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Research to build a system to support decisions on end-of-life care of patients with cardiovascular diseases

Research Project

Project/Area Number 15K09091
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Cardiovascular medicine
Research InstitutionNara Medical University

Principal Investigator

Okayama Satoshi  奈良県立医科大学, 医学部, 助教 (40445052)

Co-Investigator(Kenkyū-buntansha) 岡本 恵介  奈良県立医科大学, 医学部附属病院, 研究員 (90745423)
中川 仁  奈良県立医科大学, 医学部附属病院, 研究員 (20533730)
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2017: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2016: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords循環器疾患 / アドバンスケア / 終末期医療 / 循環器 / エンドオブライフ / 心不全 / 緩和
Outline of Final Research Achievements

End-of-life medical care of 66 elderly patients who died of cardiovascular medicine between 2014 and 2015 was determined in 2 cases by the patient himself, and in 30 cases by the family. Resuscitation treatment before discussion was done in 34 cases.
Next, 172 hospitalized patients with acute myocardial infarction and 220 patients with acute heart failure between 2015 and 2018 were examined for hope for terminal care. Many elderly patients did not desire resuscitation treatment compared to non-elderly patients, but approximately 30% of elderly patients wanted resuscitation treatment. 62% of all patients had never talked with family members on terminal care, and 34% did not want to discuss medical personnel.
It is important to practice advance care planning and enlighten the public.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (7 results)

All 2017 2016

All Presentation (7 results)

  • [Presentation] 循環器内科における終末期医療の問題点と終末期医療の希望調査について2017

    • Author(s)
      岡山悟志
    • Organizer
      第114回 日本内科学会総会
    • Place of Presentation
      東京
    • Year and Date
      2017-04-14
    • Related Report
      2016 Research-status Report
  • [Presentation] 循環器内科における終末期医療の問題点と終末期医療の希望調査について2017

    • Author(s)
      岡山悟志ら
    • Organizer
      第114回 日本内科学会総会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 高齢慢性心不戦患者における内服管理の事態 -150人の前・後期高齢者より見えたこと-2017

    • Author(s)
      小山里奈,岡山悟志ら
    • Organizer
      第28回 日本老年医学会 近畿地方会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 高齢者フレイルの心臓リハビリテーション対象患者の特徴と,リハビリを進めていく上での注意点2017

    • Author(s)
      小畑大志,岡山悟志ら
    • Organizer
      第28回 日本老年医学会 近畿地方会
    • Related Report
      2017 Annual Research Report
  • [Presentation] フレイルを有する心臓リハビリテーション対象患者の特徴と,リハビリを進めていく上での注意点2017

    • Author(s)
      永倉 豊,岡山悟志ら
    • Organizer
      第21回日本心不全学会学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 高齢心不全患者における世帯様式と介護保険制度利用との関連2017

    • Author(s)
      高宮久美子,岡山悟志ら
    • Organizer
      第21回日本心不全学会学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 循環器・腎臓・代謝内科における終末期医療の問題点と終末期医療の希望調査について2016

    • Author(s)
      岡山悟志
    • Organizer
      第27回 日本老年医学会 近畿地方会
    • Place of Presentation
      大阪
    • Year and Date
      2016-10-22
    • Related Report
      2016 Research-status Report

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Published: 2015-04-16   Modified: 2019-03-29  

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