ArticleCirculation reports2026
Development and Internal Validation of D-DASH: A Prediction Model for Eating Difficulty at Discharge in Acute Heart Failure.
Article in Circulation reports, 2026. 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: Eating difficulty is an important complication in patients with acute heart failure (AHF), but no AHF-specific tool has been established for the early prediction of eating difficulty. We aimed to develop and internally validate the Development of eating Difficulty Assessment Score in acute Heart failure (D-DASH) using variables available during early hospitalization. Methods and Results: This single-center retrospective observational study included 644 patients hospitalized for AHF who had no eating difficulty before admission. The outcome was eating difficulty at discharge, defined as a Food Intake LEVEL Scale ≤8. A multivariable logistic regression model was constructed using age, dementia, New York Heart Association class IV, albumin, and maximal tongue pressure. Eating difficulty at discharge occurred in 110 (17.1%) patients. Older age (odds ratio [OR] 1.04; 95% confidence interval [CI] 1.01-1.07), dementia (OR 2.66; 95% CI 1.44-4.85), lower albumin (OR 0.59; 95% CI 0.39-0.89), and lower maximal tongue pressure (OR 0.94; 95% CI 0.90-0.98) were independently associated with eating difficulty at discharge. The model showed moderate discrimination (area under the curve 0.749; 95% CI 0.700-0.797) with acceptable calibration. Bootstrap internal validation demonstrated an optimism-corrected C-index of 0.739 and a calibration slope of 0.940. Conclusions: This study developed a predictive scoring system to identify patients with AHF at risk of eating difficulty, enabling timely intervention to mitigate this risk.
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.