Study Data from University of Niigata Update Knowledge of Circulation Research (Incidence and Risk Factors of Future Need for Long-term Care Insurance In Japanese Elderly Patients With Left Ventricular Systolic Dysfunction): Health and Medicine – Circulation Research

Hospital & Nursing Home Daily

2022 JAN 26 (NewsRx) -- By a News Reporter-Staff News Editor at Hospital & Nursing Home Daily -- A new study on Health and Medicine - Circulation Research is now available. According to news reporting originating from Niigata, Japan, by NewsRx correspondents, research stated, “Heart failure in elderly people causes physical and cognitive dysfunction and often requires long-term care insurance (LTCI); however, among patients with left ventricular (LV) systolic dysfunction, the incidence and risk factors of future LTCI requirements need to be elucidated. The study included 1,852 patients aged >_65 years with an echocardiographic LV ejection fraction (LVEF) <= 50%; we referred to their LTCI data and those of 113,038 community-dwelling elderly people.”

Financial support for this research came from Medical Association of Niigata City.

Our news editors obtained a quote from the research from the University of Niigata, “During a mean 1.7-year period, 332 patients newly required LTCI (incidence 10.7 per 100 person-years); the incidence was significantly higher than that for the community-dwelling people (hazard ratio [HR], 1.47; 95% confidence interval [CI], 1.32-1.64). On multivariate analysis, the risk factors at the time of echocardiography leading to future LTCI requirement were atrial fibrillation (HR, 1.588; 95% CI, 1.279-1.971), history of stroke (HR, 2.02; 95% CI, 1.583-2.576), osteoporosis (HR, 1.738; 95% CI, 1.253-2.41), dementia (HR, 2.804; 95% CI, 2.075-3.789), hypnotics (HR, 1.461; 95% CI, 1.148-1.859), and diuretics (HR, 1.417; 95% CI, 1.132-1.773); however, the LVEF was not a risk factor (HR, 0.997; 95% CI, 0.983-1.011).”

According to the news editors, the research concluded: “In elderly patients with LV systolic dysfunction, the incidence of LTCI requirement was more common than that for community-dwelling people; its risk factors did not include LVEF, but included many other non-cardiac comorbidities and therapies, suggesting the need for interdisciplinary cooperation to prevent disabilities.”

This research has been peer-reviewed.

For more information on this research see: Incidence and Risk Factors of Future Need for Long-term Care Insurance In Japanese Elderly Patients With Left Ventricular Systolic Dysfunction. Circulation Journal, 2022;86(1):158-165. Circulation Journal can be contacted at: Japanese Circulation Soc, 18TH Floor Imperial Hotel Tower, 1-1-1 Uchisaiwai-Cho Chiyoda-Ku, Toyko, 100-0011, Japan.

The news editors report that additional information may be obtained by contacting Shinya Fujiki, University of Niigata, Dept. of Cardiovascular Medicine, Graduate School of Medical and Dental Sciences, Niigata, Japan. Additional authors for this research include Takeshi Kashimura, Tohru Minamino, Takayuki Inomata, Yuji Okura, Kunio Kodera, Hiroshi Watanabe, Komei Tanaka, Shogo Bannai, Taturo Hatano, Takahiro Tanaka and Nobutaka Kitamura.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1253/circj.CJ-21-0580. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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