Decreased Renal Function as an Independent Predictor of Re-Hospitalization for Congestive Heart Failure

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Author(s)

    • KOMUKAI Kimiaki
    • Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine
    • OGAWA Takayuki
    • Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine
    • YAGI Hidenori
    • Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine
    • DATE Taro
    • Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine
    • SAKAMOTO Hiroshi
    • Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine
    • KANZAKI Yasuko
    • Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine
    • SHIBAYAMA Kenri
    • Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine
    • HASHIMOTO Koichi
    • Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine
    • INADA Keiichi
    • Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine
    • MINAI Kosuke
    • Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine
    • OGAWA Kazuo
    • Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine
    • KOSUGA Tsuneharu
    • Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine
    • KAWAI Makoto
    • Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine
    • HONGO Kenichi
    • Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine
    • TANIGUCHI Ikuo
    • Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine
    • YOSHIMURA Michihiro
    • Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine

Abstract

<b>Background</b> Patients with congestive heart failure (CHF) are often re-hospitalized, worsening both their quality of life and prognosis. Although renal dysfunction reportedly increases the risk of CHF, the association between renal dysfunction and re-hospitalization for CHF remains unclear. <b>Methods and Results</b> Patients with CHF and decreased renal function were reviewed. The estimated glomerular filtration rate (GFR) was calculated with the Modification of Diet in Renal Disease equation. Patients with decreased renal function (estimated GFR on admission <45 ml ·min<sup>-1</sup> · 1.73 m<sup>-2</sup>) were re-hospitalized more frequently than were patients with preserved renal function (estimated GFR on admission ≥45). Patients with decreased renal function were older and had higher rates of anemia, worsening renal function during hospitalization, and previous hospitalization for CHF. Independent predictors of re-hospitalization for CHF identified with multivariate analysis were age, previous hospitalization for CHF, decreased renal function, and non-use of an angiotensin-converting enzyme inhibitor or angiotensin-receptor blocker. <b>Conclusions</b> Renal dysfunction is an independent predictor of re-hospitalization for CHF, so careful follow-up is needed, even after discharge. (<i>Circ J</i> 2008; <b>72:</b> 1152 - 1157)<br>

Journal

  • Circulation Journal

    Circulation Journal 72(7), 1152-1157, 2008-07-20

    Japanese Circulation Society

References:  36

Cited by:  11

Codes

  • NII Article ID (NAID)
    110006792071
  • NII NACSIS-CAT ID (NCID)
    AA11591968
  • Text Lang
    ENG
  • Article Type
    Journal Article
  • ISSN
    13469843
  • Data Source
    CJP  CJPref  NII-ELS  J-STAGE 
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