| アブストラクト | AIM: Although cardiac rehabilitation (CR) is a strongly recommended therapy, no large study has assessed the effects of outpatient CR in patients with heart failure (HF) in real-world settings. Therefore, this study aimed to investigate the multifactorial effects of outpatient CR in patients with HF using a nationwide database. METHODS AND RESULTS: This nationwide retrospective cohort study was performed using the National Database of Health Insurance Claims and Specific Health Checkups of Japan. Patients with acute HF who underwent inpatient CR between April 2014 and March 2020 were included. The association between outpatient CR participation and all-cause mortality, rehospitalisation for HF, use of medical resources, and medical costs was analysed using propensity score matching analysis. Of 250,528 patients, 17,884 (7.1%) underwent outpatient CR. After propensity score matching, the CR (+) group was associated with a reduction in the risk of all-cause mortality (hazard ratio [HR]: 0.64, 95% confidence interval [CI]: 0.60-0.68, p < 0.001) and rehospitalisation for HF compared to the CR (-) group (HR: 0.87, 95% CI: 0.82-0.92, p < 0.001). The proportion of guideline-based medication use for HF at 1 year was higher in the CR (+) group than in the CR (-) group. The total medical costs from the index hospitalisation to 1.5 years after admission were similar between the groups. CONCLUSION: Outpatient CR participation after discharge from HF was associated with reduced mortality and rehospitalisation for HF without increasing medical costs. |
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| ジャーナル名 | European journal of preventive cardiology |
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| Pubmed追加日 | 2022/11/16 |
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| 投稿者 | Kanaoka, Koshiro; Iwanaga, Yoshitaka; Nakai, Michikazu; Nishioka, Yuichi; Myojin, Tomoya; Kubo, Shinichiro; Okada, Katsuki; Noda, Tatsuya; Sakata, Yasushi; Miyamoto, Yoshihiro; Saito, Yoshihiko; Imamura, Tomoaki |
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| 組織名 | Department of Medical and Health Information Management, National Cerebral and;Cardiovascular Center.;Department of Cardiovascular Medicine, Nara Medical University.;Department of Biostatistics, National Cerebral and Cardiovascular Center.;Department of Public Health, Health Management and Policy, Nara Medical;University.;Department of Cardiovascular Medicine, Osaka University Graduate School of;Medicine.;Department of Medical Informatics, Osaka University Graduate School of Medicine.;Open Innovation Center, National Cerebral and Cardiovascular Center.;Nara Prefecture Seiwa Medical Center. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/36378557/ |
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