Relationship Between Heart Failure Hospitalization Costs and Left Ventricular Ejection Fraction in an Advanced Aging Society
-
- Kaichi Ryota
- Miyazaki Prefectural Nobeoka Hospital
-
- Marume Kyohei
- Miyazaki Prefectural Nobeoka Hospital Department of Sport Science, University of Innsbruck
-
- Nakai Michikazu
- National Cerebral and Cardiovascular Center
-
- Ishii Masanobu
- Miyazaki Prefectural Nobeoka Hospital
-
- Ogata Soshiro
- National Cerebral and Cardiovascular Center
-
- Iwanaga Yoshitaka
- National Cerebral and Cardiovascular Center
-
- Ikebe Sou
- Miyazaki Prefectural Nobeoka Hospital
-
- Mori Takayuki
- Miyazaki Prefectural Nobeoka Hospital
-
- Komaki Soichi
- Miyazaki Prefectural Nobeoka Hospital
-
- Kusaka Hiroaki
- Miyazaki Prefectural Nobeoka Hospital
-
- Toida Reiko
- Miyazaki Prefectural Nobeoka Hospital
-
- Kurogi Kazumasa
- Miyazaki Prefectural Nobeoka Hospital
-
- Miyamoto Yoshihiro
- National Cerebral and Cardiovascular Center
-
- Yamamoto Nobuyasu
- Miyazaki Prefectural Nobeoka Hospital
この論文をさがす
抄録
<p>Background:Left ventricular ejection fraction (LVEF) is a basic clinical index that determines the heart failure (HF) treatment strategy. We aimed to evaluate the association between hospitalization costs for HF patient and LVEF in an advanced aging society in a region in Japan.</p><p>Methods and Results:Consecutive HF patients admitted to Miyazaki Prefectural Nobeoka Hospital between January 2015 and March 2018 were included in the study. The 346 HF patients (mean age 78 years) were divided into 2 groups: HF with reduced ejection fraction (HFrEF; LVEF <40%; n=129) and HF with preserved ejection fraction (HFpEF; LVEF ≥40%; n=217). Median hospitalization costs (in 2017 US dollars) were higher in the HFrEF than HFpEF group, but the difference was not statistically significant ($7,128 vs. $6,580; P=0.189). However, in older adults (age ≥75 years; n=252), median hospitalization costs were significantly higher in the HFrEF than HFpEF group ($7,240 vs. $6,471; P=0.014), and LVEF was an independent factor of hospitalization costs (β=−0.0301, P=0.006). Median hospitalization costs were significantly lower in the older than younger HFpEF group ($6,471 vs. $7,250; P=0.011), but there was no significant difference in costs between the older and younger HFrEF groups ($7,240 vs. $6,760; P=0.351).</p><p>Conclusions:The relationship between LVEF and hospitalization costs became more pronounced with age, and LVEF was a negative independent factor for hospitalization costs in the older population.</p>
収録刊行物
-
- Circulation Reports
-
Circulation Reports 4 (1), 48-58, 2022-01-07
一般社団法人 日本循環器学会
- Tweet
詳細情報 詳細情報について
-
- CRID
- 1390853598119789056
-
- NII論文ID
- 130008140056
-
- ISSN
- 24340790
-
- 本文言語コード
- en
-
- データソース種別
-
- JaLC
- Crossref
- CiNii Articles
-
- 抄録ライセンスフラグ
- 使用不可