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Cited by 481

The DOI matches its Crossref record; 39 of the 39 references it cites were found in a registry or an index.

Lower Serum Sodium Is Associated With Increased Short-Term Mortality in Hospitalized Patients With Worsening Heart Failure: Results From the Outcomes of a Prospective Trial of Intravenous Milrinone for Exacerbations of Chronic Heart Failure (OPTIME-CHF) Study

Open access
Klein, Liviu, O’Connor, Christopher M., Leimberger, Jeffrey D., Gattis-Stough, Wendy, Piña, Ileana L., Felker, G. Michael, Adams, Kirkwood F., Califf, Robert M., Gheorghiade, Mihai·2005·Circulation

Abstract

Background— The prognostic value of serum sodium in patients hospitalized for worsening heart failure has not been well defined. Methods and Results— The Outcomes of a Prospective Trial of Intravenous Milrinone for Exacerbations of Chronic Heart Failure (OPTIME-CHF) study randomized 949 patients with systolic dysfunction hospitalized for worsening heart failure to receive 48 to 72 hours of intravenous milrinone or placebo in addition to standard therapy. In a retrospective analysis, we investigated the relationship between admission serum sodium and the primary end point of days hospitalized for cardiovascular causes within 60 days of randomization, as well as the secondary end points of in-hospital mortality, 60-day mortality, and 60-day mortality/rehospitalization. The number of days hospitalized for cardiovascular causes was higher in the lowest sodium quartile: 8.0 (4.5, 18.5) versus 6 (4, 13) versus 6 (4, 11.5) versus 6 (4, 12) days ( P <0.015 for comparison with the lowest quartile). Lower serum sodium was associated with higher in-hospital and 60-day mortality: 5.9% versus 1% versus 2.3% versus 2.3% ( P <0.015) and 15.9% versus 6.4% versus 7.8% versus 7% ( P =0.002), respectively. There was a trend toward higher mortality/rehospitalization for patients who were in the lowest sodium quartile. Multivariable-adjusted Cox proportional hazards analysis showed that serum sodium on admission, when modeled linearly, predicted increased 60-day mortality: sodium (per 3-mEq/L decrease) had a hazard ratio of 1.18 with a 95% CI of 1.03 to 1.36 ( P =0.018). Conclusions— In patients hospitalized for worsening heart failure, admission serum sodium is an independent predictor of increased number of days hospitalized for cardiovascular causes and increased mortality within 60 days of discharge.

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Crossref · 10.1161/01.cir.0000165065.82609.3d

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Metadata

Authors
Klein, L., O’Connor, C. M., Leimberger, J. D., Gattis-Stough, W., Piña, I. L., Felker, G. M., Adams, K. F., Califf, R. M., & Gheorghiade, M.
Venue
Circulation
Published
2005-05-17
Volume
111
Issue
19
Pages
2454-2460
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W1963764569
Cited by
481
References
39
FWCI
16.55
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Lower Serum Sodium Is Associated With Increased Short-Term Mortality in Hospitalized Patients With Worsening Heart Failure: Results From the Outcomes of a Prospective Trial of Intravenous Milrinone for Exacerbations of Chronic Heart Failure (OPTIME-CHF) Study. https://app.cochat.ai/papers/10.1161/01.cir.0000165065.82609.3d
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Klein, L., O’Connor, C. M., Leimberger, J. D., Gattis-Stough, W., Piña, I. L., Felker, G. M., Adams, K. F., Califf, R. M., & Gheorghiade, M. (2005). Lower Serum Sodium Is Associated With Increased Short-Term Mortality in Hospitalized Patients With Worsening Heart Failure: Results From the Outcomes of a Prospective Trial of Intravenous Milrinone for Exacerbations of Chronic Heart Failure (OPTIME-CHF) Study. Circulation. https://doi.org/10.1161/01.cir.0000165065.82609.3d

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.