ID | 117323 |
著者 |
Okushi, Yuichiro
Tokushima University
Okayama, Yoshihiro
Tokushima University
Zheng, Robert
Tokushima University
Nakai, Michikazu
National Cerebral and Cardiovascular Center
Sumita, Yoko
National Cerebral and Cardiovascular Center
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キーワード | heart failure
echocardiography
mortality
big data
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資料タイプ |
学術雑誌論文
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抄録 | Background: Echocardiography requires a high degree of skill on the part of the examiner, and the skill may be more improved in larger volume centers. This study investigated trends and outcomes associated with the use and volume of echocardiographic exams from a real-world registry database of heart failure (HF) hospitalizations. Methods: This study was based on the Diagnosis Procedure Combination database in the Japanese Registry of All Cardiac and Vascular Datasets (JROAD-DPC). A first analysis was performed to assess the trend of echocardiographic examinations between 2012 and 2016. A secondary analysis was performed to assess whether echocardiographic use was associated with in-hospital mortality in 2015. Results: During this period, the use of echocardiography grew at an average annual rate of 6%. Patients with echocardiography had declining rates of hospital mortality, and these trends were associated with high hospitalization costs. In the 2015 sample, a total of 52,832 echocardiograms were examined, corresponding to 65.6% of all HF hospital admissions for that year. We found that the use and volume of echocardiography exams were associated with significantly lower odds of all-cause hospital mortality in heart failure (adjusted odds ratio (OR): 0.48 for use of echocardiography and 0.78 for the third tertile; both p < 0.001). Conclusions: The use of echocardiography was associated with decreased odds of hospital mortality in HF. The volumes of echocardiographic examinations were also associated with hospital mortality.
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掲載誌名 |
Journal of Cardiovascular Development and Disease
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ISSN | 23083425
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出版者 | MDPI
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巻 | 8
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号 | 10
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開始ページ | 124
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発行日 | 2021-09-30
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権利情報 | This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
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言語 |
eng
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著者版フラグ |
出版社版
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部局 |
病院
医学系
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