Hospital-associated disability and hospitalization costs for acute heart failure stratified by body mass index- insight from the JROAD/JROAD-DPC database

Ogawa, Masato; Yoshida, Naofumi; Nakai, Michikazu; Kanaoka, Koshiro; Sumita, Yoko; Kanejima, Yuji; Emoto, Takuo; Saito, Yoshihiro; Yamamoto, Hiroyuki; Sakai, Yoshitada; Hirota, Yushi; Ogawa, Wataru; Iwanaga, Yoshitaka; Miyamoto, Yoshihiro; Yamashita, Tomoya; Izawa, P. Kazuhiro; Hirata, Ken-ichi

https://hdl.handle.net/20.500.14094/0100477530

このアイテムのアクセス数:97件（2025-06-28 13:44 集計）

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メタデータID	0100477530
アクセス権	open access
出版タイプ	Accepted Manuscript
タイトル	Hospital-associated disability and hospitalization costs for acute heart failure stratified by body mass index- insight from the JROAD/JROAD-DPC database
著者	Ogawa, Masato ; Yoshida, Naofumi ; Nakai, Michikazu ; Kanaoka, Koshiro ; Sumita, Yoko ; Kanejima, Yuji ; Emoto, Takuo ; Saito, Yoshihiro ; Yamamoto, Hiroyuki ; Sakai, Yoshitada ; Hirota, Yushi ; Ogawa, Wataru ; Iwanaga, Yoshitaka ; Miyamoto, Yoshihiro ; Yamashita, Tomoya ; Izawa, P. Kazuhiro ; Hirata, Ken-ichi
著者名 Ogawa, Masato
著者名 Yoshida, Naofumi
著者名 Nakai, Michikazu
著者名 Kanaoka, Koshiro
著者名 Sumita, Yoko
著者名 Kanejima, Yuji
著者名 Emoto, Takuo
著者名 Saito, Yoshihiro
著者名 Yamamoto, Hiroyuki
著者ID A1394 研究者ID 1000090397802 KUID https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=fc0727bebeb3c756520e17560c007669 著者名 Sakai, Yoshitada 酒井, 良忠サカイ, ヨシタダ所属機関名医学研究科
著者ID A1420 研究者ID 1000080566018 KUID https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=8d8b694f29475700520e17560c007669 著者名 Hirota, Yushi 廣田, 勇士ヒロタ, ユウシ所属機関名医学研究科
著者ID A1358 研究者ID 1000040294219 KUID https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=38228987a3a438c8520e17560c007669 著者名 Ogawa, Wataru 小川, 渉オガワ, ワタル所属機関名医学研究科
著者名 Iwanaga, Yoshitaka
著者名 Miyamoto, Yoshihiro
著者ID A1385 研究者ID 1000090437468 KUID https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=6d54da470683693a520e17560c007669 著者名 Yamashita, Tomoya 山下, 智也ヤマシタ, トモヤ所属機関名科学技術イノベーション研究科
著者ID A1350 研究者ID 1000010736185 KUID https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=3330637c7f4d6307520e17560c007669 著者名 Izawa, P. Kazuhiro 井澤, 和大イザワ, カズヒロ所属機関名保健学研究科
著者ID A0883 研究者ID 1000020283880 KUID https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=383af6bc2b817735520e17560c007669 著者名 Hirata, Ken-ichi 平田, 健一ヒラタ, ケンイチ所属機関名医学研究科
言語	English (英語)
収録物名	International Journal of Cardiology
巻(号)	367
ページ	38-44
出版者	Elsevier B.V.
刊行日	2022-11-15
公開日	2023-09-18
抄録	Background The impact of body mass index (BMI) on hospital mortality in patients with acute heart failure has been well documented in Asian populations. However, the relationship between BMI, hospital-associated disability (HAD), and hospitalization costs in patients with heart failure is poorly understood. This study aimed to explore the impact of BMI on HAD and hospitalization costs for acute heart failure in Japan. Methods From April 2012 to March 2020, the Japanese Registry of All Cardiac and Vascular Disease Diagnosis Procedure Combination (JROAD-DPC) database was used to identify patients with acute heart failure. All patients were categorized into five groups according to the World Health Organization Asian BMI criteria. The hospitalization costs and HAD were evaluated. Results Among the 238,160 eligible patients, 15.7% were underweight, 42.2% were normal, 16.7% were overweight, 19.3% were obese I, and 6.0% were obese II, according to BMI. The prevalence of HAD was 7.43% in the total cohort, and the risk of HAD increased with a lower BMI. Restricted cubic spline analysis showed a U-shaped relationship between BMI and hospitalization costs for all ages. Furthermore, developing HAD was associated with greater costs compared with non-HAD, regardless of BMI category. Conclusions We found that the lower the BMI, the higher the incidence of HAD. A U-shaped association was confirmed between BMI and hospitalization costs, indicating that hospitalization costs increased for both lower and higher BMI regardless of age. BMI could be an important and informative risk stratification tool for functional outcomes and economic burdens.
キーワード	Diagnosis procedure combination
	Heart failure
	Japanese registry of all cardiac and vascular diseases
	Body mass index
	Hospital-associated disability
	Healthcare costs
カテゴリ	医学研究科
	科学技術イノベーション研究科
	保健学研究科
	学術雑誌論文
権利	© 2022 Elsevier B.V.
権利	This manuscript version is made available under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International license.
関連情報	DOI https://doi.org/10.1016/j.ijcard.2022.08.044

資源タイプ	journal article
ISSN	0167-5273　OPACで所蔵を検索　 CiNiiで学外所蔵を検索
eISSN	1874-1754　OPACで所蔵を検索　 CiNiiで学外所蔵を検索

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