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 -
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 -
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DOI：
10.1253/circj.cj-19-0620
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发表时间：
2020-02-01
影响因子：
3.3
通讯作者：
Saito, Yoshihiko
中科院分区：
文献类型：
--
作者：
Ishihara, Satomi;Kawakami, Rika;Saito, Yoshihiko
背景：心力衰竭早期再住院（re-HHF）的对策制定在西方国家和日本是一个紧迫而重要的问题。方法和结果：在 2007 年 1 月至 2016 年 12 月期间因急性失代偿性心力衰竭入院的 1,074 名连续 NARA-HF 研究参与者中，我们排除了 291 名没有随访数据、在医院死亡或既往因心衰相关住院的人，留下 783 名参与者。分析。在 895 天的中位随访期内，241 名患者因心力衰竭再次入院。再-HHF 的发生率在出院前 30 天内最高（3.3% [26 例患者]），并一直保持较高水平直至 90 天，此后急剧下降。出院 90 天内，63 名患者（8.0%）再次入院。 Kaplan-Meier 分析显示，就全因死亡而言，90 天再 HHF 的患者比没有 90 天再 HHF 的患者预后更差（风险比 [HR] 2.321，95% 置信区间 [CI] 1.654-3.174；P
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