Evidence map›Paper›PMID 40956424›Full record

ArticleHeart and vessels2026

Association between discharge destination and medium-term mortality in patients with chronic limb-threatening ischemia after endovascular therapy: results of the DENEB study.

Naoki Yoshioka, Takahiro Tokuda, Akiko Tanaka, Shunsuke Kojima, Kohei Yamaguchi, Takashi Yanagiuchi, Kenji Ogata, Tatsuro Takei, Yasuhiro Morita, Tatsuya Nakama and 2 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Heart and vessels, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

12 authors.

Naoki YoshiokaDepartment of Cardiology, Ogaki Municipal Hospital, 4-86 Minaminokawa-cho Ogaki, Gifu, Japan. naoyoshimed5@gmail.com.ORCID http://orcid.org/0000-0002-3619-3794
Takahiro TokudaDepartment of Cardiology, Nagoya Heart Center, Nagoya, Japan.
Akiko TanakaDepartment of Cardiology, Sendai Kousei Hospital, Sendai, Japan.
Shunsuke KojimaDepartment of Cardiology, Tokyo Bay Medical Center, Urayasu, Japan.
Kohei YamaguchiDepartment of Cardiology, Saiseikai Yokohama City Eastern Hospital, Yokohama, Japan.
Takashi YanagiuchiDepartment of Cardiology, Rakuwakai Otowa Hospital, Kyoto, Japan.
Kenji OgataDepartment of Cardiology, Miyazaki Medical Association Hospital, Miyazaki, Japan.
Tatsuro TakeiDepartment of Cardiology, Tenyoukai Central Hospital, Kagoshima, Japan.
Yasuhiro MoritaDepartment of Cardiology, Ogaki Municipal Hospital, 4-86 Minaminokawa-cho Ogaki, Gifu, Japan.
Tatsuya NakamaDepartment of Cardiology, Tokyo Bay Medical Center, Urayasu, Japan.
Itsuro MorishimaDepartment of Cardiology, Ogaki Municipal Hospital, 4-86 Minaminokawa-cho Ogaki, Gifu, Japan.
LEADers PAD investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Owing to the aging population, patients are increasingly undergoing endovascular therapy (EVT) for chronic limb-threatening ischemia (CLTI). CLTI onset causes patients to become increasingly frail and less able to perform daily activities, preventing their discharge home. However, the association of discharge destination with clinical backgrounds and outcomes in these patients has not been fully evaluated. In this study, data from 606 patients with CLTI who underwent EVT between March 2021 and December 2023 and survived to discharge were obtained from a multicenter registry (mean age, 74.5 years; 61.4% men). Non-home discharge was defined as transfer to another hospital or nursing home. Logistic regression analysis was used to identify independent predictors of non-home discharge. Mortality rates within two years of discharge were compared between the home and non-home discharge groups. Of the 606 patients, 108 underwent non-home discharge. Multivariate analysis identified mild frailty (odds ratio [OR] 2.32, 95% confidence interval [CI] 1.34-4.02, p = 0.003), advanced frailty (OR 3.50, 95% CI 1.95-6.28, p < 0.001), a Hemoglobin level < 11 g/dL (OR 1.87, 95% CI 1.15-3.02, p = 0.011), and a Wound, Ischemia, and Foot Infection grade 4 (OR 7.27, 95% CI 2.16-24.46, p = 0.001) as significant predictors of non-home discharge. During the two-year follow-up period, 161 patients died. Cumulative all-cause mortality was significantly higher in the non-home discharge group than in the home discharge group (58.6% vs. 33.7%; log-rank p < 0.001). The findings of this study reveal that non-home discharge occurred in one-sixth of patients with CLTI undergoing EVT, and was linked to a more severe clinical status and worse prognosis than home discharge.

Indexed as

Chronic Limb-Threatening IschemiaEndovascular ProceduresIschemiaPatient DischargePeripheral Arterial DiseaseRegistriesAgedAged, 80 and overFemaleFollow-Up StudiesHumansJapanMaleRetrospective StudiesRisk AssessmentRisk FactorsChronic limb-threatening ischemiaDischarge destinationEndovascular therapyMortality

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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.