| Autor: |
Nagayoshi, Yasuhiro, Yufu, Tetsuo, Miyamoto, Shinzo, Yumoto, Shinya, Hashiyama, Motohiro, Kai, Yutaka, Kawano, Hiroaki, Tsujita, Kenichi |
| Zdroj: |
Disaster Medicine and Public Health Preparedness; May 2023, Vol. 17 Issue: 1 |
| Abstrakt: |
AbstractObjective:Acute and chronic stress after severe earthquakes can contribute to cardiovascular events, including heart failure (HF). On April 14, 2016, magnitude 7 earthquakes occurred in the Aso region in the western part of Japan. This study aimed to investigate the clinical characteristics of HF in this area after these earthquakes.Methods:We investigated the clinical characteristics and 1-y mortality rate of patients with HF. Nutritional status was evaluated with the Geriatric Nutritional Risk Index (GNRI) and the Prognostic Nutritional Index (PNI).Results:Among a total of 58 cardiovascular events, HF was the most frequently observed (n= 28). The mean age of individuals with HF was 85.5 y. The total incidence of HF was significantly higher compared with the average of the prior 2 y. Disaster influence on mental health was suggested by patient history in 20 patients (71%). The 1-y mortality rate among patients with HF was 50%. Among those who died, 93% had malnutrition status (GNRI <92 and /or PNI ≤38).Conclusions:Our results demonstrated the poor prognosis of patients with HF following the disaster. The prevalence of malnutrition was high in those patients. Careful follow-up is necessary, especially for older people with frailty. |
| Databáze: |
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