| アブストラクト | BACKGROUND: Cardiovascular emergencies often require intensive care unit (ICU) management, but there is limited data comparing outcomes based on the admission ward. METHODS AND RESULTS: We analyzed data from the Japanese Registry of All Cardiac and Vascular Diseases Diagnosis Procedure Combination (JROAD-DPC) database (2016-2020) for 715,054 patients (mean age, 75.4+/-14.2 years, 58.4% male) admitted with acute myocardial infarction (N=175,974), unstable angina (N=45,308), acute heart failure (N=179,871), acute aortic dissection (N=58,597), pulmonary embolism (N=17,009), or post-cardiac arrest (N=184,701). Patients were categorized into 4 groups: intensive care add-ons 1/2, 3/4 (ICU 1/2, 3/4), high-care unit (HCU), and general wards. Comparisons included patient characteristics, hospitalization duration, mortality rates, and rates of defibrillation or cardiopulmonary resuscitation (CPR) defined by chest compression. General ward patients were the oldest and with shortest hospitalization durations. Additionally, mortality rates were the highest in general wards for acute heart failure, myocardial infarction, and aortic dissection. Defibrillation rates were 7.0%, 5.6%, 3.1%, and 4.3%, for ICU 1/2, 3/4, HCU, and general ward, respectively, with corresponding mortality rates of 40.4%, 44.1%, 44.6%, and 79.3%. CPR rates were 10.1%, 9.5%, 6.2%, and 30.8%, with mortality rates of 71.0%, 73.9%, 78.4%, and 97.7%, respectively. CONCLUSIONS: High mortality rates in general wards highlight the importance of ICU management, particularly for acute myocardial infarction and aortic emergencies. These findings support prioritizing ICU admission for these critical conditions. |
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| ジャーナル名 | Circulation journal : official journal of the Japanese Circulation Society |
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| Pubmed追加日 | 2025/3/17 |
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| 投稿者 | Kuwabara, Masanari; Yamamoto, Takeshi; Tahara, Yoshio; Kikuchi, Migaku; Imamura, Hiroshi; Takeuchi, Ichiro; Sato, Naoki; Itoh, Tomonori; Sumita, Yoko; Miyamoto, Yoshihiro; Ishihara, Shiro; Isoda, Kikuo; Ishizu, Tomoko; Ikeda, Takanori; Okura, Hiroyuki; Kobayashi, Yoshio; Asai, Kuniya |
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| 組織名 | Division of Public Health, Center for Community Medicine, Jichi Medical;University.;Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical;Division of Cardiovascular Intensive Care, Nippon Medical School Hospital.;Department of Cardiovascular Emergency, National Cerebral and Cardiovascular;Center.;Emergency and Critical Care Center, Dokkyo Medical University.;Department of Emergency and Critical Care Medicine, Shinshu University.;Advanced Critical Care Center, Medical Center, Yokohama City University.;Department of Cardiovascular Medicine, Kawaguchi Cardiovascular and Respiratory;Hospital.;Division of Cardiology, Department of Internal Medicine, Division of Community;Medicine, Department of Medical Education, School of Medicine, Iwate Medical;Department of Medical and Health Information Management, National Cerebral and;Cardiovascular Center.;Department of Cardiology, Saitama Medical University/Saitama Medical Center.;Department of Cardiovascular Medicine, Juntendo University Nerima Hospital.;Department of Cardiovascular Medicine, Faculty of Medicine, University of;Tsukuba.;Cardiovascular Medicine, Graduate School of Medicine, Toho University.;Department of Cardiovascular Medicine, Graduate School of Medicine, Gifu;Department of Cardiovascular Medicine, Graduate School of Medicine, Chiba;Department of Cardiovascular Medicine, Nippon Medical School. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/40090732/ |
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