Evidence map›Paper›PMID 39431116›Full record

ArticleAmerican heart journal plus : cardiology research and practice2024

Overlap of frailty and malnutrition as prognosticators in older patients with heart failure.

Takuro Abe, Kentaro Jujo, Yudai Fujimoto, Daichi Maeda, Yuki Ogasahara, Kazuya Saito, Hiroshi Saito, Kentaro Iwata, Masaaki Konishi, Takeshi Kitai and 7 more

Abstract read
In one paragraph

Article in American heart journal plus : cardiology research and practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

17 authors.

Takuro AbeDepartment of Cardiology, Nishiarai Heart Center Hospital, Japan.
Kentaro JujoDepartment of Cardiology, Nishiarai Heart Center Hospital, Japan.
Yudai FujimotoDepartment of Cardiovascular Biology and Medicine, Juntendo University Graduate School of Medicine, Japan.
Daichi MaedaDepartment of Cardiovascular Biology and Medicine, Juntendo University Graduate School of Medicine, Japan.
Yuki OgasaharaDepartment of Nursing, The Sakakibara Heart Institute of Okayama, Japan.
Kazuya SaitoDepartment of Rehabilitation, The Sakakibara Heart Institute of Okayama, Japan.
Hiroshi SaitoDepartment of Rehabilitation, Kameda Medical Center, Japan.
Kentaro IwataDepartment of rehabilitation, Kobe City Medical Center General Hospital, Japan.
Masaaki KonishiDivision of Cardiology, Yokohama City University Medical Center, Japan.
Takeshi KitaiDepartment of Cardiovascular Medicine, Kobe City Medical Center General Hospital, Japan.
Takatoshi KasaiDepartment of Cardiovascular Biology and Medicine, Juntendo University Graduate School of Medicine, Japan.
Hiroshi WadaDepartment of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, Japan.
Shin-Ichi MomomuraSaitama Citizens Medical Center, Japan.
Nobuyuki KagiyamaDepartment of Cardiovascular Biology and Medicine, Juntendo University Graduate School of Medicine, Japan.
Kentaro KamiyaDepartment of Rehabilitation, Kitasato University School of Allied Health Sciences, Japan.
Emi MaekawaDepartment of Cardiovascular Medicine, Kitasato University School of Medicine, Japan.
Yuya MatsueDepartment of Cardiovascular Biology and Medicine, Juntendo University Graduate School of Medicine, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Physical frailty and malnutrition coexist in older patients with heart failure (HF) and form a vicious cycle exacerbating each other and can cause poor clinical outcomes. We aimed to clarify the association of prevalence of physical frailty and malnutrition and clinical outcomes in hospitalized patients with HF. Methods: A total of 862 hospitalized patients aged ≥65 years with HF decompensation were included in this FRAGILE-HF post-hoc sub-analysis. Patients were categorized into Neither, Either, or Both groups based on the prevalence of physical frailty and malnutrition. The primary outcome was all-cause mortality within 1 year after discharge. Prognoses among the groups were compared in the entire cohort and in subgroups with preserved ejection fraction (pEF) and reduced/mildly reduced left ventricular ejection fractions (rEF/mrEF). Results: The Neither, Either, and Both groups comprised 32 %, 40 %, and 28 % respectively. During a 1-year follow-up period, 101 (12 %) patients died. Kaplan-Meier analysis showed significant differences in the primary outcomes among the groups ( Conclusions: Physical frailty and malnutrition coexist in approximately one-quarter of hospitalized older patients with HF and are associated with an increased risk of mortality. Assessing both conditions is crucial for risk stratification and interventions to mitigate their interplay.

Indexed as

FrailtyHeart failureMalnutritionOlder patientsPhysical frailty

Identifiers

PMID39431116
PMCPMC11490671

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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.