan.
Sendai Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsConstipation is a common gastrointestinal disorder that is associated with a high cardiovascular event rate in the general population. Although constipation is common in patients with cardiovascular diseases, only a few studies have examined the relationship between constipation and the prognosis of patients with heart failure. This study aimed to evaluate the effects of constipation on the prognosis of patients with acute heart failure. METHODS AND

resultsWe investigated 397 patients admitted to our hospital from December 2020 to December 2022 with acute heart failure (mean age, 81 ± 13 years; 54% men). Patients with constipation were defined as those either taking laxatives regularly or diagnosed with constipation according to the International Statistical Classification of Diseases and Related Health Problems. During the follow-up periods (median, 173 days), 35 patients died, and 74 experienced readmission due to heart failure. Kaplan-Meier analysis before and after propensity score matching using 14 variables revealed that the risk of readmission due to heart failure was significantly higher in patients with constipation than in those without (before: log-rank P = 0.014, after: log-rank P = 0.0027). The adjusted Cox proportional hazards analysis revealed that the hazard ratio for readmission due to heart failure was 2.61 (95% confidence interval, 1.38-4.94, P = 0.0032). The risk of all-cause death was not significantly different between the two groups (hazard ratio, 1.76; 95% confidence interval, 0.61-5.06; P = 0.30).

conclusionsConstipation status was strongly associated with a higher risk of readmission for heart failure in patients with acute heart failure.

Indexed as

Heart FailurePatient ReadmissionAgedAged, 80 and overConstipationFemaleHospitalizationHumansMalePrognosisConstipationHeart failurePrognosisRehospitalization

Identifiers

PMID38158646
PMCPMC10966257
OpenAlexW4390449809

What OpenQuestion holds

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LicenceCC BY-NC
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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.