Evidence map›Paper›PMID 39238285›Full record

ArticleESC heart failure2025

Real world experience in effect of torsemide vs. furosemide after discharge in patients with HFpEF.

Xiao Li, Jinping Si, Ying Liu, Danyan Xu

Abstract readComparative Study
In one paragraph

Article in ESC heart failure, 2025. 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. Review
  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

4 authors.

Xiao LiDepartment of Cardiology, The Second Xiangya Hospital, Central South University, Changsha, China.
Jinping SiDepartment of Cardiology, First Affiliated Hospital of Dalian Medical University, Dalian, China.
Ying LiuDepartment of Cardiology, First Affiliated Hospital of Dalian Medical University, Dalian, China.
Danyan XuDepartment of Cardiology, The Second Xiangya Hospital, Central South University, Changsha, China.ORCID https://orcid.org/0000-0003-2113-0800

Funding

National Natural Science Foundation of China 81871858National Natural Science Foundation of China 82172550
6 · The paper itself

Abstract

aimsFew studies have focused on the effect of torsemide versus furosemide after discharge on prognosis in patients with heart failure with preserved ejection fraction (HFpEF). This single-centre retrospective real-world study was conducted to evaluate the effect of torsemide versus furosemide after discharge on all-cause mortality and rehospitalization for heart failure in patients with HFpEF.

methodsConsecutive patients who were diagnosis with HFpEF after discharge between January 2015 and April 2018 at the First Affiliated Hospital of Dalian Medical University and who had been treated with torsemide or furosemide were included in this study. The primary outcome was all-cause mortality. The second outcome was rehospitalization for heart failure.

resultsA total of 445 patients (mean age 68.56 ± 8.07, female 55%) were divided into the torsemide group (N = 258) or furosemide group (N = 187) based on the treatment course at discharge from the hospital. During a mean follow-up of 87.67 ± 11.15 months, death occurred in 68 of 258 patients (26.36%) in the torsemide group and 60 of 187 patients (30.09%) in the furosemide group [hazard ratio (HR) 0.81, 95% confidence interval (CI) 0.57-1.15, P = 0.239]. Rehospitalization for heart failure occurred in 111 of 258 patients (43.02%) in the torsemide groups and 110 of 187 patients (58.82%) in the furosemide group (HR 0.64, 95% CI 0.49-0.85, P = 0.002).

conclusionsCompared with furosemide, torsemide did not significantly reduce all-cause mortality, but there was association between torsemide and reduced rehospitalization for heart failure in patients with HFpEF.

Indexed as

FurosemideHeart FailurePatient DischargeStroke VolumeTorsemideAgedCause of DeathDiureticsFemaleFollow-Up StudiesHumansMaleMiddle AgedPatient ReadmissionPrognosisRetrospective StudiesDiureticsFurosemideSodium Potassium Chloride Symporter InhibitorsTorsemidefurosemideheart failureloop diureticspreserved ejection fractiontorsemide

Identifiers

PMID39238285
PMCPMC11769599

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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.