journal article

Journal Article

Circulation Journal. 2016, 81(1), p. 69-76

Clinical characteristics and social frailty of super-elderly patients with heart failure: The Kitakawachi clinical background and outcome of heart failure registry

Japanese Circulation Society

English

2016-12-22

https://doi.org/10.1253/circj.CJ-16-0914

Kensuke Takabayashi, Akihiro Ikuta, Yoshinori Okazaki, Mariko Ogami, Kotaro Iwatsu, Koichi Matsumura, Tsutomu Ikeda, Tahei Ichinohe, Yuko Morikami, Takashi Yamamoto, Ryoko Fujita, Kotoe Takenaka, Hiroyuki Takenaka, Yoshisumi Haruna, Hiroyuki Muranaka, Masaaki Ozaki, Tetsuhisa Kitamura, Shouji Kitaguchi, Ryuji Nohara, Clinical Characteristics and Social Frailty of Super-Elderly Patients With Heart Failure　― The Kitakawachi Clinical Background and Outcome of Heart Failure Registry ―, Circulation Journal, 2017, Volume 81, Issue 1, Pages 69-76, Released December 22, 2016, [Advance publication] Released November 30, 2016, Online ISSN 1347-4820, Print ISSN 1346-9843, https://doi.org/10.1253/circj.CJ-16-0914, https://www.jstage.jst.go.jp/article/circj/81/1/81_CJ-16-0914/_article/-char/en

Background: Social background is important in preventing admission/readmission of heart failure (HF) patients. However, few clinical studies have been conducted to assess the social background of these patients, especially elderly patients. Methods and Results: The Kitakawachi Clinical Background and Outcome of Heart Failure (KICKOFF) Registry is a prospective multicenter community-based cohort of HF patients, established in April 2015. We compared the clinical characteristics and social background of the super-elderly group (≥85 years old) and the non-super-elderly group (<85 years old). This study included 647 patients; 11.8% of the super-elderly patients were living alone, 15.6% were living with only a partner, and of these, only 66.7% had the support of other family members. The super-elderly group had less control over their diet and drug therapies than the non-superelderly group. Most patients in the super-elderly group were registered for long-term care insurance (77.4%); 73.5% of the superelderly patients could walk independently before admission, but only 55.5% could walk independently at discharge, whereas 94% of the non-super-elderly patients could walk independently before admission and 89.4% could walk independently at discharge. Conclusions: The KICKOFF Registry provides unique detailed social background information of Japanese patients with HF. Superelderly patients are at serious risk of social frailty; they need the support of other people and their ability to perform activities of daily living decline when hospitalized.

78928

Clinical characteristics and social frailty of super-elderly patients with heart failure: The Kitakawachi clinical background and outcome of heart failure registry

Japanese Circulation Society

English

2016-12-22

Circulation Journal

81

1

69

76

https://doi.org/10.1253/circj.CJ-16-0914

27904019

https://hdl.handle.net/11094/78928