Noncardiovascular death, especially infection, is a significant cause of death in elderly patients with acutely decompensated heart failure. 3

• 資料種別: 博士論文
• ISSN: 1071-9164
• タイトル: Noncardiovascular death, especially infection, is a significant cause of death in elderly patients with acutely decompensated heart failure.
• 巻次・部編番号: 20 3
• 著者・編者: Ueda, Tomoya; Kawakami, Rika; Horii, Manabu; Sugawara, Yu; Matsumoto, Takaki; Okada, Sadanori; Nishida, Taku; Soeda, Tsunenari; Okayama, Satoshi; Somekawa, Satoshi; Takeda, Yukiji; Watanabe, Makoto; Kawata, Hiroyuki; Uemura, Shiro; Saito, Yoshihiko
• 著者標目: Ueda, Tomoya; Kawakami, Rika; Horii, Manabu; Sugawara, Yu; Matsumoto, Takaki; Okada, Sadanori; Nishida, Taku; Soeda, Tsunenari; Okayama, Satoshi; Somekawa, Satoshi; Takeda, Yukiji; Watanabe, Makoto; Kawata, Hiroyuki; Uemura, Shiro; Saito, Yoshihiko
• 出版事項: Elsevier / Churchill Livingstone
• 出版年月日等: 2014-03; 20 3
• 出版年（W3CDTF）: 2014-03
• 並列タイトル等: 高齢の非代償性心不全患者において、非心血管疾患、特に感染症は重要な死因である
• タイトル（掲載誌）: Journal of cardiac failure
• 授与機関名: 奈良県立医科大学
• 授与年月日: 2015-03-16
• 授与年月日（W3CDTF）: 2015-03-16
• 報告番号: 甲第629号
• 学位: 博士（医学）
• 博論授与番号: 甲第629号
• 本文の言語コード: eng
• 件名標目: ADHF; elderly; prognosis
• 対象利用者: 一般
• 一般注記: type:Thesis; BACKGROUND:Despite marked improvements in treatment strategies for heart failure (HF), the mortality rate of elderly patients with HF is still high. Detailed causes of death have not been fully understood.METHODS AND RESULTS:We studied 459 consecutive patients with acute decompensated HF (ADHF) emergently admitted to our hospital from 2007 to 2011. Patients were divided into 2 groups: <75 years old (younger group; n = 225) and ≥75 years old (elderly group; n = 234). All-cause death, cardiovascular death, and noncardiovascular death were assessed as adverse outcomes. Compared with the younger group, the elderly group was characterized by a higher proportion of women and hypertensive patients and higher left ventricular ejection fraction. During a mean follow-up of 20.7 months, a total of 174 patients (37.9%) died. All-cause death was significantly higher in the elderly group than in the younger group (46.6% vs 28.9%; P < .0001), and this difference was caused by an increase in noncardiovascular deaths (20.9% vs 9.3%; P < .001), especially deaths due to infection (10.7% vs 4.0%; P < .01). Cardiovascular deaths did not differ between the 2 groups.CONCLUSIONS:Noncardiovascular deaths, most of which were caused by infection, were frequent among elderly patients with ADHF.; 博士（医学）・甲第629号・平成27年3月16日; Copyright © 2014 Elsevier Inc. All rights reserved.; identifier:Journal of cardiac failure Vol.20 No.3 p.174-180; identifier:10719164; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/2959; identifier:Journal of cardiac failure, 20(3): 174-180
• DOI: info:doi/10.1016/j.cardfail.2013.12.007; https://doi.org/info:doi/10.1016/j.cardfail.2013.12.007
• 国立国会図書館永続的識別子: info:ndljp/pid/9277968; https://dl.ndl.go.jp/pid/9277968
• コレクション（共通）: 障害者向け資料
• コレクション（障害者向け資料：レベル1）: テキストデータ
• コレクション（個別）: 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• 収集根拠: 博士論文（自動収集）
• 受理日（W3CDTF）: 2015-05-01T13:23:17+09:00
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: 国立国会図書館内限定公開
• デジタル化資料送信: 図書館・個人送信対象外
• 遠隔複写可否（NDL）: 可
• 掲載誌（URI）: http://hdl.handle.net/10564/2959
• 連携機関・データベース: 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp

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