The foremost and greatest barrier to end-stage heart failure treatment: the impact of caregiver shortage

Saito, Shunsuke; Yoshioka, Daisuke; Kawamura, Takuji; Kawamura, Ai; Misumi, Yusuke; Akazawa, Yasuhiro; Sera, Fusako; Kubota, Kaori; Yamauchi, Takashi; Sakata, Yasushi; Miyagawa, Shigeru

doi:https://doi.org/10.1007/s10047-024-01463-x

The foremost and greatest barrier to end-stage heart failure treatment: the impact of caregiver shortage

Saito, Shunsuke; Yoshioka, Daisuke; Kawamura, Takuji et al.

Journal of Artificial Organs, 2024, 28(2), 192-197

アクセス数:1,845件（2025-07-22 20:59 集計）

固定URL: https://hdl.handle.net/11094/98109

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タイトル	The foremost and greatest barrier to end-stage heart failure treatment: the impact of caregiver shortage
著者	NRID 1000030600126 1000030600126 ORCID 0000-0002-0829-2891 0000-0002-0829-2891 researchmap permalink shunsaito shunsaito Scopus Author ID 57205524320 57205524320 著者名 Saito, Shunsuke
	NRID 1000040645959 1000040645959 researchmap permalink d-yoshioka d-yoshioka Scopus Author ID 7003892845 7003892845 著者名 Yoshioka, Daisuke
	NRID 1000060839398 1000060839398 researchmap permalink takuji-kawamura takuji-kawamura Scopus Author ID 55331768500 55331768500 ORCID 0000-0003-2985-0036 0000-0003-2985-0036 著者名 Kawamura, Takuji
	NRID 1000010838923 1000010838923 researchmap permalink a-kawamura a-kawamura Scopus Author ID 56414159900 56414159900 著者名 Kawamura, Ai
	NRID 1000020631477 1000020631477 researchmap permalink yusukemisumi yusukemisumi 著者名 Misumi, Yusuke
	NRID 1000080882266 1000080882266 researchmap permalink y-akzw y-akzw Scopus Author ID 36096360000 36096360000 著者名 Akazawa, Yasuhiro
	NRID 1000070794139 1000070794139 ORCID 0000-0002-9260-6901 0000-0002-9260-6901 researchmap permalink fsera fsera Scopus Author ID 57196563132 57196563132 著者名 Sera, Fusako
	著者名 Kubota, Kaori
	NRID 1000020527999 1000020527999 著者名 Yamauchi, Takashi
	NRID 1000000397671 1000000397671 ORCID 0000-0002-5618-4721 0000-0002-5618-4721 researchmap permalink C4589 C4589 Scopus Author ID 35395964700 35395964700 著者名 Sakata, Yasushi
	NRID 1000070544237 1000070544237 ORCID 0000-0003-0015-6569 0000-0003-0015-6569 researchmap permalink s-miyagawa3154 s-miyagawa3154 Scopus Author ID 55560624700 55560624700 著者名 Miyagawa, Shigeru
キーワード等	Caregiver
	Heart transplantation
	Home therapy
	Left ventricular assist device
内容	The version of record of this article, first published in Journal of Artificial Organs, is available online at Publisher’s website: https://doi.org/0.1007/s10047-024-01463-x.
抄録	We examined the number of patients abandoning cardiac replacement therapy due to the inability to secure a designated caregiver. At Osaka University Hospital Heart Center, when we receive a consultation for a patient with severe heart failure from another hospital, a heart failure team makes a visit to the referring hospital as soon as possible. We retrospectively analyzed this hospital-visit database. We received 199 severe heart failure consultations from 2016–2023. Issues identified during hospital visits included age ≥ 65 years (8%), inability to confirm the patient’s intention (8.5%), and explicit refusal of therapy (2.5%). Medical problems included multiple organ failure (18.1%), obesity (13.1%), diabetes (9.5%), malignancy (5.5%), chronic dialysis (1.0%), and other systemic diseases (12.6%). Adherence problems included poor medication compliance (3.5%), history of heavy drinking (2.5%), and smoking (2.0%). Social problems included inadequate family support in 16.1% of patients. Of the 199 patients, 95 (48.0%) proceeded to a heart transplant and LVAD indication review meeting at Osaka University Hospital. The remaining 104 patients (52.0%) did not proceed to the meeting. Reasons included improvement of heart failure with conservative treatment in 37 cases (35.6%), death before discussion in 21 cases (20.2%), medical contraindications in 18 cases (18.3%), lack of caregivers in 18 cases (18.3%; 9.5% of 199 cases), and patient refusal in 5 cases (4.8%). Approximately 10% of patients consulted at Osaka University Hospital Heart Center for severe heart failure abandoned cardiac replacement therapy due to the lack of caregivers.
出版者	Springer
収録物名	Journal of Artificial Organs
巻(号)	28(2)
ページ	192-197
刊行年月	2024-08-07
言語	英語
ハンドルURL	https://hdl.handle.net/11094/98109
PISSN	14347229
eISSN	16190904
関連情報 (isIdenticalTo)	DOI (出版社版) https://doi.org/10.1007/s10047-024-01463-x
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

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	Journal of Artificial Organs. 2024, 28(2), p. 192-197
DC.title	The foremost and greatest barrier to end-stage heart failure treatment: the impact of caregiver shortage
DC.creator	Saito, Shunsuke
	Yoshioka, Daisuke
	Kawamura, Takuji
	Kawamura, Ai
	Misumi, Yusuke
	Akazawa, Yasuhiro
	Sera, Fusako
	Kubota, Kaori
	Yamauchi, Takashi
	Sakata, Yasushi
	Miyagawa, Shigeru
DC.publisher	Springer
DC.language' scheme='DCTERMS.RFC1766	英語
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2024-08-07
DC.identifier	https://doi.org/10.1007/s10047-024-01463-x
DC.subject	Caregiver
	Heart transplantation
	Home therapy
	Left ventricular assist device
DC.description	The version of record of this article, first published in Journal of Artificial Organs, is available online at Publisher’s website: https://doi.org/0.1007/s10047-024-01463-x.
DCTERMS.abstract	We examined the number of patients abandoning cardiac replacement therapy due to the inability to secure a designated caregiver. At Osaka University Hospital Heart Center, when we receive a consultation for a patient with severe heart failure from another hospital, a heart failure team makes a visit to the referring hospital as soon as possible. We retrospectively analyzed this hospital-visit database. We received 199 severe heart failure consultations from 2016–2023. Issues identified during hospital visits included age ≥ 65 years (8%), inability to confirm the patient’s intention (8.5%), and explicit refusal of therapy (2.5%). Medical problems included multiple organ failure (18.1%), obesity (13.1%), diabetes (9.5%), malignancy (5.5%), chronic dialysis (1.0%), and other systemic diseases (12.6%). Adherence problems included poor medication compliance (3.5%), history of heavy drinking (2.5%), and smoking (2.0%). Social problems included inadequate family support in 16.1% of patients. Of the 199 patients, 95 (48.0%) proceeded to a heart transplant and LVAD indication review meeting at Osaka University Hospital. The remaining 104 patients (52.0%) did not proceed to the meeting. Reasons included improvement of heart failure with conservative treatment in 37 cases (35.6%), death before discussion in 21 cases (20.2%), medical contraindications in 18 cases (18.3%), lack of caregivers in 18 cases (18.3%; 9.5% of 199 cases), and patient refusal in 5 cases (4.8%). Approximately 10% of patients consulted at Osaka University Hospital Heart Center for severe heart failure abandoned cardiac replacement therapy due to the lack of caregivers.
DC.rights	This article is licensed under a Creative Commons Attribution 4.0 International License.
DC.format	98109
citation_title	The foremost and greatest barrier to end-stage heart failure treatment: the impact of caregiver shortage
citation_author	Saito, Shunsuke
	Yoshioka, Daisuke
	Kawamura, Takuji
	Kawamura, Ai
	Misumi, Yusuke
	Akazawa, Yasuhiro
	Sera, Fusako
	Kubota, Kaori
	Yamauchi, Takashi
	Sakata, Yasushi
	Miyagawa, Shigeru
citation_publisher	Springer
citation_language	英語
citation_date	2024-08-07
citation_journal_title	Journal of Artificial Organs
citation_volume	28
citation_issue	2
citation_firstpage	192
citation_lastpage	197
citation_doi	https://doi.org/10.1007/s10047-024-01463-x
citation_public_url	https://hdl.handle.net/11094/98109

The foremost and greatest barrier to end-stage heart failure treatment: the impact of caregiver shortage

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