{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T07:23:06Z","timestamp":1794381786426,"version":"4.9.0"},"reference-count":40,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T00:00:00Z","timestamp":1794355200000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Lower extremity compression therapy has been proposed as an adjunct to mitigate diuretic resistance during acute decompensation of heart failure (ADHF). We evaluated the effect of lower leg compression with elastic bandages on diuretic efficiency in patients with diuretic-resistant ADHF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Historical cohort study enrolling adult cardiac intensive care unit admissions with ADHF who used elastic bandages (EBs) at Mayo Clinic in Minnesota from 2007 to 2017. The diuretic efficiency before and after applying EB was the primary outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 176 patients with heart failure who received elastic bandages were included. The in-hospital mortality rate, the median hospital length of stay, and 30-day hospital readmission were 9.7%, 11.4 days (interquartile range 7.1\u201319.0), and 11%, respectively. When EB was applied, the average daily loop diuretic dosage was decreased by a mean difference of 1.19\u2005mg per 40\u2005mg furosemide equivalent [95% confidence interval (CI): 0.22\u20132.2; P = .016]. The average post-EB diuretic efficiency was 1355\u2005mL (interquartile range 1119\u20131590) per 40 mg furosemide, which was significantly higher than before EB application, with a mean difference of 340\u2005mL per 40 mg furosemide equivalent (95% CI: \u2212554 to \u2212125; P = .002). A higher diuretic efficiency led to lower diuretic doses. Average daily urine output before and after EB application was not different (2642 pre-EB vs 2792 post-EB mL\/day; 95% CI: \u2212455 to 154; P = .33).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ejhf\/xuag322","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:37:39Z","timestamp":1791891459000},"source":"Crossref","is-referenced-by-count":0,"title":["Evaluating the role of lower extremity elastic bandage in patients with acute decompensated heart failure"],"prefix":"10.1093","author":[{"given":"Supawadee","family":"Suppadungsuk","sequence":"first","affiliation":[{"name":"Division of Nephrology and Hypertension, Department of Medicine, Mayo Clinic , 200 First St SW, Rochester, MN 55905 ,","place":["USA"]},{"name":"Chakri Naruebodindra Medical Institute, Faculty of Medicine Ramathibodi Hospital, Mahidol University , Samut Prakan 10540 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,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li Fang","family":"Wei","sequence":"additional","affiliation":[{"name":"Division of Nephrology and Hypertension, Department of Medicine, Mayo Clinic , 200 First St SW, Rochester, MN 55905 ,","place":["USA"]},{"name":"Department of Nephrology, The Third People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine , Fuzhou, Fujian 350122 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehdi","family":"Kashani","sequence":"additional","affiliation":[{"name":"Division of Nephrology and Hypertension, Department of Medicine, Mayo Clinic , 200 First St SW, Rochester, MN 55905 ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph J","family":"Zieminski","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Mayo Clinic , Rochester, MN 55905 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