Evidence map›Paper›PMID 30354562›Full record

Trial reportCirculation. Heart failure2018

Home-Delivered Meals Postdischarge From Heart Failure Hospitalization.

Scott L Hummel, Wahida Karmally, Brenda W Gillespie, Stephen Helmke, Sergio Teruya, Joanna Wells, Erika Trumble, Omar Jimenez, Cara Marolt, Jeffrey D Wessler and 2 more

Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Circulation. Heart failure, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02148679 (Effects of Home-delivered Low-sodium Meals in Older Adults Following Heart Failure Hospitalization.), which is not on this map. Cited by 85 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 3 pooled it
7.5field-weighted citation impact, top 2% 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.

NCT02148679 nacompletednot on this map

Effects of Home-delivered Low-sodium Meals in Older Adults Following Heart Failure Hospitalization.

TypeinterventionalSponsorUniversity of MichiganRan2014 to 2017Enrolled107ConditionsHeart FailureArmsDASH/SRD, Usual care
3 · Its place in the literature

Who cites it

85 citing papers in PubMed, 3 syntheses or guidelines pooled it, 150 citations in OpenAlex.

  1. Pooled it
  2. Role of dietary sodium restriction in chronic heart failure: systematic review and meta-analysis.Clinical research in cardiology : official journal of the German Cardiac Society · 2024
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  13. Contemporary clinical trials communications · 2026
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25 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 3 countries.

Scott L HummelUniversity of Michigan Frankel Cardiovascular Center, Ann Arbor (S.L.H., B.W.G., J.W., C.M., M.C.).
Wahida KarmallyAnn Arbor Veterans Affairs Health System, MI (S.L.H., E.T.).
Brenda W GillespieUniversity of Michigan Frankel Cardiovascular Center, Ann Arbor (S.L.H., B.W.G., J.W., C.M., M.C.).
Stephen HelmkeColumbia University, New York, NY (W.K.).
Sergio TeruyaColumbia University, New York, NY (W.K.).
Joanna WellsUniversity of Michigan Frankel Cardiovascular Center, Ann Arbor (S.L.H., B.W.G., J.W., C.M., M.C.).
Erika TrumbleAnn Arbor Veterans Affairs Health System, MI (S.L.H., E.T.).
Omar JimenezColumbia University, New York, NY (W.K.).
Cara MaroltUniversity of Michigan Frankel Cardiovascular Center, Ann Arbor (S.L.H., B.W.G., J.W., C.M., M.C.).
Jeffrey D WesslerColumbia University, New York, NY (W.K.).
Maria L CornellierUniversity of Michigan Frankel Cardiovascular Center, Ann Arbor (S.L.H., B.W.G., J.W., C.M., M.C.).
Mathew S MaurerColumbia University, New York, NY (W.K.).
Columbia University · USVA Ann Arbor Healthcare System · USColumbia University Irving Medical Center · USCornell University · USG. H. Gillespie Associates (United States) · USMichigan United · USMultichannel (China) · CN

Funding

Research Education CoreP30AG024824 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Lona Mody, RAYMOND L YUNG · 2004 to 2026
$29.2M
Midcareer Mentoring Award for Patient Oriented Research in Geriatric CardiologyK24AG036778 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MAURER, MATHEW S · 2010 to 2020
$1.6M
DASH-SRD Post Acute Decompensated Heart Failure HospitalizationR21AG047939 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HUMMEL, SCOTT L, MAURER, MATHEW S · 2014 to 2015
$418k
Dietary Prevention of Heart Failure in Hypertensive Metabolic SyndromeI01CX001636 · VA · VETERANS HEALTH ADMINISTRATION · PI HUMMEL, SCOTT L · 2018 to 2024
–
CSRD VA I01 CX001636NIA NIH HHS K24 AG036778NIA NIH HHS P30 AG024824NIA NIH HHS R21 AG047939
6 · The paper itself

Abstract

Background In patients with heart failure (HF), malnutrition and dietary sodium excess are common and may worsen outcomes. No prior studies have provided low-sodium, nutritionally complete meals following HF hospitalization. Methods and Results The GOURMET-HF study (Geriatric Out-of-Hospital Randomized Meal Trial in Heart Failure) randomized patients discharged from HF hospitalization to 4 weeks of home-delivered sodium-restricted Dietary Approaches to Stop Hypertension meals (DASH/SRD; 1500 mg sodium/d) versus usual care. The primary outcome was the between-group change in the Kansas City Cardiomyopathy Questionnaire summary score from discharge to 4 weeks postdischarge. Additional outcomes included changes in the Kansas City Cardiomyopathy Questionnaire clinical summary score and cardiac biomarkers. All patients were followed 12 weeks for death/all-cause readmission and potential diet-related adverse events (symptomatic hypotension, hyperkalemia, acute kidney injury). Sixty-six patients were randomized 1:1 at discharge to DASH/SRD versus usual care (age, 71±8 years; 30% female; ejection fraction, 39±18%). The Kansas City Cardiomyopathy Questionnaire summary score increased similarly between groups (DASH/SRD 46±23-59±20 versus usual care 43±19-53±24; P=0.38), but the Kansas City Cardiomyopathy Questionnaire clinical summary score increase tended to be greater in DASH/SRD participants (47±22-65±19 versus 45±20-55±26; P=0.053). Potentially diet-related adverse events were uncommon; 30-day HF readmissions (11% versus 27%; P=0.06) and days rehospitalized within that timeframe (17 versus 55; P=0.055) trended lower in DASH/SRD participants. Conclusions Home-delivered DASH/SRD after HF hospitalization appeared safe in selected patients and had directionally favorable effects on HF clinical status and 30-day readmissions. Larger studies are warranted to clarify the effects of postdischarge nutritional support in patients with HF. Clinical Trial Registration URL: https://www.clinicaltrials.gov . Unique identifier: NCT02148679.

Indexed as

Dietary Approaches To Stop HypertensionDiet, Sodium-RestrictedFood ServicesMealsPatient DischargeAgedAge FactorsCardiac RehabilitationFemaleGeriatric AssessmentHeart FailureHumansMaleMalnutritionMichiganNew York Citydietheart failurehospitalizationmalnutritionsodium

Identifiers

PMID30354562
PMCPMC6205816
OpenAlexW2887512077

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

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 Socratic graph.