Association of early cardiac rehabilitation on mortality in patients with dilated cardiomyopathy using national inpatient database

Yasufuku, Yuichi; Nishioka, Yuichi; Yasunaga, Hideo et al.

Scientific Reports, 2025, 15, 37183

アクセス数:54件（2026-02-16 10:17 集計）

固定URL: https://hdl.handle.net/11094/103495

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タイトル
Association of early cardiac rehabilitation on mortality in patients with dilated cardiomyopathy using national inpatient database
著者
ORCID
0000-0002-9748-6793 0000-0002-9748-6793
researchmap permalink
yuichiyasufuku yuichiyasufuku
Scopus Author ID
58617692200 58617692200
著者名
Yasufuku, Yuichi
NRID
1000050812351 1000050812351
著者名
Nishioka, Yuichi
NRID
1000090361485 1000090361485
著者名
Yasunaga, Hideo
NRID
1000080359603 1000080359603
著者名
Imamura, Tomoaki
キーワード等
Acute heart failure
Cardiac rehabilitation
Dilated cardiomyopathy
Propensity score
内容
Yasufuku Y., Nishioka Y., Yasunaga H., et al. Association of early cardiac rehabilitation on mortality in patients with dilated cardiomyopathy using national inpatient database. Scientific Reports 15, 37183 (2025); https://doi.org/10.1038/s41598-025-20593-7.
抄録
Dilated cardiomyopathy (DCM) is a complex disease characterized by cardiomyopathic hypokinesis and left ventricular interior hypertrophy. Cardiac rehabilitation (CR) is an established treatment for some cardiovascular diseases; however, the outcomes of early CR for patients with DCM remain underexplored. This study aimed to investigate the association between early CR and 90-day mortality in patients with DCM and symptomatic heart failure, using a national inpatient database in Japan from July 1, 2010, to March 31, 2020. We applied multiple imputation to the missing data and propensity score matching analysis. Early CR was defined as that initiated within 3 days of admission. The study included 30,296 eligible patients, including those with early CR (n = 3,130) and delayed or no CR (n = 27,166). The early CR group showed significantly lower 90-day mortality compared to the delayed or no CR group (odds ratio, 0.70, 95% confidence interval, 0.53–0.93; P = 0.01). Compared to the delayed or no CR group, the early CR group exhibited a higher activities of daily living score at discharge, but there was no significant difference in length of stay between the groups.
出版者
Nature Research
収録物名
Scientific Reports
巻(号)
15
ページ
37183
刊行年月
2025-10-24
言語
英語
ハンドルURL
https://hdl.handle.net/11094/103495
eISSN
20452322
関連情報 (isIdenticalTo)
DOI (出版社版)
https://doi.org/10.1038/s41598-025-20593-7
アクセス権
open access
権利情報
This article is licensed under a Creative Commons Attribution 4.0 International License.
出版タイプ
Version of Record
カテゴリ
学術雑誌論文 Journal Article