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

• Material Type: 博士論文
• ISSN: 1071-9164
• Title: Noncardiovascular death, especially infection, is a significant cause of death in elderly patients with acutely decompensated heart failure.
• Volume: 20 3
• Author/Editor: 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
• Author Heading: 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
• Publication, Distribution, etc.: Elsevier / Churchill Livingstone
• Publication Date: 2014-03; 20 3
• Publication Date (W3CDTF): 2014-03
• Alternative Title: 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
• Periodical title: Journal of cardiac failure
• Degree grantor/type: 奈良県立医科大学
• Date Granted: 2015-03-16
• Date Granted (W3CDTF): 2015-03-16
• Dissertation Number: 甲第629号
• Degree Type: 博士（医学）
• Conferring No. (Dissertation): 甲第629号
• Text Language Code: eng
• Subject Heading: ADHF; elderly; prognosis
• Target Audience: 一般
• Note (General): 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
• Persistent ID (NDL): info:ndljp/pid/9277968; https://dl.ndl.go.jp/pid/9277968
• 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): 2015-05-01T13:23:17+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/10564/2959
• 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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