Evidence map›Paper›PMID 39589226›Full record

ArticleJournal of veterinary internal medicine

Frequency and progression of azotemia during acute and chronic treatment of congestive heart failure in cats.

Sarah Rogg, Jonathan P Mochel, Debosmita Kundu, Melissa A Tropf, Allison K Masters, Darcy B Adin, Jessica L Ward

Abstract read
In one paragraph

Article in Journal of veterinary internal medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Feline comorbidities: cardiovascular and kidney diseases.Journal of feline medicine and surgery · 2026
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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

7 authors.

Sarah RoggDepartment of Veterinary Clinical Sciences, College of Veterinary Medicine, Iowa State University, Ames, Iowa, USA.
Jonathan P MochelSMART Pharmacology, Precision One Health Initiative, Department of Veterinary Pathology, University of Georgia, Athens, Georgia, USA.
Debosmita KunduDepartment of Statistics, Iowa State University, Ames, Iowa, USA.ORCID https://orcid.org/0009-0007-0741-968X
Melissa A TropfDepartment of Veterinary Clinical Sciences, College of Veterinary Medicine, Iowa State University, Ames, Iowa, USA.ORCID https://orcid.org/0000-0002-5264-4903
Allison K MastersDepartment of Veterinary Clinical Sciences, University of Minnesota, Saint Paul, Minnesota, USA.
Darcy B AdinDepartment of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.ORCID https://orcid.org/0000-0003-0972-0365
Jessica L WardDepartment of Veterinary Clinical Sciences, College of Veterinary Medicine, Iowa State University, Ames, Iowa, USA.ORCID https://orcid.org/0000-0002-9153-7916

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAzotemia is common in cats with congestive heart failure (CHF) and might be exacerbated by diuretic therapy. HYPOTHESIS/

objectivesDetermine frequency, risk factors, and survival impact of progressive azotemia in cats treated for CHF. ANIMALS: One hundred and sixteen client-owned cats with kidney function testing performed at least twice during acute or chronic CHF treatment.

methodsSerum creatinine (sCr) and electrolyte concentrations were determined at multiple clinical timepoints to detect azotemia and kidney injury (KI; sCr increase ≥0.3 mg/dL). Furosemide dosage between timepoints was calculated. Multivariable modeling was performed to identify predictors of KI, change in serum biochemistry results, and survival.

resultsAzotemia was common at all timepoints, including initial CHF diagnosis (44%). Kidney injury was documented in 66% of cats. Use of a furosemide continuous rate infusion was associated with increased risk of KI during hospitalization (odds ratio, 141.6; 95% confidence interval [CI], 12.1-6233; P = .01). Higher furosemide dosage was associated with increase in sCr during hospitalization (P = .03) and at first reevaluation (P = .01). Treatment with an angiotensin converting enzyme inhibitor was associated with fewer lifetime KI events (P = .02). Age in years was the only variable associated with shorter survival (hazard ratio, 1.1; 95% CI, 1.0-1.1; P = .03). Neither sCr nor KI were associated with long-term outcome. CONCLUSIONS AND CLINICAL IMPORTANCE: Azotemia and KI were common in cats during CHF treatment but did not impact survival.

Indexed as

AzotemiaCat DiseasesDiureticsFurosemideHeart FailureAnimalsCatsCreatinineDisease ProgressionFemaleMaleRisk FactorsCreatinineDiureticsFurosemideacute renal failurecardiorenal syndromecardiovascularloop diureticsrenal function

Identifiers

PMID39589226
PMCPMC11638122

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.