Impact of home- and community-based services in the long-term care insurance system on outcomes of patients with acute heart failure: Insights from the Kitakawachi Clinical Background and Outcome of Heart Failure Registry
| Autor: | Ryuji Nohara, Yuko Morikami, Yuka Terasaki, Ryoko Fujita, Miyuki Okuda, Tsutomu Ikeda, Kotaro Iwatsu, Kensuke Takabayashi, Tetsuhisa Kitamura, Tahei Ichinohe, Shouji Kitaguchi, Hitoshi Koito, Takashi Yamamoto, Kotoe Takenaka, Osamu Nakajima |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Frail Elderly Cohort Studies Insurance Long-Term Care Japan Outcome Assessment Health Care Medicine Humans Prospective Studies Registries Long-term care insurance Adverse effect Aged Proportional Hazards Models Community based Service (business) Aged 80 and over Heart Failure business.industry Hazard ratio Age Factors medicine.disease Home Care Services Long-Term Care Confidence interval Hospitalization Heart failure Emergency medicine Female business Cohort study |
| Zdroj: | Geriatricsgerontology internationalReferences. 20(10) |
| ISSN: | 1447-0594 |
| Popis: | AIM In Japan, the long-term care insurance (LTCI) system is important for elderly people living at home; however, no clinical studies have revealed a relationship between home- or community-based services and outcomes in patients with acute heart failure (AHF). METHODS This was a prospective multicenter cohort study of patients with AHF enrolled between April 2015 and August 2017. Patients aged ≥65 years with LTCI were divided into those receiving home- and community-based services (service users) and without home and community-based services (service non-users). The endpoint was defined as a composite endpoint, which included all-cause mortality and hospitalization for heart failure after discharge. Subgroup analyses were performed for elderly patients ( |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text