The Current Status of Cardiovascular Medicine in Japan - Analysis of a Large Number of Health Records From a Nationwide Claim- Based Database, JROAD-DPC
The Current Status of Cardiovascular Medicine in Japan - Analysis of a Large Number of Health Records From a Nationwide Claim- Based Database, JROAD-DPC
复制标题
DOI：
10.1253/circj.cj-16-0196
复制
发表时间：
2016-11-01
影响因子：
3.3
通讯作者：
Ogawa, Hisao
中科院分区：
文献类型：
--
作者：
Yasuda, Satoshi;Nakao, Kazuhiro;Ogawa, Hisao
背景：由于心血管疾病占日本人口死亡人数的四分之一，我们开发了一个全国性的数据库，使用行政病例混合诊断程序组合（DPC）系统（即日本所有心脏和血管疾病登记处(JROAD)-DPC）来揭示日本心血管医学的现状。方法与结果：JROAD-DPC数据库纳入日本流通学会610家认证医院2012年704593份健康记录数据。35,824例急性心肌梗死（AMI）和108,665例心力衰竭（HF）住院。住院病例量的增加与AMI和HF住院死亡率的降低相关（P为趋势）
Background: Since cardiovascular disease accounts for one-quarter of deaths in the Japanese population, we developed a nationwide database using the administrative case-mix Diagnostic Procedure Combination (DPC) system (ie, the Japanese Registry Of All cardiac and vascular Diseases (JROAD)-DPC) to reveal the current status of cardiovascular medicine in Japan.Methods and Results: The JROAD-DPC database included 704,593 health records' data of 2012 from 610 certificated hospitals of the Japanese Circulation Society. The 35,824 patients with acute myocardial infarction (AMI) and 108,665 patients with heart failure (HF) were admitted to hospitals. Increased hospital case volume was associated with reduced in-hospital mortality rates for both AMI and HF (P for trend