Low Activities of Daily Living Associated With Increased Cardiovascular Disease Mortality in Japan ― Analysis of Health Records From a Nationwide Claim-Based Database, JROAD-DPC ―
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- Gohbara Masaomi
- Division of Cardiology, Saiseikai Yokohamashi Nanbu Hospital
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- Nishimura Kunihiro
- Department of Statistics and Data Analysis, Center for Cerebral and Cardiovascular Disease Information, National Cerebral and Cardiovascular Center
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- Nakai Michikazu
- Department of Statistics and Data Analysis, Center for Cerebral and Cardiovascular Disease Information, National Cerebral and Cardiovascular Center
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- Sumita Yoko
- Department of Statistics and Data Analysis, Center for Cerebral and Cardiovascular Disease Information, National Cerebral and Cardiovascular Center
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- Endo Tsutomu
- Division of Cardiology, Saiseikai Yokohamashi Nanbu Hospital
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- Matsuzawa Yasushi
- Division of Cardiology, Yokohama City University Medical Center
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- Konishi Masaaki
- Division of Cardiology, Yokohama City University Medical Center
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- Kosuge Masami
- Division of Cardiology, Yokohama City University Medical Center
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- Ebina Toshiaki
- Laboratory Medicine, Yokohama City University Medical Center
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- Tamura Kouichi
- Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine
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- Kimura Kazuo
- Division of Cardiology, Yokohama City University Medical Center
説明
<p>Background: The aim of this study was to clarify the clinical impact of activities of daily living (ADL) using the Japanese Registry of All Cardiac and Vascular Diseases-Diagnosis Procedure Combination (JROAD-DPC) database. </p><p>Methods and Results: From April 2012 to March 2014, the JROAD-DPC database included 206,643 patients with acute coronary syndrome (ACS; n=49,784), heart failure (HF; n=136,878), or aortic aneurysm/dissection (Aorta; n=19,981). We divided them into 3 categories with regard to age (low, 20–59 years; middle, 60–79 years; high, ≥80 years) and admission ADL (low, Barthel index [BI] 0–70; middle, BI 75–95; high, BI 100). ACS, HF, and Aorta patients with low ADL had higher in-hospital mortality rates (18.3%, 16.7%, and 33.4%) than those with middle or high ADL (P<0.001, χ2 test). On multivariable analysis, BI on admission was associated with in-hospital mortality of ACS (OR, 0.986 per 1 BI; P<0.001), HF (OR, 0.986 per 1 BI; P<0.001), and Aorta (OR, 0.986 per 1 BI; P<0.001), adjusted for gender, age, body mass index, hypertension, diabetes mellitus, dyslipidemia, and the Charlson comorbidity index. Moreover, patients with low age and low ADL had a higher in-hospital mortality rate than those with high age and high ADL in regard to HF (8.6% vs. 6.0%). </p><p>Conclusions: According to JROAD-DPC data, assessment of admission ADL is important in patients with cardiovascular disease. </p>
収録刊行物
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- Circulation Reports
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Circulation Reports 1 (1), 20-28, 2019-01-10
一般社団法人 日本循環器学会
