Clinical characteristics and outcomes of heart failure patients with long-term care insurance ― Insights from the kitakawachi clinical background and outcome of heart failure registry

Takabayashi, Kensuke; Iwatsu, Kotaro; Ikeda, Tsutomu; Morikami, Yuko; Ichinohe, Tahei; Yamamoto, Takashi; Takenaka, Kotoe; Takenaka, Hiroyuki; Muranaka, Hiroyuki; Fujita, Ryoko; Okuda, Miyuki; Nakajima, Osamu; Koito, Hitoshi; Terasaki, Yuka; Kitamura, Tetsuhisa; Kitaguchi, Shouji; Nohara, Ryuji

doi:https://doi.org/10.1253/circj.CJ-20-0017

Clinical characteristics and outcomes of heart failure patients with long-term care insurance ― Insights from the kitakawachi clinical background and outcome of heart failure registry

Takabayashi, Kensuke; Iwatsu, Kotaro; Ikeda, Tsutomu et al.

Circulation Journal, 2020, 84(9), 1528-1535

Number of Access:1,647（2025-10-21 11:11 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/78377

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Title	Clinical characteristics and outcomes of heart failure patients with long-term care insurance ― Insights from the kitakawachi clinical background and outcome of heart failure registry
Creator	CreatorName Takabayashi, Kensuke
	CreatorName Iwatsu, Kotaro
	CreatorName Ikeda, Tsutomu
	CreatorName Morikami, Yuko
	CreatorName Ichinohe, Tahei
	CreatorName Yamamoto, Takashi
	CreatorName Takenaka, Kotoe
	CreatorName Takenaka, Hiroyuki
	CreatorName Muranaka, Hiroyuki
	CreatorName Fujita, Ryoko
	CreatorName Okuda, Miyuki
	CreatorName Nakajima, Osamu
	CreatorName Koito, Hitoshi
	CreatorName Terasaki, Yuka
	NRID 1000030639810 1000030639810 ORCID 0000-0003-0107-0580 0000-0003-0107-0580 researchmap permalink Kitamura_T Kitamura_T Scopus Author ID 22234282700 22234282700 CreatorName Kitamura, Tetsuhisa
	CreatorName Kitaguchi, Shouji
	NRID 1000080180769 1000080180769 CreatorName Nohara, Ryuji
Subject	Acute heart failure
	Elderly
	Lifestyle
	Outcome
	Prognosis
Description	Kensuke Takabayashi, Kotaro Iwatsu, Tsutomu Ikeda, Yuko Morikami, Tahei Ichinohe, Takashi Yamamoto, Kotoe Takenaka, Hiroyuki Takenaka, Hiroyuki Muranaka, Ryoko Fujita, Miyuki Okuda, Osamu Nakajima, Hitoshi Koito, Yuka Terasaki, Tetsuhisa Kitamura, Shouji Kitaguchi, Ryuji Nohara, Clinical Characteristics and Outcomes of Heart Failure Patients With Long-Term Care Insurance　― Insights From the Kitakawachi Clinical Background and Outcome of Heart Failure Registry ―, Circulation Journal, 2020, Volume 84, Issue 9, Pages 1528-1535, Released August 25, 2020, [Advance publication] Released July 21, 2020, Online ISSN 1347-4820, Print ISSN 1346-9843, https://doi.org/10.1253/circj.CJ-20-0017, https://www.jstage.jst.go.jp/article/circj/84/9/84_CJ-20-0017/_article/-char/en
Abstract	Background: In Japan, the long-term care insurance (LTCI) system has an important role in helping elderly people, but there have been no clinical studies that have examined the relationship between the LTCI and prognosis for patients with acute heart failure (HF). Methods and Results: This registry was a prospective multicenter cohort, 1,253 patients were enrolled and 965 patients with acute HF aged ≥65 years were comprised the study group. The composite endpoint included all-cause death and hospitalization for HF after discharge. We divided the patients into 4 groups: (i) patients without LTCI, (ii) patients requiring support level 1 or 2, (iii) patients with care level 1 or 2, and (iv) patients with care levels 3-5. The Kaplan-Meier analysis identified a lower rate of the composite endpoint in group (i) than in the other groups. After adjusting for potentially confounding effects using a Cox proportional regression model, the hazard ratio (HR) of the composite endpoint increased significantly in groups (iii) and (iv) (adjusted HR, 1.62; 95% confidence interval [CI], 1.22-1.98 and adjusted HR, 1.62; 95% CI, 1.23-2.14, respectively) when compared with group (i). However, there was no significant difference between groups (i) and (ii). Conclusions: The level of LTCI was associated with a higher risk of the composite endpoint after discharge in acute HF patients.
Publisher	Japanese Circulation Society
Source Title	Circulation Journal
Volume (Issue)	84(9)
Page	1528-1535
Date of Issued	2020-08-25
Language	English
Handle URL	https://hdl.handle.net/11094/78377
PISSN	13469843
eISSN	13474820
NCID	AA11591968
Relation.isIdenticalTo	DOI (Publisher Version) https://doi.org/10.1253/circj.CJ-20-0017
Relation.isIdenticalTo	PMID 32713877
Access Rights	open access
CopyRight	© 2020 The Japanese Circulation Society. This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
oaire:version	Version of Record
Category	学術雑誌論文 Journal Article

Resource Type	journal article
Local Type	Journal Article
DCMI Type	Text
DCTERMS.bibliographicCitation	Circulation Journal. 2020, 84(9), p. 1528-1535
DC.title	Clinical characteristics and outcomes of heart failure patients with long-term care insurance ― Insights from the kitakawachi clinical background and outcome of heart failure registry
DC.creator	Takabayashi, Kensuke
	Iwatsu, Kotaro
	Ikeda, Tsutomu
	Morikami, Yuko
	Ichinohe, Tahei
	Yamamoto, Takashi
	Takenaka, Kotoe
	Takenaka, Hiroyuki
	Muranaka, Hiroyuki
	Fujita, Ryoko
	Okuda, Miyuki
	Nakajima, Osamu
	Koito, Hitoshi
	Terasaki, Yuka
	Kitamura, Tetsuhisa
	Kitaguchi, Shouji
	Nohara, Ryuji
DC.publisher	Japanese Circulation Society
DC.language' scheme='DCTERMS.RFC1766	English
DC.type' scheme='DCTERMS.DCMIType	Text
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2020-08-25
DC.identifier	https://doi.org/10.1253/circj.CJ-20-0017
DC.subject	Acute heart failure
	Elderly
	Lifestyle
	Outcome
	Prognosis
DC.description	Kensuke Takabayashi, Kotaro Iwatsu, Tsutomu Ikeda, Yuko Morikami, Tahei Ichinohe, Takashi Yamamoto, Kotoe Takenaka, Hiroyuki Takenaka, Hiroyuki Muranaka, Ryoko Fujita, Miyuki Okuda, Osamu Nakajima, Hitoshi Koito, Yuka Terasaki, Tetsuhisa Kitamura, Shouji Kitaguchi, Ryuji Nohara, Clinical Characteristics and Outcomes of Heart Failure Patients With Long-Term Care Insurance　― Insights From the Kitakawachi Clinical Background and Outcome of Heart Failure Registry ―, Circulation Journal, 2020, Volume 84, Issue 9, Pages 1528-1535, Released August 25, 2020, [Advance publication] Released July 21, 2020, Online ISSN 1347-4820, Print ISSN 1346-9843, https://doi.org/10.1253/circj.CJ-20-0017, https://www.jstage.jst.go.jp/article/circj/84/9/84_CJ-20-0017/_article/-char/en
DCTERMS.abstract	Background: In Japan, the long-term care insurance (LTCI) system has an important role in helping elderly people, but there have been no clinical studies that have examined the relationship between the LTCI and prognosis for patients with acute heart failure (HF). Methods and Results: This registry was a prospective multicenter cohort, 1,253 patients were enrolled and 965 patients with acute HF aged ≥65 years were comprised the study group. The composite endpoint included all-cause death and hospitalization for HF after discharge. We divided the patients into 4 groups: (i) patients without LTCI, (ii) patients requiring support level 1 or 2, (iii) patients with care level 1 or 2, and (iv) patients with care levels 3-5. The Kaplan-Meier analysis identified a lower rate of the composite endpoint in group (i) than in the other groups. After adjusting for potentially confounding effects using a Cox proportional regression model, the hazard ratio (HR) of the composite endpoint increased significantly in groups (iii) and (iv) (adjusted HR, 1.62; 95% confidence interval [CI], 1.22-1.98 and adjusted HR, 1.62; 95% CI, 1.23-2.14, respectively) when compared with group (i). However, there was no significant difference between groups (i) and (ii). Conclusions: The level of LTCI was associated with a higher risk of the composite endpoint after discharge in acute HF patients.
DC.rights	© 2020 The Japanese Circulation Society. This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
DC.format	78377
citation_title	Clinical characteristics and outcomes of heart failure patients with long-term care insurance ― Insights from the kitakawachi clinical background and outcome of heart failure registry
citation_author	Takabayashi, Kensuke
	Iwatsu, Kotaro
	Ikeda, Tsutomu
	Morikami, Yuko
	Ichinohe, Tahei
	Yamamoto, Takashi
	Takenaka, Kotoe
	Takenaka, Hiroyuki
	Muranaka, Hiroyuki
	Fujita, Ryoko
	Okuda, Miyuki
	Nakajima, Osamu
	Koito, Hitoshi
	Terasaki, Yuka
	Kitamura, Tetsuhisa
	Kitaguchi, Shouji
	Nohara, Ryuji
citation_publisher	Japanese Circulation Society
citation_language	English
citation_date	2020-08-25
citation_journal_title	Circulation Journal
citation_volume	84
citation_issue	9
citation_firstpage	1528
citation_lastpage	1535
citation_doi	https://doi.org/10.1253/circj.CJ-20-0017
citation_pmid	32713877
citation_public_url	https://hdl.handle.net/11094/78377

Clinical characteristics and outcomes of heart failure patients with long-term care insurance ― Insights from the kitakawachi clinical background and outcome of heart failure registry

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