Establishment of clinical indicator to predict readmission due to decompensated heart failure in patients with chronic heart failure
Project/Area Number |
16K01479
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Research Category |
Grant-in-Aid for Scientific Research (C)
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Allocation Type | Multi-year Fund |
Section | 一般 |
Research Field |
Rehabilitation science/Welfare engineering
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Research Institution | Toyohashi Sozo University |
Principal Investigator |
TABATA MINORU 豊橋創造大学, 保健医療学部, 准教授 (30508859)
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Co-Investigator(Kenkyū-buntansha) |
増田 卓 北里大学, 医療衛生学部, 教授 (30165716)
加藤 倫卓 常葉大学, 健康科学部, 准教授 (80737354)
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Project Period (FY) |
2016-04-01 – 2020-03-31
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Project Status |
Completed (Fiscal Year 2019)
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Budget Amount *help |
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2018: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2016: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
|
Keywords | 慢性心不全 / 再入院 / 臨床評価指標 / 身体運動機能 / 再入院予防 / 左室駆出機能 / 心臓リハビリテーション / 予後予測 / リハビリテーション / 循環器・高血圧 |
Outline of Final Research Achievements |
We have tried to establish a clinical rehabilitation policy for patients with high risk of re-hospitalization for heart failure by discriminating the clinical indicator that predicts re-hospitalization for patients with chronic heart failure. When the 6-minute walking distance was shortened by 10 meters at the time of discharge from patients with chronic heart failure, the risk of heart failure readmission to hospital was increased by 1.22 times. Respiratory strength is an independent factor that determines exercise capacity in patients with chronic heart failure. Peripheral vascular function affected exercise tolerance in patients with chronic heart failure. In patients with HFpEF, we found that the relative risk of re-hospitalization due to heart failure decreased as the 6 minutes walk distance increased for during hospitalization.
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Academic Significance and Societal Importance of the Research Achievements |
慢性心不全患者の心臓リハビリテーションを実施する際に、再入院予防を目的とした身体機能の目標値が明確となるため、慢性心不全患者に対する具体的な心臓リハビリテーションプログラムの作成が可能となり、心不全の急性増悪を未然に防ぎ、非代償性心不全に至る前の状態で心不全の悪化を検出できることから、患者の生命予後を改善することが可能となる。 慢性心不全患者の健康寿命の延長から、結果として医療費を軽減させることになり、医療経済を効率的に運用することができ、慢性心不全患者の非代償性心不全による再入院を予防するために、その臨床的評価指標を解明することは本邦で初めての試みと思われる。
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Report
(5 results)
Research Products
(61 results)
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[Journal Article] Association between sarcopenia and atherosclerosis in elderly patients with ischemic heart disease.2020
Author(s)
Shota Uchida,Kentaro Kamiya,Nobuaki Hamazaki,Ryota Matsuzawa,Kohei Nozaki,Takafumi Ichikawa,Yuta Suzuki,Takeshi Nakamura,Masashi Yamashita,Hidenori Kariya,Emi Maekawa,Minako Yamaoka-Tojo,Atsuhiko Matsunaga,Junya Ako
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Journal Title
Heart and vessels
Volume: -
Issue: 6
Pages: 769-775
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Prognostic value of instrumental activity of daily living in initial heart failure hospitalization patients aged 65ツ?years or older.2019
Author(s)
Masashi Yamashita,Kentaro Kamiya,Nobuaki Hamazaki,Ryota Matsuzawa,Kohei Nozaki,Takafumi Ichikawa,Takeshi Nakamura,Emi Maekawa,Minako Yamaoka-Tojo,Atsuhiko Matsunaga,Junya Ako
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Journal Title
Heart and vessels
Volume: 35
Issue: 3
Pages: 273-278
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Impact of Gait Speed on the Obesity Paradox in Older Patients With Cardiovascular Disease.2019
Author(s)
Takeshi Nakamura,Kentaro Kamiya,Atsuhiko Matsunaga,Nobuaki Hamazaki,Ryota Matsuzawa,Kohei Nozaki,Masashi Yamashita,Emi Maekawa,Chiharu Noda,Minako Yamaoka-Tojo,Junya Ako
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Journal Title
The American journal of medicine
Volume: 132
Issue: 12
Pages: 1458-1465
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Papillary light reflex as a new prognostic marker in patients with heart failure.2019
Author(s)
Nozaki K, Kamiya K, Matsue Y, Hamazaki N, Matsuzawa R, Tanaka S, Maekawa E, Kishi T, Matsunaga A, Masuda T, Izumi T, Ako J
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Journal Title
J Cardiac Fail
Volume: 25(3)
Issue: 3
Pages: 156-163
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Relationship between Pre-frailty and Static Standing Balance2018
Author(s)
塚本敏也, 久保明, 加藤倫卓, 栗田泰成, 磯崎弘司, 杉岡陽介, 三井理恵, 福原延樹, 仁瓶史美, 竹田義彦
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Journal Title
Rigakuryoho Kagaku
Volume: 33
Issue: 6
Pages: 991-996
DOI
NAID
ISSN
1341-1667, 2434-2807
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] SARC-F questionnaire identifies physical limitations and predicts post discharge outcomes in elderly patients with cardiovascular disease.2018
Author(s)
Shinya Tanaka, Kentaro Kamiya, Nobuaki Hamazaki, Ryota Matsuzawa, Kohei Nozaki, Ichinosawa Y, Harada M, Nakamura T, Emi Maekawa, Chiharu Noda, Minako Yamaoka-Tojo, Atsuhiko Matsunaga, Takashi Masuda, Junya Ako
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Journal Title
JCSM Clinical Reports
Volume: 3
Pages: 1-11
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Gait speed has comparable prognostic capability to six-minute walk distance in older patients with cardiovascular disease.2017
Author(s)
Kamiya K, Hamazaki N, Matsue Y, Mezzani A, Corra U, Matsuzawa R, Nozaki K, Tanaka S, Maekawa E, Noda C, Yamaoka-Tojo M, Matsunaga A, Masuda T, Ako J.
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Journal Title
Eur J Prev Cardiol.
Volume: 印刷中
Issue: 2
Pages: 212-219
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
-
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[Journal Article] Effects of acute phase intensive electrical muscle stimulation in frail elderly patients with acute heart failure (ACTIVE-EMS)2017
Author(s)
Shinya Tanaka, Kentaro Kamiya, Yuya Matsue, Yonezawa R, Saito H, Nobuaki Hamazaki, Ryota Matsuzawa, Kohei Nozaki, Wakaume K, Endo Y, Emi Maekawa, Minako Yamaoka-Tojo, Shiono T, Inomata T, Takashi Masuda, Junya Ako
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Journal Title
Clin Cardiol
Volume: 40
Issue: 12
Pages: 1189-1196
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Muscle Weakness Is Associated With an Increase of Left Ventricular Mass Through Excessive Blood Pressure Elevation During Exercise in Patients With Hypertension2017
Author(s)
Yumi Kamada, Takashi Masuda, Shinya Tanaka, Daisuke Kamekawa, Ayako Akiyama, Takeshi Nakamura, Kanae Yabu, Nobuaki Hamazaki, Michihito Okubo, Naoyuki Kobayashi, Junya Ako
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Journal Title
International Heart Journal
Volume: 58
Issue: 4
Pages: 551-556
DOI
NAID
ISSN
1349-2365, 1349-3299
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Utility of SARC-F for assessing physical function in elderly patients with cardiovascular disease.2017
Author(s)
Tanaka S, Kamiya K, Hamazaki N, Matsuzawa R, Nozaki K, Maekawa E, Noda C, Yamaoka-Tojo M, Matsunaga A, Masuda T, Ako J.
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Journal Title
J Am Med Dir Assoc.
Volume: 18
Issue: 2
Pages: 176-181
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Stretching Exercises Improve Vascular Endothelial Dysfunction through Oxidative Stress Attenuation in Chronic Heart Failure Patients with an Implantable Cardioverter Defibrillator.2017
Author(s)
Michitaka Kato, Takashi Masuda, Michio Ogano, Kazuki Hotta, Hisato Takagi, Shinya Tanaka, Yumi Kamada, Ayako Akiyama, Daisuke Kamekawa, Ryosuke Shimizu, Minoru Tabata, Jun Tanabe, Takuya Umemoto
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Journal Title
Journal of Cardiopulmonary Rehabilitation and Prevention
Volume: 37
Issue: 2
Pages: 130-138
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Stretching Exercises Improve Vascular Endothelial Dysfunction through Oxidative Stress Attenuation in Chronic Heart Failure Patients with an Implantable Cardioverter Defibrillator2017
Author(s)
Michitaka Kato, Takashi Masuda, Michio Ogano, Kazuki Hotta, Hisato Takagi, Shinya Tanaka, Yumi Kamada, Ayako Akiyama, Daisuke Kamekawa, Ryosuke Shimizu, Minoru Tabata, Jun Tanabe, Takuya Umemoto
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Journal Title
Journal of Cardiopulmonary Rehabilitation and Prevention
Volume: 37
Pages: 130-138
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Prognostic Usefulness of Arm but not Calf Circumference in Patients >8805;65 Years of Age with Cardiovascular Disease2017
Author(s)
Kentaro Kamiya, Takashi Masuda, Yuya Matsue, Nobuaki Hamazaki, Ryota Matsuzawa, Shinya Tanaka, Kohei Nozaki, Emi Maekawa, Chiharu Noda, Minako Yamaoka-Tojo, Atsuhiko Matsunaga, Junya Ako
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Journal Title
American Journal of Cardiology
Volume: 119
Pages: 186-191
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Utility of SARC-F for Assessing Physical Function in Elderly Patients With Cardiovascular Disease2017
Author(s)
Shinya Tanaka, Kentaro Kamiya, Nobuaki Hamazaki, Ryota Matsuzawa, Kohei Nozaki, Emi Maekawa, Chiharu Noda, Minako Yamaoka-Tojo, Atsuhiko Matsunaga, Takashi Masuda, Junya Ako
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Journal Title
Journal of the American Medical Directors Association
Volume: 18
Pages: 176-181
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Prognostic Usefulness of Arm and Calf Circumference in Patients with 65 Years of Age with Cardiovascular Disease2016
Author(s)
Kentaro Kamiya, Takashi Masuda, Yuya Matsue, Nobuaki Hamazaki, Ryota Matsuzawa, Shinya Tanaka, Kohei Nozaki, Emi Maekawa, Chiharu Noda, Minako Yamaoka-Tojo, Atsuhiko Matsunaga, Junya Ako
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Journal Title
The American journal of cardiology
Volume: 119(2)
Issue: 2
Pages: 186-191
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Complementary role of arm circumference to body mass index in risk stratification in heart failure2016
Author(s)
Kentaro Kamiya, Takashi Masuda, Yuya Matsue, Takayuki Inomata, Nobuaki Hamazaki, Ryota Matsuzawa, Shinya Tanaka, Kohei Nozaki, Emi Maekawa, Chiharu Noda, Minako Yamaoka-Tojo, Atsuhiko Matsunaga, Tohru Izumi, Junya Ako
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Journal Title
J Am Coll Cardiol Heart Failure
Volume: 4
Pages: 265-273
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Low ankle brachial index is associated with the magnitude of impaired walking endurance in patients with heart failure2016
Author(s)
Shinya Tanaka, Kentaro Kamiya, Takashi Masuda, Nobuaki Hamazaki, Ryota Matsuzawa, Kohei Nozaki, Emi Maekawa, Chiharu Noda, Minako Yamaoka-Tojo, Atsuhiko Matsunaga, Junya Ako
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Journal Title
International Journal of Cardiology
Volume: 224
Pages: 400-405
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Presentation] Change in respiratory muscle strength predicts clinical events in patients with chronic heart failure2019
Author(s)
N Hamazaki, T Masuda, K Kamiya, R Matsuzawa, K Nozaki, T Ichikawa, M Tabata, E Maekawa, C Noda, M Yamaoka-Tojo, A Matsunaga, J Ako
Organizer
European Society of Cardiology CONGRESS 2019
Related Report
Int'l Joint Research
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[Presentation] Increased respiratory muscle strength contributes to improvement of exercise tolerance following cardiac rehabilitation in patients with chronic heart failure2018
Author(s)
N. Hamazaki, T. Masuda, K. Kamiya, R. Matsuzawa, K. Nozaki, S. Tanaka, M. Tabata, E. Maekawa, C. Noda, M. Yamaoka-Tojo, J. Ako
Organizer
Euro Prevent 2018
Related Report
Int'l Joint Research
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[Presentation] Respiratory muscle weakness predicts all-cause mortality in chronic heart failure patients with preserved left ventricular ejection fraction2018
Author(s)
N. Hamazaki, T. Masuda, K. Kamiya, R. Matsuzawa, K. Nozaki, S. Tanaka, M. Tabata, E. Maekawa, C. Noda, M. Yamaoka-Tojo, J. Ako
Organizer
Euro Prevent 2018
Related Report
Int'l Joint Research
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[Presentation] The influence of postoperative atrial fibrillation on postoperative physical functional recovery in patients undergoing heart valve surgery2017
Author(s)
Michitaka Kato, Kentaro Hori, Tomonori Kawamura, Kentaro Iwata, Koji Sakurada, Daisuke Okamura, Yuji Mori, Masayuki Tahara, Satoshi Yuguchi, Kenta Kamisaka, Keisuke Oura, Tomoyuki Morisawa, Masakazu Saitoh, Tetsuya Takahashi
Organizer
WCPT-AWP&PTAT CONGRESS 2017
Related Report
Int'l Joint Research
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