Evidence mapPaperPMID 39558518Full record

Trial reportClinical cardiology2024

Outcomes of Bolus Dose Furosemide Versus Continuous Infusion in Patients With Acute Decompensated Left Ventricular Failure and Atrial Fibrillation.

Babar Khan, Darab Shuja, Burhan Ul Haq Saqib, Maria Liaquat, Jahanzeb Malik, Amna Ashraf, Ali Karim, Iftikhar Ahmed, Waheed Akhtar, Amin Mehmoodi

Abstract readRandomized Controlled TrialComparative StudyMulticenter Study
In one paragraph

Trial report in Clinical cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. 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

10 authors.

Babar KhanDepartment of Cardiology, Lady Reading Hospital, Peshawar, Pakistan.
Darab ShujaDepartment of Medicine, Services Hospital, Lahore, Pakistan.
Burhan Ul Haq SaqibDepartment of Cardiology, DHQ Hospital, Mirpur, Pakistan.
Maria LiaquatDepartment of Medicine, Benazir Bhutto Hospital, Rawalpindi, Pakistan.
Jahanzeb MalikDepartment of Cardiovascular Medicine, Cardiovascular Analytics Group, Islamabad, Pakistan.
Amna AshrafDepartment of Medicine, Military Hospital, Rawalpindi, Pakistan.
Ali KarimDepartment of Medicine, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan.
Iftikhar AhmedDepartment of Medicine, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan.
Waheed AkhtarDepartment of Cardiology, Abbas Institute of Medical Sciences, Muzaffrabad, Pakistan.
Amin MehmoodiDepartment of Medicine, Ibn e Seena Hospital, Kabul, Afghanistan.ORCID http://orcid.org/0000-0003-4968-3909

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

backgroundThis prospective, randomized trial aimed to compare the efficacy and safety of different intravenous diuretic regimens in acute decompensated heart failure (ADHF) patients.

methodsADHF patients were enrolled and randomized into three groups: continuous intravenous furosemide infusion (cIV), bolus furosemide injection (bI), and furosemide plus hypertonic saline solution (HSS). Clinical outcomes were assessed over 48 h.

resultsIn a study involving 1276 patients admitted for ADHF, three therapeutic regimens (T × 1, T × 2, and T × 3) were compared. T × 1 administered an 80 mg furosemide intravenous bolus infusion twice daily to 479 patients, while T × 2 involved a continuous 16-h infusion of 160 mg furosemide daily to 420 patients. T × 3 treated 377 patients with 160 mg furosemide combined with 150 mL of HSS containing 1.95% NaCl over 30 min. Yet, overall changes in renal markers such as BUN, Na, K, and serum creatinine did not differ significantly. Analysis of prespecified study endpoints revealed notable variations in hospitalization length among the treatment arms. T × 1 demonstrated a significantly shorter hospital stay (3.7 days) compared to T × 2 (6.6 days) and T × 3 (7.9 days). Conversely, alterations in serum creatinine at 48 h, overall changes in serum creatinine, body weight loss, and serum potassium levels did not significantly differ among the treatment groups.

conclusionWhile intravenous bolus of furosemide showed potential benefits in reducing hospitalization duration, limitations such as a small sample size and short-term observation emphasize the need for larger studies to validate these outcomes further.

Indexed as

Atrial FibrillationDiureticsFurosemideHeart FailureAcute DiseaseAgedAged, 80 and overFemaleHumansInfusions, IntravenousInjections, IntravenousMaleMiddle AgedProspective StudiesSaline Solution, HypertonicTime FactorsDiureticsFurosemideSaline Solution, Hypertonicacute decompensated heart failurediuretic regimensfurosemidehypertonic saline solutionrenal function

Identifiers

PMID39558518
PMCPMC11573718

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.