Clinical characteristics and outcome of hospitalized patients with heart failure in Japan.

Clinical characteristics and outcome of hospitalized patients with heart failure in Japan.
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日本心力衰竭住院患者的临床特征和结果。

DOI:
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发表时间:
2006
影响因子:
3.3
通讯作者:
A. Takeshita
A. Takeshita
中科院分区:
医学3区
文献类型:
--
作者:
H. Tsutsui;Miyuki Tsuchihashi;S. Kinugawa;D. Goto;A. Takeshita

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背景 心力衰竭 (HF) 被定义为一种复杂的临床综合征,可能由任何损害心室充盈或射血能力的结构性或功能性心脏病引起,是工业化国家 65 岁以上成年人死亡和住院的主要原因。主要在美国和欧洲进行的多项流行病学研究和大规模临床试验已经描述了心力衰竭患者的特征和结果。日本关于这个问题的信息很少。 方法和结果 日本心脏病学心力衰竭登记处 (JCARE-CARD) 旨在前瞻性研究 2004 年 1 月至 2005 年 6 月期间在日本各地教学医院因心力衰竭住院的广泛样本的特征、治疗和结果,并将对结果(包括死亡和再入院)进行跟踪直至 2006 年(平均随访至少 1 年)。参与的心脏病专家确定因心力衰竭症状恶化而入院的患者。人口统计、病史、严重程度、治疗和结果数据通过安全网络浏​​览器技术收集并输入数据库。截至 2005 年 6 月,已登记了来自 164 家参与医院的 2,676 名心力衰竭患者的基线数据。 结论 JCARE-CARD 将为日本常规临床实践中心力衰竭患者的管理提供重要见解,从而为改进这些患者的管理策略提供框架。
BACKGROUND Heart failure (HF), defined as a complex clinical syndrome that can result from any structural or functional cardiac disorder that impairs the ability of the ventricle to fill with or eject blood, is a leading cause of mortality and hospitalization for adults older than 65 years in the industrialized countries. The characteristics and outcome of patients with HF have been described by several epidemiological studies and large scale clinical trials, performed mainly in the United States and Europe. Very little information is available on this issue in Japan. METHODS AND RESULTS The Japanese Cardiac Registry of Heart Failure in Cardiology (JCARE-CARD) is designed to prospectively study the characteristics, treatment, and outcomes of a broad sample of patients hospitalized with HF at teaching hospitals throughout Japan between January 2004 to June 2005 and the outcomes, including death and hospital readmission, will be followed through 2006 (mean follow-up at least 1 year). Participating cardiologists identify patients admitted for worsening of HF symptoms. Demographics, medical history, severity, treatment, and outcome data are collected and entered into a database via secure web browser technology. As of June 2005, baseline data for 2,676 patients with HF have been registered from 164 participating hospitals. CONCLUSIONS The JCARE-CARD will provide important insights into the management of patients with HF in routine clinical practice in Japan, thus providing the framework for improved management strategies for these patients.
DOI: 10.1016/s0002-9149(97)00214-2
发表时间: 1997-06-15
影响因子: 2.8
作者:
Chin, MH;Goldman, L
通讯作者: Goldman, L