Evidence map›Paper›PMID 39747927›Full record

ArticleScientific reports2025

Association of pre-exiting heart failure with long-term mortality and the recurrence of sepsis.

Jin-Wen Zhu, Xiu-Ping Hu, Jun Jin, Bai Xu, Run Zhang, Sen Ye, Fang-Xiao Gong, Jun Hong, Qian Li, Xiang-Hong Yang and 1 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

11 authors.

Jin-Wen Zhu *Intensive Care Unit, Zhejiang Provincial People's Hospital of Hangzhou Medical College, Shangtang Road 158, Hangzhou, 310014, People's Republic of China.
Xiu-Ping Hu *Intensive Care Unit, Zhejiang Provincial People's Hospital of Hangzhou Medical College, Shangtang Road 158, Hangzhou, 310014, People's Republic of China. huxiuping@hmc.edu.cn.
Jun JinIntensive Care Unit, Zhejiang Provincial People's Hospital of Hangzhou Medical College, Shangtang Road 158, Hangzhou, 310014, People's Republic of China.
Bai XuIntensive Care Unit, Zhejiang Provincial People's Hospital of Hangzhou Medical College, Shangtang Road 158, Hangzhou, 310014, People's Republic of China.
Run ZhangIntensive Care Unit, Zhejiang Provincial People's Hospital of Hangzhou Medical College, Shangtang Road 158, Hangzhou, 310014, People's Republic of China.
Sen YeIntensive Care Unit, Zhejiang Provincial People's Hospital of Hangzhou Medical College, Shangtang Road 158, Hangzhou, 310014, People's Republic of China.
Fang-Xiao GongIntensive Care Unit, Zhejiang Provincial People's Hospital of Hangzhou Medical College, Shangtang Road 158, Hangzhou, 310014, People's Republic of China.
Jun HongIntensive Care Unit, Zhejiang Provincial People's Hospital of Hangzhou Medical College, Shangtang Road 158, Hangzhou, 310014, People's Republic of China.
Qian LiEmergency and Critical Care Center, Department of Emergency Medicine, Zhejiang Provincial People's Hospital of Hangzhou Medical College, Shangtang Road 158, Hangzhou, People's Republic of China.
Xiang-Hong YangIntensive Care Unit, Zhejiang Provincial People's Hospital of Hangzhou Medical College, Shangtang Road 158, Hangzhou, 310014, People's Republic of China.
Ren-Hua SunIntensive Care Unit, Zhejiang Provincial People's Hospital of Hangzhou Medical College, Shangtang Road 158, Hangzhou, 310014, People's Republic of China.

Funding

Health Commission of Zhejiang Province 2022489257
6 · The paper itself

Abstract

This retrospective cohort study aimed to evaluate the association between pre-existing heart failure and both mortality and the recurrence of sepsis. A total of 16,092 sepsis patients without a history of heart failure and 841 sepsis patients with pre-existing heart failure were identified from the Medical Information Mart for Intensive Care version IV (MIMIC-IV ) database. All patients were adults admitted to intensive care units, and no specific interventions were applied. After matching, Kaplan-Meier survival analysis showed significantly poorer long-term survival rates in patients with heart failure, both in the original (p < 0.0001) and the matched cohort (p = 0.00059). Mortality rates were tracked over different time periods, revealing that the mortality disparity became evident after the first year (p = 0.029). Besides, the cumulative incidence of sepsis recurrence was substantially higher in patients with a history of heart failure (p < 0.001) when deaths without recurrence were treated as competing events. Moreover, there was no statistically significant difference observed in the deaths without recurrence between the two groups (p = 0.251). In conclusion, pre-existing heart failure is associated with an increased risk of long-term mortality, which may be partly explained by a higher incidence of recurrent sepsis in this population.

Indexed as

Heart FailureRecurrenceSepsisAgedAged, 80 and overFemaleHumansIntensive Care UnitsKaplan-Meier EstimateMaleMiddle AgedRetrospective StudiesRisk FactorsSurvival RateHeart failureMortalityRecurrenceRisk factorSepsis

Identifiers

PMID39747927
PMCPMC11696886

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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.