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
• ISSN: 1346-9843
• 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.
• Volume: 84 2
• 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; 84 2
• 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
• Degree grantor/type: 奈良県立医科大学
• Date Granted: 2020-03-16
• Date Granted (W3CDTF): 2020-03-16
• Dissertation Number: 甲第735号
• Degree Type: 博士（医学）
• Conferring No. (Dissertation): 甲第735号
• 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
• DOI: info:doi/10.1253/circj.CJ-19-0620; https://doi.org/info:doi/10.1253/circj.CJ-19-0620
• Persistent ID (NDL): info:ndljp/pid/11552011; https://dl.ndl.go.jp/pid/11552011
• Collection: 障害者向け資料
• Collection (Materials For Handicapped People:1): テキストデータ
• Collection (particular): 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
• Acquisition Basis: 博士論文（自動収集）
• Date Accepted (W3CDTF): 2020-10-06T21:18:06+09:00
• Format (IMT): application/pdf
• Access Restrictions: 国立国会図書館内限定公開
• Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
• Availability of remote photoduplication service: 可
• Periodical Title (URI): http://hdl.handle.net/10564/3726
• Data Provider (Database): 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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