TY - JOUR
T1 - Prevalence, predictors and prognosis of patients with heart failure requiring nursing care – Report from the CHART-2 study –
AU - CHART-2 investigators
AU - Miura, Masanobu
AU - Sakata, Yasuhiko
AU - Nochioka, Kotaro
AU - Takada, Tsuyoshi
AU - Tadaki, Soichiro
AU - Ushigome, Ryoichi
AU - Yamauchi, Takeshi
AU - Takahashi, Jun
AU - Shimokawa, Hiroaki
AU - Sakata, Yasuhiko
AU - Miyata, Satoshi
AU - Shiba, Nobuyuki
N1 - Publisher Copyright:
© 2014 THE JAPANESE CIRCULATION SOCIETY.
PY - 2014/9/1
Y1 - 2014/9/1
N2 - Background: Although the need for nursing care (NC) in heart failure (HF) patients is recognized, detailed information on the current status in Japan is lacking.Methods and Results: In the CHART-2 Study, we obtained information on daily life, physical ability, nutrition and mental status for 4,174 patients (mean age, 67.1±10.8 years; 73.3% male) out of 10,219 patients. We examined the prevalence, baseline characteristics and clinical outcomes of stage B and C/D HF patients requiring NC. The prevalence of HF requiring NC was significantly higher in stage C/D (38.6%) than in stage B (30.4%; P<0.001). Among the reasons for requiring NC, physical dysfunction was most prevalent in both stage B (20.6%) and C/D (29.0%). Compared with the non-NC group, the NC group was characterized by higher age, higher prevalence of female gender and cerebrovascular disease, and increased plasma brain natriuretic peptide regardless of HF stage. During a median follow-up of 12.7 months after the survey, the NC group had a significantly higher mortality compared with the non-NC group (9.6% vs. 3.6%, P<0.001). On multivariate logistic analysis depressive mental status (hazard ratio [HR], 3.61; P<0.001) and dementia (HR, 2.70; P<0.001) were significantly associated with NC need.Conclusions: In HF patients, NC need is considerably high and is associated with increased mortality regardless of HF stage in Japan.
AB - Background: Although the need for nursing care (NC) in heart failure (HF) patients is recognized, detailed information on the current status in Japan is lacking.Methods and Results: In the CHART-2 Study, we obtained information on daily life, physical ability, nutrition and mental status for 4,174 patients (mean age, 67.1±10.8 years; 73.3% male) out of 10,219 patients. We examined the prevalence, baseline characteristics and clinical outcomes of stage B and C/D HF patients requiring NC. The prevalence of HF requiring NC was significantly higher in stage C/D (38.6%) than in stage B (30.4%; P<0.001). Among the reasons for requiring NC, physical dysfunction was most prevalent in both stage B (20.6%) and C/D (29.0%). Compared with the non-NC group, the NC group was characterized by higher age, higher prevalence of female gender and cerebrovascular disease, and increased plasma brain natriuretic peptide regardless of HF stage. During a median follow-up of 12.7 months after the survey, the NC group had a significantly higher mortality compared with the non-NC group (9.6% vs. 3.6%, P<0.001). On multivariate logistic analysis depressive mental status (hazard ratio [HR], 3.61; P<0.001) and dementia (HR, 2.70; P<0.001) were significantly associated with NC need.Conclusions: In HF patients, NC need is considerably high and is associated with increased mortality regardless of HF stage in Japan.
KW - Heart failure
KW - Nursing care
KW - Prognosis
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U2 - 10.1253/circj.CJ-14-0387
DO - 10.1253/circj.CJ-14-0387
M3 - Article
C2 - 25056426
AN - SCOPUS:84906810855
VL - 78
SP - 2276
EP - 2283
JO - Circulation Journal
JF - Circulation Journal
SN - 1346-9843
IS - 9
ER -