ヌマタ　マドカ   Numata Madoka   沼田　まどか    所属   医学部 医学科（東京女子医科大学病院）    職種   助教
言語種別	英語
発表タイトル	Hospitalization period in AHF patients affects prognosis after discharge?
会議名	The 21st Annual Scientific Meeting of the Japanese Heart Failure Society
主催者	Japanese Heart Failure Society
学会区分	全国規模の学会
発表形式	口頭
講演区分	一般
発表者・共同発表者	◎KAMETANI Motoko, JUJO Kentaro, MINAMI Yuichiro, MIZOBUCHI Keiko, ISHIDA Issei, KADOWAKI Hiromu, AKASHI Madoka, HARUKI Shintaro, HAGIWARA Nobuhisa
発表年月日	2017/10/13
開催地 （都市, 国名）	Akita, JAPAN
学会抄録	Journal of Cardiac Failure 23(10),S44 2017
概要	Background: Hospitalization of patients with acute heart failure (AHF) in Japan is extremely longer than that in Western countries. Longer stay is often due to social background rather than patient systemic status. Additionally, Japanese cardiologists tend to try to achieve complete restoration of decompensated HF to avoid rehospitalization and improve mortality after discharge. We aimed to evaluate the impact of hospital duration on clinical prognosis after discharge in patients with AHF. Methods and Results: This study included 1,070 consecutive patients who were urgently hospitalized due to AHF and discharged alive between 2013 and 2017. They were divided into 2 groups depending on a median hospital stay of enrolled patients (18.5 days); the Longer stay (n = 533) and Shorter stay group (n = 539). The primary endpoint was a combination of death from any cause and readmission due to worsening of HF. The Longer group had significantly higher BNP, lower cardiac function and poorer renal function, and were treated with higher dose of daily furosemide than Shorter group at baseline. After propensity score matching, during 275 days of median follow-up period, KaplanMeier analysis did not show a significant difference in the incidence of primary endpoint between the Shorter and Longer stay groups (n = 239 e.a., Log-rank: P = .97). Conclusions: Longer hospital stay did not achieve better clinical outcomes in patients with AHF after discharge alive.