Living alone and gender differences in rehospitalization for heart failure after discharge among acute heart failure patients

Takabayashi, Kensuke; Kitaguchi, Shouji; Iwatsu, Kotaro; Ikeda, Tsutomu; Fujita, Ryoko; Okuda, Miyuki; Nakajima, Osamu; Koito, Hitoshi; Terasaki, Yuka; Kitamura, Tetsuhisa; Nohara, Ryuji

doi:https://doi.org/10.1536/ihj.20-386

Living alone and gender differences in rehospitalization for heart failure after discharge among acute heart failure patients

Takabayashi, Kensuke; Kitaguchi, Shouji; Iwatsu, Kotaro et al.

International Heart Journal, 2020, 61(6), 1245-1252

アクセス数:1,036件（2025-12-10 08:58 集計）

固定URL: https://hdl.handle.net/11094/78719

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タイトル	Living alone and gender differences in rehospitalization for heart failure after discharge among acute heart failure patients
著者	著者名 Takabayashi, Kensuke
	著者名 Kitaguchi, Shouji
	著者名 Iwatsu, Kotaro
	著者名 Ikeda, Tsutomu
	著者名 Fujita, Ryoko
	著者名 Okuda, Miyuki
	著者名 Nakajima, Osamu
	NRID 1000010205320 1000010205320 著者名 Koito, Hitoshi
	著者名 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 著者名 Kitamura, Tetsuhisa
	NRID 1000080180769 1000080180769 著者名 Nohara, Ryuji
キーワード等	Cohort study
	Female
	Living style
	Male
	Prognosis
	Sex
	Social factor
抄録	Home treatment for heart failure (HF) is one of the most important problems in patients after discharge as a secondary preventive measure for rehospitalization for HF. However, there are no detailed studies on gender differences in sociopsychological factors such as living alone for HF rehospitalization among patients with acute HF (AHF). This prospective multicenter cohort study enrolled patients with AHF between April 2015 and August 2017. Patients of each gender with first AHF were divided into those living alone and those not living alone. The primary endpoint was defined as rehospitalization for HF after discharge. Cox proportional hazard analysis was performed to determine the association between living alone and the endpoint. Overall, 581 patients were included in this study during the 3-year follow-up. The proportion of rehospi-talization for HF was significantly higher in patients living alone than in those not living alone among male pa-tients. However, female patients showed no difference in endpoints between the two groups. The difference was independently maintained even after adjusting for differences in social backgrounds in male patients (adjusted hazard ratio (HR) 2.02; 95% confidence interval (CI), 1.07-3.70). In female patients, the HR for rehospitaliza-tion for HF showed no difference between the two groups (adjusted HR, 0.99; 95% CI, 0.56-1.69). In this study population, male patients living alone after first AHF discharge had a higher risk of rehospi-talization for HF than those not living alone, but these differences were not observed in female patients.
出版者	International Heart Journal Association
収録物名	International Heart Journal
巻(号)	61(6)
ページ	1245-1252
刊行年月	2020-11-28
言語	英語
ハンドルURL	https://hdl.handle.net/11094/78719
PISSN	13492365
eISSN	13493299
NCID	AA12013242
関連情報 (isIdenticalTo)	DOI (出版社版) https://doi.org/10.1536/ihj.20-386
関連情報 (isIdenticalTo)	PMID 33191359
アクセス権	open access
出版タイプ	Version of Record
カテゴリ	学術雑誌論文 Journal Article

資源タイプ	学術雑誌論文
ローカル資源タイプ	学術雑誌論文
DCTERMS.bibliographicCitation	International Heart Journal. 2020, 61(6), p. 1245-1252
DC.title	Living alone and gender differences in rehospitalization for heart failure after discharge among acute heart failure patients
DC.creator	Takabayashi, Kensuke
	Kitaguchi, Shouji
	Iwatsu, Kotaro
	Ikeda, Tsutomu
	Fujita, Ryoko
	Okuda, Miyuki
	Nakajima, Osamu
	Koito, Hitoshi
	Terasaki, Yuka
	Kitamura, Tetsuhisa
	Nohara, Ryuji
DC.publisher	International Heart Journal Association
DC.language' scheme='DCTERMS.RFC1766	英語
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2020-11-28
DC.identifier	https://doi.org/10.1536/ihj.20-386
DC.subject	Cohort study
	Female
	Living style
	Male
	Prognosis
	Sex
	Social factor
DCTERMS.abstract	Home treatment for heart failure (HF) is one of the most important problems in patients after discharge as a secondary preventive measure for rehospitalization for HF. However, there are no detailed studies on gender differences in sociopsychological factors such as living alone for HF rehospitalization among patients with acute HF (AHF). This prospective multicenter cohort study enrolled patients with AHF between April 2015 and August 2017. Patients of each gender with first AHF were divided into those living alone and those not living alone. The primary endpoint was defined as rehospitalization for HF after discharge. Cox proportional hazard analysis was performed to determine the association between living alone and the endpoint. Overall, 581 patients were included in this study during the 3-year follow-up. The proportion of rehospi-talization for HF was significantly higher in patients living alone than in those not living alone among male pa-tients. However, female patients showed no difference in endpoints between the two groups. The difference was independently maintained even after adjusting for differences in social backgrounds in male patients (adjusted hazard ratio (HR) 2.02; 95% confidence interval (CI), 1.07-3.70). In female patients, the HR for rehospitaliza-tion for HF showed no difference between the two groups (adjusted HR, 0.99; 95% CI, 0.56-1.69). In this study population, male patients living alone after first AHF discharge had a higher risk of rehospi-talization for HF than those not living alone, but these differences were not observed in female patients.
DC.format	78719
citation_title	Living alone and gender differences in rehospitalization for heart failure after discharge among acute heart failure patients
citation_author	Takabayashi, Kensuke
	Kitaguchi, Shouji
	Iwatsu, Kotaro
	Ikeda, Tsutomu
	Fujita, Ryoko
	Okuda, Miyuki
	Nakajima, Osamu
	Koito, Hitoshi
	Terasaki, Yuka
	Kitamura, Tetsuhisa
	Nohara, Ryuji
citation_publisher	International Heart Journal Association
citation_language	英語
citation_date	2020-11-28
citation_journal_title	International Heart Journal
citation_volume	61
citation_issue	6
citation_firstpage	1245
citation_lastpage	1252
citation_doi	https://doi.org/10.1536/ihj.20-386
citation_pmid	33191359
citation_public_url	https://hdl.handle.net/11094/78719

Living alone and gender differences in rehospitalization for heart failure after discharge among acute heart failure patients

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