Incidence and Risk Factors of Future Need for Long-Term Care Insurance in Japanese Elderly Patients With Left Ventricular Systolic Dysfunction

Fujiki, Shinya; Kashimura, Takeshi; Okura, Yuji; Kodera, Kunio; Watanabe, Hiroshi; Tanaka, Komei; Bannai, Shogo; Hatano, Taturo; Tanaka, Takahiro; Kitamura, Nobuto; Minamino, Tohru; Inomata, Takayuki

doi:10.1253/circj.cj-21-0580

Cited by 4 publications

(3 citation statements)

References 21 publications

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“…Details concerning the study design and baseline clinical data have been reported elsewhere. 13 Briefly, patients aged ≥65 years with an echocardiographic left ventricular ejection fraction (LVEF) <50% were enrolled. Echocardiography was performed between January 2011 and December 2016.…”

Section: Study Design and Patient Enrolmentmentioning

confidence: 99%

“…Frailty and disability in elderly patients are highly prevalent and are associated with a worse prognosis; 13,33 this may explain, in part, the lower prescription rate in elderly patients. 34 In the present study we surveyed LTCI as a marker of frailty and disability, 14,15 because it assesses bidities, who are more likely to receive polypharmacy, have been excluded from many evidence-generating clinical trials.…”

Section: Gdmt In Vulnerable Elderly Patients With Heart Failurementioning

confidence: 99%

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Relationship Between Medical Therapy, Long-Term Care Insurance, and Comorbidity in Elderly Patients With Heart Failure With Systolic Dysfunction

Kase

Fujiki

Kashimura

et al. 2023

Circ J

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to that in patients with HFrEF. 7 Nonetheless, most patients have been treated inadequately and have had no changes in the use or dose of the medication suggested; thus, there remain significant gaps in the guidelines' recommendations. 8,9 In implementing guideline-directed medical therapy (GDMT), patient-related factors (comorbidities, advanced age, frailty, cognitive impairment, poor adherence, low socioeconomic status), treatment-related factors (intolerance, side effects), and healthcare-related factors C urrent management guidelines for patients with heart failure with reduced ejection fraction (HFrEF) strongly support the use of multiple medications that are proven to improve survival and quality of life. 1,2 Moreover, evidence that the standard therapy for HFrEF may be effective in and extended to select patients with heart failure with mildly reduced ejection fraction (HFmrEF) has grown. 3-6 In daily clinical practice in Japan, the medication regimen in patients with HFmrEF is similar

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Section: Study Design and Patient Enrolmentmentioning

confidence: 99%

Section: Gdmt In Vulnerable Elderly Patients With Heart Failurementioning

confidence: 99%

Relationship Between Medical Therapy, Long-Term Care Insurance, and Comorbidity in Elderly Patients With Heart Failure With Systolic Dysfunction

Kase

Fujiki

Kashimura

et al. 2023

Circ J

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“…В одном из исследований была выявлена связь между пациентами с фибрилляцией предсердий и падениями в анамнезе, получающими антикоагулянтную терапию, и высоким риском серьезных кровотечений (отношение шансов (ОШ) 1,39; 95% доверительный интервал (ДИ) 1,05-1,84; p=0,020) [15]. В японском исследовании было продемонстрировано увеличение потребности в долгосрочном уходе у пациентов с систолической дисфункцией левого желудочка (ЛЖ) и ОП (ОШ 1,74; 95% ДИ 1,25-2,41) [19]. Строгий конт роль артериального давления оказался важен для снижения прогрессирования ухудшения состояния здоровья мультиморбидных пациентов с ХСН и ОП [16].…”

Section: результатыunclassified

Evidence-based perspective on heart failure and osteoporosis: a systematic review

et al. 2023

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Aim. To study the prognostic relationship between heart failure (HF) and osteoporosis, as well to search for modern principles and approaches to the management of patients.Material and methods. A search was conducted in the PubMed, RSCI databases from 2012 to 2022 using keywords. The studies were selected according to the PRISMA algorithm.Results. Based on the results, 124 papers were received, and 9 articles were eventually selected. The age of the patients was at least 49 years (mainly elderly patients). The median follow-up ranged from 12 months to 10,5 years. The larger percentage were females.Conclusion. Osteoporosis was associated with the HF risk, and patients with heart failure had a higher risk of accidental fracture due to accelerated bone turnover. The foregoing makes it possible to consider patients with HF as a group of increased risk of osteoporosis and associated fractures, and impaired mineral metabolism as a possible additional cardiovascular risk factor.

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Prevalence and incidence of cognitive impairment and dementia in heart failure – A systematic review, meta-analysis and meta-regression

Yap

Kor

Teo

et al. 2022

Hellenic Journal of Cardiology

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Incidence and Risk Factors of Future Need for Long-Term Care Insurance in Japanese Elderly Patients With Left Ventricular Systolic Dysfunction

Cited by 4 publications

References 21 publications

Relationship Between Medical Therapy, Long-Term Care Insurance, and Comorbidity in Elderly Patients With Heart Failure With Systolic Dysfunction

Relationship Between Medical Therapy, Long-Term Care Insurance, and Comorbidity in Elderly Patients With Heart Failure With Systolic Dysfunction

Evidence-based perspective on heart failure and osteoporosis: a systematic review

Prevalence and incidence of cognitive impairment and dementia in heart failure – A systematic review, meta-analysis and meta-regression

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