Researchers from Department of Cardiology Report Findings in Heart Failure (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 …)

2020 AUG 28 (NewsRx) -- By a News Reporter-Staff News Editor at Hospital & Nursing Home Daily -- Researchers detail new data in Heart Disorders and Diseases - Heart Failure. According to news reporting from Osaka, Japan, by NewsRx journalists, research stated, “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). This was a prospective multicenter cohort study of patients with AHF enrolled between April 2015 and August 2017.”

The news correspondents obtained a quote from the research from the Department of Cardiology, “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 (<85 years) or super-elderly patients (85 years). The study participants were eligible for LTCI two times more than community-dwelling people were. At the 1-year follow-up period, the rate of the composite endpoint showed no significant difference between service users and service non-users among all patients or super-elderly patients. However, in elderly patients, the rate of the composite endpoint was significantly lower among service users than service non-users. The difference was independently maintained even after adjustments for differences in comorbidities or in social backgrounds (adjusted hazard ratio 0.62; 95% confidence interval 0.38-0.99, and adjusted hazard ratio 0.57; 95% confidence interval 0.35-0.90, respectively).”

According to the news reporters, the research concluded: “In this study, adverse events following discharge of patients with AHF who used home-and community-based services were prevented only in elderly patients, not in super-elderly patients. Geriatr Gerontol Int.”

For more information on this research see: 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. Geriatrics & Gerontology International, 2020;():. (Wiley-Blackwell - http://www.wiley.com/; Geriatrics & Gerontology International - http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1447-0594)

Our news journalists report that additional information may be obtained by contacting Ryoko Fujita, Dept. of Cardiology, Hirakata Kohsai Hospital, Osaka, Japan. Additional authors for this research include Kensuke Takabayashi, Kotaro Iwatsu, Tsutomu Ikeda, Yuko Morikami, Tahei Ichinohe, Takashi Yamamoto, Kotoe Takenaka, Miyuki Okuda, Osamu Nakajima, Hitoshi Koito, Yuka Terasaki, Tetsuhisa Kitamura, Shouji Kitaguchi and Ryuji Nohara.

(Our reports deliver fact-based news of research and discoveries from around the world.)