Heart failure & cardiomyopathies

Evaluating the Role of Lower Extremity Elastic Bandage in Patients with Acute Decompensated Heart Failure

Eur J Heart FailPublished

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

Outcomemean difference (mg per 40 mg furosemide equivalent) (95% CI)P value
Average daily loop diuretic dosage · decreased when EB was applied1.19 (0.22–2.2)P = 0.016

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