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Clinical Features and Outcome in Hospitalized Heart Failure in Japan (From the ATTEND Registry)

机译:日本住院心力衰竭的临床特征和结果(来自ATTEND注册中心)

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Background: ?Hospitalized heart failure (HHF) is a critical issue in Japan. To improve its management and outcomes, the clinical features, in-hospital management, and outcomes should be analyzed to improve the guidelines for HHF. Methods and Results: ?The acute decompensated heart failure syndromes (ATTEND) registry is the largest study of HHF in Japan. The present report covers the clinical features and in-hospital management of HHF patients. The data from 4,842 enrolled patients have demonstrated that most Japanese HHF patients are elderly, with new onset, and a history of hypertension and orthopnea on admission. During hospitalization, furosemide and carperitide were commonly used and the length of stay was extremely long (mean 30 days), with 6.4% in-hospital mortality. Conclusions: ?The findings of the present study suggest the following: (1) the focus for hypertensive elderly and diabetic patients should be on primary prevention of HHF,(2) more intensive management with noninvasive positive pressure ventilation should be performed at the urgent stage, (3) it is necessary to clarify the clinical benefit of carperitide and angiotensin-receptor blockers, because they are commonly used in Japan, and (4) it is necessary to clarify the relationship between in-hospital mortality and length of stay from the viewpoint of both outcome and cost of patient care.??(Circ J?2013; 77: 944–951)
机译:背景:住院心力衰竭(HHF)在日本是一个关键问题。为了改善其管理和结局,应分析临床特征,住院管理和结局以改善HHF指南。方法和结果:急性失代偿性心力衰竭综合征(ATTEND)登记是日本最大的HHF研究。本报告涵盖了HHF患者的临床特征和住院治疗。来自4,842名已入组患者的数据表明,大多数日本HHF患者为老年患者,有新的发作,入院时有高血压和正呼吸的病史。住院期间,经常使用速尿和卡立哌肽,住院时间极长(平均30天),住院死亡率为6.4%。结论:本研究的结果表明:(1)高血压老年和糖尿病患者的重点应放在HHF的一级预防上;(2)紧急阶段应采用无创正压通气进行更深入的管理,(3)有必要弄清卡培肽和血管紧张素受体阻滞剂的临床益处,因为它们在日本很普遍,并且(4)有必要弄清医院死亡率与住院天数之间的关系。对结果和患者护理成本的看法。(Circ J,2013; 77:944-951)

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