| アブストラクト | 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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| ジャーナル名 | Journal of cardiovascular development and disease |
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| Pubmed追加日 | 2021/10/23 |
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| 投稿者 | Kusunose, Kenya; Okushi, Yuichiro; Okayama, Yoshihiro; Zheng, Robert; Nakai, Michikazu; Sumita, Yoko; Ise, Takayuki; Yamaguchi, Koji; Yagi, Shusuke; Fukuda, Daiju; Yamada, Hirotsugu; Soeki, Takeshi; Wakatsuki, Tetsuzo; Sata, Masataka |
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| 組織名 | Department of Cardiovascular Medicine, Tokushima University Hospital, Tokushima;770-8503, Japan.;Clinical Research Center for Developmental Therapeutics, Tokushima University;Hospital, Tokushima 770-8503, Japan.;Center for Cerebral and Cardiovascular Disease Information, National Cerebral and;Cardiovascular Center, Osaka 564-8565, Japan.;Department of Community Medicine for Cardiology, Tokushima University Graduate;School of Biomedical Sciences, Tokushima 770-8503, Japan. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/34677193/ |
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