ArticleCureus2025
Implications of a Self-Care Management Tool on Cardiovascular Events in Heart Failure Patients Within Six Months in a Regional City Hospital of Japan.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Patients with heart failure (HF) often face the need to maintain stable symptoms after discharge. Self-care management, including symptom monitoring, is recommended; however, because of factors such as population aging, these self-care behaviors are difficult to maintain for some patients, and the re-hospitalization rate remains high in Japanese registries. Objective In this retrospective cohort study, we aimed to verify whether the use of a self-care management tool among hospitalized patients with HF in a regional city hospital contributes to the reduction of cardiovascular events within a period of six months. Methods We retrospectively analyzed 117 patients hospitalized and treated for HF in Japan between December 2020 and November 2022. Patients admitted by November 2021 were assigned to the non-intervention group, while those admitted after this date and eligible to use the tool were assigned to the intervention group. The incidence of readmission owing to cardiovascular events within six months after discharge was analyzed. Results The Gray test, with unexpected readmissions and deaths due to causes other than cardiovascular events as competing risks, indicated that the intervention of using the self-care management tool reduced cardiovascular events (p=0.045). Even after adjusting for the Meta-analysis Global Group in Chronic Heart Failure (MAGGIC) score, the logarithm of B-type natriuretic peptide, and the use of sodium-glucose cotransporter 2 inhibitors, the effect of intervention with the self-care management tool remained significant (hazard ratio: 0.33; 95% confidence interval: 0.15-0.74, p<0.01). Conclusions The use of a self-care management tool for patients with HF was associated with a reduction in cardiovascular events.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.