Unique ID issued by UMIN | UMIN000020590 |
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Receipt number | R000023767 |
Scientific Title | Survey on the actual situation of treatment in heart failure on admission: A multicenter, use of electronic medical records and claims data, pharmaco-epidemiology, cohort study.(RECOMEND study) |
Date of disclosure of the study information | 2016/02/01 |
Last modified on | 2019/12/02 20:04:14 |
Survey on the actual situation of treatment in heart failure on admission: A multicenter, use of electronic medical records and claims data, pharmaco-epidemiology, cohort study.(RECOMEND study)
Survey on the actual situation of treatment in heart failure on admission: A multicenter, use of electronic medical records and claims data, pharmaco-epidemiology, cohort study.(RECOMEND study)
Survey on the actual situation of treatment in heart failure on admission: A multicenter, use of electronic medical records and claims data, pharmaco-epidemiology, cohort study.(RECOMEND study)
Survey on the actual situation of treatment in heart failure on admission: A multicenter, use of electronic medical records and claims data, pharmaco-epidemiology, cohort study.(RECOMEND study)
Japan |
Heart failure
Cardiology | Cardiovascular surgery |
Others
NO
To characterize the treatment of congestive heart failure patients on acute admission and to determine the association between the quality of medical care and clinical outcomes.
Others
Pharmaco-epidemiology
Exploratory
Others
Not applicable
1. Hospitalization length
2. In-hospital death
Observational
20 | years-old | <= |
Not applicable |
Male and Female
Target Population
Patients who were hospitalized for heart failure in acute care hospitals between January 2010 to December 2015.
Inclusion Criteria
Patients who meet any of the following criteria during any hospitalization will be included.
1) Hospitalization cases due to heart failure (ICD-10: I50) based on any of the following data elements:
a) "Diagnosis that triggered hospitalization"
b) "Diagnosis with highest medical cost"
c) "Main Diagnosis decided by the physician based on medical judgment"
2) Hospitalization cases in which the "Diagnosis with highest medical cost" could be included in any of the following classifications: a) Any diagnosis included in the ICD-10 code list below; b) Patients who received one or more of the listed agents during hospitalization.
a) Diagnosis (ICD-10):
I21$, I22$, I23$, I24$, I510, I20$, I25$, I420, I421, I422, I423, I424, I425, I426, I427, I428, I429, I43$, I515, I456, I47$, I48, I490, I491, I492, I493, I494, I498, I05$, I06$, I07$, I08$, I34$, I35$, I36$, I37$, I33$, I38, I40$, I41$, I514, I010, I018, I30$, I318, I32$, I310, I311, I50$, I110, I130, I132.
$: The numbers from "0" to "9".
b) Intravenous Agents:
Digoxin, Deslanoside, Amiodarone Hydrochloride, l-Isoprenaline Hydrochloride, Etilefrine Hydrochloride, Noradrenaline, Phenylephrine Hydrochloride,Dopamine Hydrochloride, Dobutamine Hydrochloride, Dipyridamole, Nicorandil, Nitroglycerin, Isosorbide Dinitrate, Olprinone Hydrochloride Hydra, Milrinone, Carperitide, Potassium Canrenoate, Piretanide, Bumetanide, Furosemide, Landiolol Hydrochloride, Diltiazem Hydrochloride, Nicardipine Hydrocloride, Verapamil Hydrochloride.
Oral Agents:
Eplerenone, Spironolacton, Azosemide, Torasemide, Piretanide, Bumetanide, Furosemide, Indapamide, Trichlormethiazide, Hydrochlorothiazide, Tolvaptan.
Age < 20 years old (on admission)
5000
1st name | |
Middle name | |
Last name | Koichi Nakao, Takeo Nakayama |
Saiseikai Kumamoto Hospital,
Kyoto University School of Public Health
Cardiology, Department of Health Informatics
5-3-1 Chikami, Minami-ku, Kumamoto-city,861-4193 Japan, Yoshida-Konoe, Sakyo-ku, Kyoto, Kyoto, 606-8501, Japan.
(096-351-8000)(075-753-4488)
koichi-nakao@saiseikaikumamoto.jp
1st name | |
Middle name | |
Last name | Hiromichi Chikashima |
Otsuka Pharmaceutical Co., Ltd.
Medical Affairs
Shinagawa Grand Central Tower, 2-16-4 Konan, Minato-ku, Tokyo 108-8242, Japan
03-6717-1400
Recomend_study@otsuka.jp
Otsuka Pharmaceutical Co., Ltd.
Otsuka Pharmaceutical Co., Ltd.
Profit organization
Japan
NO
済生会横浜市東部病院(神奈川県),福岡県済生会福岡総合病院(福岡県),済生会熊本病院(熊本県)
2016 | Year | 02 | Month | 01 | Day |
https://doi.org/10.1253/circrep.CR-19-0051
Published
https://doi.org/10.1253/circrep.CR-19-0051
3864
Results: Factors contributing to in-hospital death were advanced age, higher New York Heart Association (NYHA) class, low albumin and sodium, and high creatinine and C-reactive protein (CRP). Factors contributing to prolonged hospitalization were higher NYHA class, low Barthel index, low albumin, and high B-type natriuretic peptide, lactate dehydrogenase, and CRP.
Conclusions: This approach may be helpful to address clinical parameters of HF patients in any acute care hospital in Japan.
2019 | Year | 12 | Month | 02 | Day |
2019 | Year | 11 | Month | 22 | Day |
Mean age was 77.0 (SD 13.0)years; 55.3% (n=1,520) were men, and 39.1% (n=759) had left ventricular ejection fraction <40%. In-hospital mortality was 6.0% (n=164) and mean length of stay for patients who were discharged alive was 18.2 (SD 13.7) days (median, 15 days).
Article ID: CR-19-0051
Published: November 22, 2019
[Advance publication] Released: November 22, 2019
DOI: https://doi.org/10.1253/circrep.CR-19-0051
Supplementary Files
https://www.jstage.jst.go.jp/article/circrep/advpub/0/advpub_CR-19-0051/_supplement/_download/advpub_CR-19-0051_1.pdf
Not applicable
Results: Factors contributing to in-hospital death were advanced age, higher New York Heart Association (NYHA) class, low albumin and sodium, and high creatinine and C-reactive protein (CRP). Factors contributing to prolonged hospitalization were higher NYHA class, low Barthel index, low albumin, and high B-type natriuretic peptide, lactate dehydrogenase, and CRP.
Conclusions: This approach may be helpful to address clinical parameters of HF patients in any acute care hospital in Japan.
Completed
2015 | Year | 12 | Month | 18 | Day |
2016 | Year | 02 | Month | 08 | Day |
2016 | Year | 11 | Month | 01 | Day |
2017 | Year | 05 | Month | 19 | Day |
2017 | Year | 05 | Month | 19 | Day |
2019 | Year | 02 | Month | 12 | Day |
Retrospective cohort study
2016 | Year | 01 | Month | 15 | Day |
2019 | Year | 12 | Month | 02 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000023767
Research Plan | |
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Registered date | File name |
2016/07/15 | 156_104_00053_SAP_V100_20160202.pdf |
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