共 15 条
Clinical characteristics and in-hospital mortality of very elderly patients hospitalized for acute decompensated heart failure: experience at a single cardiovascular centre in Japan
被引:1
作者:

Hyakuna, Yohei
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机构:
Japan Community Healthcare Org, Dept Cardiol, Kyushu Hosp, Kitakyushu, Fukuoka 8068501, Japan Japan Community Healthcare Org, Dept Cardiol, Kyushu Hosp, Kitakyushu, Fukuoka 8068501, Japan

Hashimoto, Toru
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机构:
Japan Community Healthcare Org, Dept Cardiol, Kyushu Hosp, Kitakyushu, Fukuoka 8068501, Japan Japan Community Healthcare Org, Dept Cardiol, Kyushu Hosp, Kitakyushu, Fukuoka 8068501, Japan

Mohri, Masahiro
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Japan Community Healthcare Org, Dept Cardiol, Kyushu Hosp, Kitakyushu, Fukuoka 8068501, Japan Japan Community Healthcare Org, Dept Cardiol, Kyushu Hosp, Kitakyushu, Fukuoka 8068501, Japan
机构:
[1] Japan Community Healthcare Org, Dept Cardiol, Kyushu Hosp, Kitakyushu, Fukuoka 8068501, Japan
关键词:
Acute heart failure;
elderly population;
MANAGEMENT;
OLDER;
SURVIVAL;
OUTCOMES;
SOCIETY;
AGE;
D O I:
10.1080/AC.71.5.3167505
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Objective The number of elderly patients with heart failure (HF) has increased. We aimed to determine the clinical characteristics and in-hospital mortality of very elderly patients hospitalized for acute HF. Methods and results In total, 403 consecutive patients (median [interquartile range] age 79 [70, 85] years [y]) who were hospitalized between September 2009 and March 2011 to a single cardiovascular centre in Kitakyushu, one of the most ageing metropolitan cities in Japan, were enrolled.The 2012 ESC guideline for acute HF was used for the diagnosis.The patients were divided into two groups: patients of age >= 85 y (n = 108, group 1) and those of age <85 y (n =295, group 2). Group 1 patients were characterized with statistical significance by a female predominance, higher prevalence of hypertension, lower prevalence of diabetes and chronic obstructive lung disease, lower estimated glomerular filtration rate (eGFR) and haemoglobin levels, and a higher left ventricular ejection fraction. In-hospital, all-cause mortality was significantly higher in group 1 patients (11.1% vs 4.4%, P <0.05). Higher age, lower systolic blood pressure on admission, and lower eGFR were independently associated with mortality. Incidence of survival within 30 days was lower in group 1 than in group 2 patients (hazard ratio 0.31, 95% confidence interval 0.12 to 0.83, P = 0.02). Conclusions In an ageing metropolis of Japan, very elderly patients comprised nearly a quarter of acute HF hospitalizations and had a lower 30-day survival rate compared with less elderly patients.
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页码:604 / 611
页数:8
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Tomita, Kimio
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Kumamoto Univ, Dept Nephrol, Grad Sch Med, Kumamoto, Japan Osaka Univ, Dept Nephrol, Grad Sch Med, Suita, Osaka 5650871, Japan

Nitta, Kosaku
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Tokyo Womens Med Univ, Dept Med 4, Tokyo, Japan Osaka Univ, Dept Nephrol, Grad Sch Med, Suita, Osaka 5650871, Japan

Yamagata, Kunihiro
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Univ Tsukuba, Inst Clin Med, Dept Nephrol, Grad Sch Comprehens Human Sci, Tsukuba, Ibaraki 305, Japan Osaka Univ, Dept Nephrol, Grad Sch Med, Suita, Osaka 5650871, Japan

Tomino, Yasuhiko
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Juntendo Univ, Dept Nephrol, Tokyo, Japan Osaka Univ, Dept Nephrol, Grad Sch Med, Suita, Osaka 5650871, Japan

Yokoyama, Hitoshi
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Kanazawa Med Univ, Div Nephrol, Uchinada, Ishikawa 92002, Japan Osaka Univ, Dept Nephrol, Grad Sch Med, Suita, Osaka 5650871, Japan

Hishida, Akira
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Hamamatsu Univ Sch Med, Dept Med 1, Hamamatsu, Shizuoka, Japan Osaka Univ, Dept Nephrol, Grad Sch Med, Suita, Osaka 5650871, Japan