Evidence mapPaperPMID 29912952Full record

ArticlePloS one2018

Effects of early diuretic response to carperitide in acute decompensated heart failure treatment: A single-center retrospective study.

Yoshitaka Okuhara, Masanori Asakura, Kohei Azuma, Yoshiyuki Orihara, Koichi Nishimura, Tomotaka Ando, Hideyuki Kondo, Yoshiro Naito, Kazunori Kashiwase, Shinichi Hirotani and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 45% of its field
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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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 at 1 institution in 1 country.

Yoshitaka OkuharaCardiovascular Division, Department of Internal Medicine, Hyogo College of Medicine, Hyogo, Japan.ORCID 0000-0003-4560-7132
Masanori AsakuraCardiovascular Division, Department of Internal Medicine, Hyogo College of Medicine, Hyogo, Japan.
Kohei AzumaCardiovascular Division, Department of Internal Medicine, Hyogo College of Medicine, Hyogo, Japan.
Yoshiyuki OriharaCardiovascular Division, Department of Internal Medicine, Hyogo College of Medicine, Hyogo, Japan.
Koichi NishimuraCardiovascular Division, Department of Internal Medicine, Hyogo College of Medicine, Hyogo, Japan.
Tomotaka AndoCardiovascular Division, Department of Internal Medicine, Hyogo College of Medicine, Hyogo, Japan.
Hideyuki KondoCardiovascular Division, Department of Internal Medicine, Hyogo College of Medicine, Hyogo, Japan.
Yoshiro NaitoCardiovascular Division, Department of Internal Medicine, Hyogo College of Medicine, Hyogo, Japan.
Kazunori KashiwaseCardiovascular Division, Department of Internal Medicine, Hyogo College of Medicine, Hyogo, Japan.
Shinichi HirotaniCardiovascular Division, Department of Internal Medicine, Hyogo College of Medicine, Hyogo, Japan.
Masaharu IshiharaCardiovascular Division, Department of Internal Medicine, Hyogo College of Medicine, Hyogo, Japan.
Tohru MasuyamaCardiovascular Division, Department of Internal Medicine, Hyogo College of Medicine, Hyogo, Japan.
Hyogo Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiuretic response is a strong predictor of outcome for admitted patients of acute decompensated heart failure (ADHF). However, little is known about the effects of early diuretic response to carperitide.

methodsWe retrospectively analyzed records of 85 patients hospitalized for ADHF who received carperitide as initial treatment and <40 mg furosemide during the early period. The eligible patients were divided into good diuretic responder (GR) group and poor diuretic responder (PR) group on the basis of median urinary volume.

resultsThe PR group demonstrated older age, lower body mass index (BMI), lower estimated glomerular filtration rate, and higher blood urea nitrogen (BUN) level, left ventricular ejection fraction, and β-blockers prescribed at baseline than the GR group. The incidence of worsening renal function (WRF) was significantly higher in the PR group than in the GR group. There was no correlation between early intravenous furosemide dose and urinary volume (Spearman correlation, ρ = 0.111, p = 0.312). Multivariate analysis showed that the statistically significant independent factors associated with poor diuretic response to carperitide were BMI (Odds ratio (OR) = 0.82, 95% confidence interval (CI) 0.68-0.94, p = 0.004) and BUN (OR = 1.07, 95%CI 1.01-1.15, p = 0.018). Kaplan-Meier analysis indicated a lower event-free rate in the PR group than in the GR group (log-rank, p = 0.007).

conclusionsBMI and BUN levels on admission were significant determinants of early poor diuretic response to carperitide. Early poor diuretic response to carperitide was associated with future poor outcomes.

Indexed as

PrognosisAgedAtrial Natriuretic FactorBlood Urea NitrogenBody Mass IndexDiureticsFemaleFurosemideGlomerular Filtration RateHeart FailureHumansKaplan-Meier EstimateKidneyKidney DiseasesMaleMiddle AgedAtrial Natriuretic FactorDiureticsFurosemideNPPA protein, human

Identifiers

PMID29912952
PMCPMC6005462
OpenAlexW2808775439

What Socratic holds

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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 Socratic graph.