What question did this study set out to answer?

The aim is to assess if estimated glucose disposal rate (eGDR) can predict rehospitalization and death in elderly patients with acute decompensated heart failure (ADHF).

January 10, 2026Heart and Vessels0 citationsOpen Access

Estimated glucose disposal rate (eGDR) predicts rehospitalization & death in acute decompensated heart failure in the elderly

Q: What does this research mean for the field?

A low estimated glucose disposal rate (eGDR) is associated with a higher risk of rehospitalization and death within 90 days in elderly patients with acute decompensated heart failure. Novelty: ClaimNovelty.NOVEL_FINDING. Consensus alignment: ConsensusAlignment.NEUTRAL.

WZWenliang ZhaiCapital Medical University MHMingyi He CWChunyuan WangCapital Medical University

Key Result

A low estimated glucose disposal rate (eGDR) was associated with a higher risk of rehospitalization and death within 90 days in elderly patients with acute decompensated heart failure.

Key Points

The aim is to assess if estimated glucose disposal rate (eGDR) can predict rehospitalization and death in elderly patients with acute decompensated heart failure (ADHF).
Analyzed elderly patients with acute decompensated heart failure.
Evaluated the relationship between eGDR levels and short-term outcomes.
Measured rehospitalization rates and mortality within 90 days.
Low eGDR is significantly associated with increased risk of rehospitalization.
Patients with low eGDR had higher mortality rates within 90 days.

Structured PICO

Does a low estimated glucose disposal rate (eGDR) predict emergency rehospitalization or death in elderly patients with acute decompensated heart failure?

Population

117 elderly patients with acute decompensated heart failure (ADHF) admitted from the emergency department, mean age 76.4, 53.0% male. Key inclusion: hospitalization due to acute heart failure or acute exacerbation of chronic heart failure. Key exclusion: incomplete clinical data, concomitant severe hepatic or renal dysfunction.

Intervention

Low estimated glucose disposal rate (eGDR < 5.31)

Comparator

High estimated glucose disposal rate (eGDR ≥ 5.31)

Outcome

Composite of emergency rehospitalization or all-cause death within 90 days after dischargecomposite

A low estimated glucose disposal rate (eGDR < 5.31) is a strong, independent predictor of 90-day rehospitalization and mortality in elderly patients with acute decompensated heart failure.

Main Result

Absolute Event Rate: 0% vs 0%

Abstract

eGDR is an independent predictor of poor short-term prognosis in elderly patients with ADHF: a low eGDR was associated with a higher risk of rehospitalization and death within 90 days.

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