Evidence map›Paper›PMID 41701806›Full record

ArticlePloS one2026

Predictors of 30-day hospitalization in patients with worsening heart failure receiving outpatient intravenous diuretics.

Willemijn A van Maarschalkerwaart, Eric Wierda, Dominique de Boer, Nini H Jonkman, Eric Boersma, Jasper J Brugts, Loek van Heerebeek

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Article in PloS one, 2026. 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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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Willemijn A van MaarschalkerwaartDepartment of Cardiology, OLVG, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0002-1351-7178
Eric WierdaDepartment of Cardiology, Dijklander Ziekenhuis, Hoorn, The Netherlands.
Dominique de BoerDepartment of Cardiology, Dijklander Ziekenhuis, Hoorn, The Netherlands.
Nini H JonkmanDepartment of Research and Epidemiology, OLVG, Amsterdam, The Netherlands.
Eric BoersmaDepartment of Cardiology, Thorax Center, Cardiovascular Institute, Erasmus MC, Rotterdam, The Netherlands.
Jasper J BrugtsDepartment of Cardiology, Thorax Center, Cardiovascular Institute, Erasmus MC, Rotterdam, The Netherlands.
Loek van HeerebeekDepartment of Cardiology, OLVG, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOutpatient intravenous (IV) diuretic treatment is an effective and safe strategy for worsening heart failure (WHF). Still, hospitalization cannot be avoided in a substantial portion of patients and potential predictors of HF hospitalization (HFH) are eagerly awaited.

aimWe aimed to identify predictors of HFH after outpatient IV diuretic treatment for WHF, in order to improve the selection of patients who qualify for successful outpatient IV diuretic treatment. METHODS AND

resultsWe studied WHF patients receiving intravenous diuretics in an outpatient day-care setting in one of two Dutch hospitals. A total of 366 patients from hospital A were used to identify predictors of 30-day HF (re-)hospitalization (HFH), which occurred in 88 (24.0%). Mean age was 76 years, 57% were male and 49% had ejection fraction below 40%. Age, eGFR, NT-proBNP, sodium, and haemoglobin were identified as predictors of HFH. The multivariable logistic regression model containing these factors had acceptable calibration and discrimination (AUC 0.73). The performance of the model was less favorable in the 127 patients from hospital B (29 patients with 30-day HFH), with AUC 0.65 and suboptimal calibration, indicating overestimation of risk. Doubling of NT-proBNP plasma levels and higher ambulatory oral loop diuretic dosages were strong predictors of mortality and HFH at 6 months in hospital A.

conclusionIn patients with WHF receiving outpatient day-care intravenous diuretic treatment, age, eGFR, NT-proBNP, sodium and haemoglobin predicted 30-day HFH. These factors may guide decisions on day-care treatment versus hospitalization, but require further validation Fig 2.

Indexed as

DiureticsHeart FailureHospitalizationAdministration, IntravenousAgedAged, 80 and overAmbulatory CareFemaleHumansMaleNatriuretic Peptide, BrainOutpatientsPeptide FragmentsDiureticsNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)

Identifiers

PMID41701806
PMCPMC12912686

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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.