Incidence and Clinical Significance of 30-Day and 90-Day Rehospitalization for Heart Failure Among Patients With Acute Decompensated Heart Failure in Japan - From the NARA-HF Study.

• Material Type: 博士論文
• Title: Incidence and Clinical Significance of 30-Day and 90-Day Rehospitalization for Heart Failure Among Patients With Acute Decompensated Heart Failure in Japan - From the NARA-HF Study.
• Author/Editor: Ishihara, Satomi; Kawakami, Rika; Nogi, Maki; Hirai, Kaeko; Hashimoto, Yukihiro; Nakada, Yasuki; Nakagawa, Hitoshi; Ueda, Tomoya; Nishida, Taku; Onoue, Kenji; Soeda, Tsunenari; Okayama, Satoshi; Watanabe, Makoto; Saito, Yoshihiko
• Author Heading: Ishihara, Satomi; Kawakami, Rika; Nogi, Maki; Hirai, Kaeko; Hashimoto, Yukihiro; Nakada, Yasuki; Nakagawa, Hitoshi; Ueda, Tomoya; Nishida, Taku; Onoue, Kenji; Soeda, Tsunenari; Okayama, Satoshi; Watanabe, Makoto; Saito, Yoshihiko
• Publication, Distribution, etc.: 日本循環器学会 / Japanese Circulation Society
• Publication Date: 2020-01-24
• Publication Date (W3CDTF): 2020-01-24
• Alternative Title: 日本における非代償性急性心不全患者の30日および90日以内の心不全再入院の発生率と臨床的意義 : NARA-HF研究より
• Periodical title: Circulation journal
• No. or year of volume/issue: 84 2
• Volume: 84
• Issue: 2
• Pages: 194-202
• ISSN (Periodical Title): ISSN : 1346-9843
• Degree grantor/type: 奈良県立医科大学
• Date Granted: 2020-03-16
• Dissertation Number: 甲第735号
• Degree Type: 博士（医学）
• Text Language Code: eng
• Subject Heading: Acute decompensated heart failure; Early rehospitalization; Predictors
• Target Audience: 一般
• Note (General): type:Thesis; Background: Countermeasure development for early rehospitalization for heart failure (re-HHF) is an urgent and important issue in Western countries and Japan.Methods and Results:Of 1,074 consecutive NARA-HF study participants with acute decompensated HF admitted to hospital as an emergency between January 2007 and December 2016, we excluded 291 without follow-up data, who died in hospital, or who had previous HF-related hospitalizations, leaving 783 in the analysis. During the median follow-up period of 895 days, 241 patients were re-admitted for HF. The incidence of re-HHF was the highest within the first 30 days of discharge (3.3% [26 patients]) and remained high until 90 days, after which it decreased sharply. Within 90 days of discharge, 63 (8.0%) patients were re-admitted. Kaplan-Meier analysis revealed that patients with 90-day re-HHF had worse prognoses than those without 90-day re-HHF in terms of all-cause death (hazard ratio [HR] 2.321, 95% confidence interval [CI] 1.654-3.174; P<0.001) and cardiovascular death (HR 3.396, 95% CI 2.153-5.145; P<0.001). Multivariate analysis indicated that only male sex was an independent predictor of 90-day re-HHF. Conclusions: The incidence of early re-HHF was lower in Japan than in Western countries. Its predictors are not related to the clinical factors of HF, indicating that a new comprehensive approach might be needed to prevent early re-HHF.; 博士（医学）・甲第735号・令和2年3月16日; 日本循環器学会の許諾を得て登録（2020年9月2日付）; ジャーナル公式サイト（日本循環器学会HP内）：https://www.j-circ.or.jp/journal/; 公開サイト（J-STAGE）：https://www.jstage.jst.go.jp/browse/circj/; identifier:Circulation journal Vol.84 No.2 p.194-202 (2020 Jan); identifier:13469843; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3726; identifier:Circulation journal, 84(2): 194-202
• Source: fulltext; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3726/1/01%e7%94%b2735%e6%9c%ac%e6%96%87%e3%81%ae%e8%a6%81%e6%97%a8.pdf; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3726/2/02%e7%94%b2735%e5%af%a9%e6%9f%bb%e8%a6%81%e6%97%a8.pdf; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3726/3/03%e7%94%b2735%e6%9c%ac%e6%96%87.pdf; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3726/4/04%e7%94%b2735Supplementary%20Files.pdf
• Access Restrictions: インターネット公開
• Related Material (DOI): 10.1253/circj.CJ-19-0620
• Periodical Title (NCID): AA11591968; https://ci.nii.ac.jp/ncid/AA11591968
• Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• Original Data Provider (Database): 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU