| アブストラクト | 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. 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, chi(2) 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%). Conclusions: According to JROAD-DPC data, assessment of admission ADL is important in patients with cardiovascular disease. |
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| 投稿者 | Gohbara, Masaomi; Nishimura, Kunihiro; Nakai, Michikazu; Sumita, Yoko; Endo, Tsutomu; Matsuzawa, Yasushi; Konishi, Masaaki; Kosuge, Masami; Ebina, Toshiaki; Tamura, Kouichi; Kimura, Kazuo |
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| 組織名 | Division of Cardiology, Saiseikai Yokohamashi Nanbu Hospital Yokohama Japan.;Department of Statistics and Data Analysis, Center for Cerebral and;Cardiovascular Disease Information, National Cerebral and Cardiovascular Center;Suita Japan.;Division of Cardiology, Yokohama City University Medical Center Yokohama Japan.;Laboratory Medicine, Yokohama City University Medical Center Yokohama Japan.;Department of Medical Science and Cardiorenal Medicine, Yokohama City University;Graduate School of Medicine Yokohama Japan. |
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