Heart failure & cardiomyopathies
Evaluating the Role of Lower Extremity Elastic Bandage in Patients with Acute Decompensated Heart Failure
Main finding · Diuretic efficiency before and after applying EBResult — go to the resultMean difference 340 mL per 40-mg furosemide equivalent 95% CI −554 to −125- Historical cohort study
Authors' conclusion
EB use enhances diuretic efficacy during ADHF. Further studies are needed to determine the potential clinical benefits and risks of applying EB compression treatment in ADHF.
Study context
- Population
- Adult cardiac ICU admissions with acute decompensation of heart failure (ADHF) who used elastic bandages (EB) at Mayo Clinic in Minnesota from 2007 to 2017patients with heart failure who received elastic bandages
- Participants
- 176 admissions
- Exposure
- The diuretic efficiency before and after applying EB
- Outcome
- Diuretic efficiency before and after applying EB
Main finding
Diuretic efficiency before and after applying EB
Mean difference
340 mL per 40-mg furosemide equivalent
95% CI −554 to −125
P = 0.002
By group
post-EB
1,355
average · IQR 1,119–1,590 · mL per 40-mg furosemide
As reported in the abstract
Observational data: associations, not effects.
Further findings
| Outcome | mean difference (mg per 40 mg furosemide equivalent) (95% CI) | P value | |
|---|---|---|---|
| Average daily loop diuretic dosage · decreased when EB was applied | 1.19 (0.22–2.2) | P = 0.016 | |
| −10123Difference, mg per 40 mg furosemide equivalent (linear scale) |
Average daily urine output · not different
(95% CI −455 to 154) · P = 0.33
In-hospital mortality, median hospital length of stay, 30-day hospital readmission
- In-hospital mortality rate
- 9.7%
- Median hospital length of stay
- 11.4 days (IQR 7.1-19.0)
- 30-day hospital readmission
- 11%
Original publication
Evaluating the Role of Lower Extremity Elastic Bandage in Patients with Acute Decompensated Heart Failure. Eur J Heart Fail. Published 14 October 2026. doi:10. 1093/ ejhf/ xuag322
Summarised from the published abstract; every number is checked against it