Evidence map›Paper›PMID 40020125›Full record

Observational studyMedicine2025

The impact of the moon cycles' in different seasons on heart failure patients' hospitalization and length of stay.

Bashar Khiatah, Sam Jazayeri, Brian Diep, Naofumi Yamamoto, Anna Belikova, Graal Diaz, Amanda Frugoli, Craig Mansour

Abstract readObservational Study
In one paragraph

Observational study in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing 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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Bashar KhiatahDepartment of Internal Medicine, Overlake Medical Center, Bellevue, WA.ORCID 0000-0002-6870-8094
Sam JazayeriDepartment of Research and Statistics, Community Memorial Hospital, Ventura, CA.
Brian DiepDepartment of Research and Statistics, Community Memorial Hospital, Ventura, CA.
Naofumi YamamotoDepartment of Research and Statistics, Community Memorial Hospital, Ventura, CA.
Anna BelikovaDepartment of Research and Statistics, Community Memorial Hospital, Ventura, CA.
Graal DiazDepartment of Research and Statistics, Community Memorial Hospital, Ventura, CA.
Amanda FrugoliDepartment of Research and Statistics, Community Memorial Hospital, Ventura, CA.
Craig MansourDepartment of Interventional Cardiology, Cardiology Associates Medical Group, Ventura, CA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The natural forces of the lunar cycle and seasonal solstice variation on the water surfaces have been studied extensively but not on patients with fluid problems such as heart failure (HF). This retrospective review investigates these temporal effects on admission rates of patients with heart failure and length of stay. In this study, we try to answer the following questions: Do moon cycles (full moon vs new moon) significantly affect the number of patients admitted? and Do moon cycles significantly affect the patient's hospital length of stay (LOS?). All patients with HF exacerbation admission between January 1, 2016 to December 31, 2019, were filtered according to admission date based on the lunar calendar. Patients admitted on the day of, the day before, and the day after a new and full moon were included. Question 1, Poisson regression models were employed. The overdispersion obtained from the AER package was 1.63. All analyses were performed using R (R Core Team). A total of 758 patients were admitted during lunar cycles, 50.1% (N = 380) were admitted during the new moon and 49.4% (N = 378) during the full moon. The mean age is 78.4 (SD 7.2), the mean BMI is 28.8 (SD 6.7), and the mean LOS is 5.6 (SD 3.4) with no significant differences in patients admitted during both of the moon cycles. The seasons variable showed statistically significant coefficients, with the summer season (S2) having the highest impact (coefficient 0.85, P = .001). Some interaction between Moon-Cycle, summer season, and BMI influenced patient admissions during lunar cycles (coefficient = 0.49 P ≤ .001). This study showed that the moon cycle may impact patients with HF during the summer season only. Prospective studies are needed on a national level to investigate further the impact of the moon cycle on HF patients. This will help improve patient outcomes and pathogenesis, and there is excellent potential for reducing medical costs.

Indexed as

Heart FailureHospitalizationLength of StayMoonSeasonsAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective Studies

Identifiers

PMID40020125
PMCPMC11875564

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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.