A Simple Risk Score to Predict In-Hospital Death of Elderly Patients With Acute Decompensated Heart Failure : Hypoalbuminemia as an Additional Prognostic Factor
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概要
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Background: Risk stratification for elderly patients with acute decompensated heart failure (ADHF) may help clinicians to select the appropriate therapy and raise the quality of care. Methods and Results: The present study enrolled 349 patients aged over 65 years who were hospitalized with ADHF from January 2004 to October 2008. Five independent prognostic factors were identified by multivariate logistic regression analysis, and each factor was assigned a number of points proportional to its regression coefficient: prior heart failure hospitalization (2points), sodium ≤138 mmol/L (2points), BUN ≥35 mg/dl (2points), albumin ≤3.2 g/dl (3points), and BNP ≥980 pg/ml (2points); in particular, hypoalbuminemia was identified as the strongest prognostic factor. The patients were stratified into 3 groups: low risk (0-4points), moderate risk (5-7points), and high risk (8-11points). The respective in-hospital mortality rates were 1.6%, 15.8%, and 42.1% (P<0.05). Conclusions: In addition to known prognostic factors, hypoalbuminemia may provide important information for elderly patients with ADHF. A simple risk score may help to stratify the risk of in-hospital mortality and contribute to better clinical management of these elderly patients.
- 社団法人 日本循環器学会の論文
- 2009-11-20
著者
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Kotani Kazuhiko
Department of Public Health, Jichi Medical University
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KIYOHARA Yutaka
Kyushu University
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IIMURA Osamu
Sapporo Medical University
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Ogino Kazuhide
Center for Clinical Residency Program, Tottori University Hospital
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Kato Masahiko
Department of Cardiovascular Medicine, Faculty of Medicine, Tottori University
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Kinugasa Yoshiharu
Department of Cardiovascular Medicine, Faculty of Medicine, Tottori University
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Sugihara Shinobu
Department of Cardiovascular Medicine, Faculty of Medicine, Tottori University
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Ishida Katsunori
Department of Cardiovascular Medicine, Faculty of Medicine, Tottori University
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Yanagihara Kiyotaka
Department of Cardiovascular Medicine, Faculty of Medicine, Tottori University
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Hisatome Ichiro
Department of Genetic Medicine and Regenerative Therapeutics, Tottori University Graduate School of
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Shigemasa Chiaki
Department of Cardiovascular Medicine, Faculty of Medicine, Tottori University
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Muratani H
Department Of Clinical Pharmacology And Therapeutics Tohoku University
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HIRAI Masayuki
Department of Cardiovascular Medicine, Faculty of Medicine, Tottori University
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KATO Yosuke
Department of Cardiovascular Medicine, Faculty of Medicine, Tottori University
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IGAWA Osamu
Department of Cardiovascular Medicine, Faculty of Medicine, Tottori University
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Shigemasa Chiaki
Department Of Cardiovascular Medicine Faculty Of Medicine Tottori University
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Shigemasa Chiaki
鳥取大学 医学部循環器内科
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Shigemasa Chiaki
鳥取大学 医学部病院薬剤部
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Itoh Hiroaki
Osaka City University
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Itoh Hiroshi
First Pathology Faculty Of Medical Sciences University Of Fukui
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Itoh Hiroshi
Division Of Surgical Pathology Department Of Biomedical Informatics Kobe University Graduate School
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Itoh Hiroshi
宮崎大学 医学部病理学第2
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Itoh Hiroshi
Division 1 Department Of Pathology Kobe University School Of Medicine
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Kurata Yasutaka
Department Of Cardiovascular Medicine Faculty Of Medicine Tottori University
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Makino Hirofumi
Okayama Univ. Graduate School Of Medicine Dentistry And Pharmaceutical Sci. Okayama Jpn
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Makino H
Department Of Medicine And Clinical Science Okayama University Graduate School Of Medicine And Denti
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Matsuoka Hiroaki
大阪大学 医学系研究科老年・腎臓内科学
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Hisatome Ichiro
Department Of Regenerative Medicine And Therapeutics Tottori University Graduate School Of Medical S
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Igawa Osamu
Sapporo Medical University
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Iimura Osamu
The 2nd Department Of Internal Medicine Sapporo Medical University School Of Medicine
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Hori Masatsugu
大阪大学 大学院医学系研究科内科系臨床医学専攻核医学講座
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Matsubara Hiroaki
京都府立医科大学 循環器内科学
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Matsuo H
Department Of Internal Medicine Circulatory And Body Fluid Regulation Faculty Of Medicine University
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Sugihara Shinobu
Department Of Cardiovascularmedicine Tottori University
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Sugihara Shinobu
Department Of Cardiovascular Medicine Faculty Of Medicine Tottori University
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Ogino Kazuhide
Center For Clinical Residency Program Tottori University Hospital
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Ito H
Osaka City University
-
Muratani Hiromi
琉球大学 第3内科
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Hisatome Ichiro
Division Of Regenerative Therapeutics Department Of Genetic Medicine And Regenerative Therapeutics G
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Kotani Kazuhiko
Department Of Clinical Laboratory Medicine Jichi Medical University
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Metoki Hirohito
東北大学 臨床薬学
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Yanagihara Kiyotaka
Department Of Cardiovascular Medicine Faculty Of Medicine Tottori University
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IIMURA Osamu
Hokkaido JR Sapporo Hospital
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Muratani Hiromi
Geriatric Medicine Kanazawa Medical University
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Hori Masatsugu
Department Of Cardiology Osaka University Graduate School Of Medicine
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Itakura Hiroshige
Department Of Internal Medicine Keio University School Of Medicine
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Kiyohara Yutaka
Department Of Environmental Medicine Graduate School Of Medical Sciences Kyushu University
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Iimura O
Sapporo Medical Univ.
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Hisatome Ichiro
First Department Of Internal Medicine Faculty Of Medicine Tottori University
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Kato Masahiko
Department Of Cardiovascular Medicine Faculty Of Medicine Tottori University
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Maeba Hirofumi
Cardiovascular Center Kansai Medical University
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Horio M
Department Of Clinical Pharmacology And Therapeutics Tohoku University Graduate School Of Pharmaceut
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Iimura O
Sapporo Medical University
-
Mani Hiroki
Department Of Clinical Molecular Genetics And Laboratory Medicine Kyoto Prefectural University Of Me
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Iimura Osamu
Second Department Of Internal Medicine Sapporo Medical College
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HIRAI Masashi
the National Minami Fukuoka Chest Hospital
-
Mashiba Hiroto
Kure Kyosai Hospital
-
Matsuoka H
Kyoto Univ. Kyoto
-
Horio Masaru
Department Of Internal Medicine And Therapeutics Osaka University Graduate School Of Medicine
-
Ishida Katsunori
Department Of Cardiovascular Medicine Faculty Of Medicine Tottori University
-
Sugihara Shinobu
Department Of Cardiovascular Medicine Tottori University Faculty Of Medicine
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Matsuoka Hiroaki
Division Of Hypertension And Cardiorenal Disease Department Of Medicine Dokkyo University School Of
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Kinugasa Yoshiharu
Department Of Cardiovascular Medicine Faculty Of Medicine Tottori University
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Kiyohara Yutaka
The Research Committee For Primary Hyperlipidemia Research On Measures For Intractable Diseases By T
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Hori Masatsugu
Department Of Radiology National Center Hospital For Mental Nervous And Muscular Disorders National
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Maeba Hirofumi
Division Of Cardiology Kansai Medical University
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Kato Masahiko
Department Of Allergy And Immunology Gunma Children's Medical Center
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Hori Masatsugu
Department Of Nephrology Osaka University Graduate School Of Medicine
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Horio Masaru
Department Of Internal Medicine And Therapeutics Osaka University Graduate School Of Medicine (a8)
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Miyakoda Hiroyuki
The First Department Of Internal Medicine Tottori University School Of Medicine
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Imura H
Kyoto Univ. Kyoto Jpn
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Kasai Yutaka
Division Of Gastroenterological Surgery Department Of Surgery Kawasaki Medical School
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Matsui Hiroshi
Research Institute National Center Of Cardiovascular Medicine
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Horio Masaru
Department Of Nephrology Osaka University Graduate School Of Medicine
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Mani Hiroki
Department Of Cardiovascular Medicine Kyoto Prefectural University School Of Medicine
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Matsuo Hisayuki
Research Institute National Center Of Cardiovascular Medicine
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Kasai Y
Division Of Gastroenterological Surgery Department Of Surgery Kawasaki Medical School
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Ito Hisao
Division Of Organ Pathology Department Of Microbiology And Pathology Tottori University
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Iimura Osamu
Second Department Of Internal Medicine Sapporo Medical University School Of Medicine
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Hamanaka Ichiro
Departments Of Medicine And Clinical Science
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Iimura Osamu
The Secone Department Of Internal Medicine Sapporo Medical College
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Makino Hirofumi
International Medical Center Of Japan
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Higuchi Masayoshi
Department Of Geriatric Medicine Osaka University Graduate School Of Medicine
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Iimura Osamu
The 2nd Department Of Internal Medieine Sapporo Medical College Sapporo 060
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Igawa Osamu
Department Of Cardiovascular Medicine Faculty Of Medicine Tottori University
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Kato Masako
The Second Department Of Pathology Faculty Of Medicine Tottori University
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Shigemasa Chiaki
Division Of Regenerative Medicine And Therapeutics Department Of Genetic Medicine And Regenerative M
-
Hisatome Ichiro
Division Of Molecular Medicine And Therapeutics Department Of Multidisciplinary Internal Medicine To
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Ito Hisao
Division Of Organ Pathology Department Of Microbiology And Pathology Faculty Of Medicine Tottori Uni
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Hattori Motoshi
Department Of Pediatric Nephrology Tokyo Women's Medical University School Of Medicine
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Ito Hisao
Division Of Organ Pathology Department Of Microbiology And Pathology Faculty Of Medicine Tottori Uni
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Hisatome Ichiro
Division Of Molecular Medicine And Therapeutics Department Of Multidisciplinary Internal Medicine To
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Hisatome Ichiro
Division Of Molecular Medicine And Therapeutics Department Of Multidisciplinary Internal Medicine Tottori University Faculty Of Medicine
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Shigemasa Chiaki
Division Of Regenerative Medicine And Therapeutics Department Of Genetic Medicine And Regenerative Medicine And Therapeutics Institute Of Regenerative Medicine And Biofunction Tottori University Graduate School Of Medical Science
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Hisatome Ichiro
Department Of Cardiology Kitano Hospital Medical Research Institute
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