Takabayashi Kensuke, Ikuta Akihiro, Okazaki Yoshinori, Ogami Mariko, Iwatsu Kotaro, Matsumura Koichi, Ikeda Tsutomu, Ichinohe Tahei, Morikami Yuko, Yamamoto Takashi, Fujita Ryoko, Takenaka Kotoe, Takenaka Hiroyuki, Haruna Yoshisumi, Muranaka Hiroyuki, Ozaki Masaaki, Kitamura Tetsuhisa, Kitaguchi Shouji, Nohara Ryuji
Department of Cardiology, Hirakata Kohsai Hospital.
Circ J. 2016 Dec 22;81(1):69-76. doi: 10.1253/circj.CJ-16-0914. Epub 2016 Nov 30.
Social background is important in preventing admission/readmission of heart failure (HF) patients. However, few clinical studies have been conducted to assess the social background of these patients, especially elderly patients.
The Kitakawachi Clinical Background and Outcome of Heart Failure (KICKOFF) Registry is a prospective multicenter community-based cohort of HF patients, established in April 2015. We compared the clinical characteristics and social background of the super-elderly group (≥85 years old) and the non-super-elderly group (<85 years old). This study included 647 patients; 11.8% of the super-elderly patients were living alone, 15.6% were living with only a partner, and of these, only 66.7% had the support of other family members. The super-elderly group had less control over their diet and drug therapies than the non-super-elderly group. Most patients in the super-elderly group were registered for long-term care insurance (77.4%); 73.5% of the super-elderly patients could walk independently before admission, but only 55.5% could walk independently at discharge, whereas 94% of the non-super-elderly patients could walk independently before admission and 89.4% could walk independently at discharge.
The KICKOFF Registry provides unique detailed social background information of Japanese patients with HF. Super-elderly patients are at serious risk of social frailty; they need the support of other people and their ability to perform activities of daily living decline when hospitalized.
社会背景在预防心力衰竭（HF）患者入院/再次入院方面很重要。然而，很少有临床研究评估这些患者的社会背景，尤其是老年患者。
北川心力衰竭临床背景与结局（KICKOFF）登记研究是一项前瞻性多中心基于社区的HF患者队列研究，于2015年4月设立。我们比较了超高龄组（≥85岁）和非超高龄组（<85岁）的临床特征和社会背景。本研究纳入了647例患者；11.8%的超高龄患者独居，15.6%仅与伴侣同住，其中只有66.7%得到其他家庭成员的支持。与非超高龄组相比，超高龄组对饮食和药物治疗的控制较差。超高龄组的大多数患者参加了长期护理保险（77.4%）；73.5%的超高龄患者入院前能够独立行走，但出院时只有55.5%能够独立行走，而非超高龄组94%的患者入院前能够独立行走，89.4%的患者出院时能够独立行走。
KICKOFF登记研究提供了日本HF患者独特而详细的社会背景信息。超高龄患者存在严重的社会脆弱风险；他们需要他人的支持，并且住院时日常生活活动能力会下降。
