{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T20:41:16Z","timestamp":1775594476741,"version":"3.50.1"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T00:00:00Z","timestamp":1768780800000},"content-version":"vor","delay-in-days":2644,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2018,10,24]],"date-time":"2018-10-24T00:00:00Z","timestamp":1540339200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Australian Heart Foundation","award":["FLF 100847"],"award-info":[{"award-number":["FLF 100847"]}]},{"name":"Australian Heart Foundation Future Leader Fellowship","award":["2015 FLF 100847"],"award-info":[{"award-number":["2015 FLF 100847"]}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["5R01HL83176-5"],"award-info":[{"award-number":["5R01HL83176-5"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1KL2TR001870-01"],"award-info":[{"award-number":["1KL2TR001870-01"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000056","name":"NINR","doi-asserted-by":"publisher","award":["5R01HL83176-5"],"award-info":[{"award-number":["5R01HL83176-5"]}],"id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"NHLBI","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["5R01HL83176\u20105"],"award-info":[{"award-number":["5R01HL83176\u20105"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1KL2TR001870\u201001"],"award-info":[{"award-number":["1KL2TR001870\u201001"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"publisher","award":["5R01HL83176\u20105"],"award-info":[{"award-number":["5R01HL83176\u20105"]}],"id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Heart failure (HF) patients are taught to identify a rapid 5 lb body-weight gain for early detection of cardiac decompensation. Few data support this common advice. The study aim was to determine whether a 5 lb weight gain in 1 week and signs and symptoms of HF increased risk for unplanned physician or emergency department (ED) visits or hospital admission in rural HF patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>This was a secondary analysis of a randomized trial. Patients tracked body weight and HF symptoms using diaries. We included patients adherent to daily diaries &amp;gt;50% over 24 months (N = 119). Mean age was 69 \u00b1 11 years; 77% (65) were male, and 67% completed diaries. A weight gain of 5 lb over 7 days was associated with a greater risk for ED visits but not hospital admission [hazard ratio (HR) 1.06, 95% confidence interval (CI) 1.04, 1.08; P &amp;lt; 0.0001 vs. HR 1.01, 95% CI 0.88, 1.16; P = 0.79]. Increased dyspnoea over 7 days was associated with a greater risk of ED visits and hospital admissions (HR 9.64, 95% CI 3.68, 25.22; P &amp;lt; 0.0001 vs. HR 5.89, 95% CI 1.73, 20.04; P = 0.01). Higher diary adherence was associated with older age, non-sedentary behaviour, lower depression, and HF knowledge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Heart failure patients are counselled to observe for body-weight gain. Our data do not support that a 5 lb weight gain was associated with hospital admission. Dyspnoea was a better predictor of ED visits and hospital admissions. Daily tracking of dyspnoea symptoms may be an important adjunct to daily weight to prevent hospitalization.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ehf2.12370","type":"journal-article","created":{"date-parts":[[2018,10,24]],"date-time":"2018-10-24T07:44:55Z","timestamp":1540367095000},"page":"131-137","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Rapid 5 Lb Weight Gain is not Associated with Readmission in Patients with Heart Failure"],"prefix":"10.1093","volume":"6","author":[{"given":"Jill","family":"Howie-Esquivel","sequence":"first","affiliation":[{"name":"University of Virginia , Charlottesville, VA ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen","family":"Dracup","sequence":"additional","affiliation":[{"name":"San Francisco School of Nursing, University of California, San Francisco , San Francisco, CA ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary A.","family":"Whooley","sequence":"additional","affiliation":[{"name":"Department of Medicine and Epidemiology and Biostatistics, San Francisco Veterans Affairs Medical Center, University of California, San Francisco , San Francisco, CA ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"McCulloch","sequence":"additional","affiliation":[{"name":"Department of Medicine and Epidemiology and Biostatistics, University of California, San Francisco , San Francisco, CA ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chengshi","family":"Jin","sequence":"additional","affiliation":[{"name":"Department of Medicine and Epidemiology and Biostatistics, University of California, San Francisco , San Francisco, CA ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debra K.","family":"Moser","sequence":"additional","affiliation":[{"name":"University of Kentucky School of Nursing , Lexington, KY ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robyn A.","family":"Clark","sequence":"additional","affiliation":[{"name":"College of Nursing and Health Sciences, Flinders University , Adelaide, South Australia ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele M.","family":"Pelter","sequence":"additional","affiliation":[{"name":"San Francisco School of Nursing, University of California, San Francisco , San Francisco, CA ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martha","family":"Biddle","sequence":"additional","affiliation":[{"name":"University of Kentucky School of Nursing , Lexington, KY ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda G.","family":"Park","sequence":"additional","affiliation":[{"name":"San Francisco School of Nursing, University of California, San Francisco , San Francisco, CA ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2018,10,24]]},"reference":[{"key":"2026012115101849500_ehf212370-bib-0001","volume-title":"Good Heart Failure Care Follow Patients Home","author":"Kisiangani","year":"2015"},{"key":"2026012115101849500_ehf212370-bib-0002","doi-asserted-by":"crossref","first-page":"58","DOI":"10.7812\/TPP\/12-141","article-title":"The readmission reduction program of Kaiser Permanente Southern California\u2014knowledge transfer and performance improvement","volume":"17","author":"Tuso","year":"2013","journal-title":"Perm J"},{"key":"2026012115101849500_ehf212370-bib-0003","doi-asserted-by":"crossref","first-page":"2129","DOI":"10.1093\/eurheartj\/ehw128","article-title":"2016 ESC Guidelines for the diagnosis and treatment 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