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Use of Echocardiography and Heart Failure In-Hospital Mortality from Registry Data in Japan

Background: Echocardiography requires a high degree of skill on the part of the examiner, and the skill may be more improved in larger volume centers. This study investigated trends and outcomes associated with the use and volume of echocardiographic exams from a real-world registry database of hear...

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Autores principales: Kusunose, Kenya, Okushi, Yuichiro, Okayama, Yoshihiro, Zheng, Robert, Nakai, Michikazu, Sumita, Yoko, Ise, Takayuki, Yamaguchi, Koji, Yagi, Shusuke, Fukuda, Daiju, Yamada, Hirotsugu, Soeki, Takeshi, Wakatsuki, Tetsuzo, Sata, Masataka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8536984/
https://www.ncbi.nlm.nih.gov/pubmed/34677193
http://dx.doi.org/10.3390/jcdd8100124
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author Kusunose, Kenya
Okushi, Yuichiro
Okayama, Yoshihiro
Zheng, Robert
Nakai, Michikazu
Sumita, Yoko
Ise, Takayuki
Yamaguchi, Koji
Yagi, Shusuke
Fukuda, Daiju
Yamada, Hirotsugu
Soeki, Takeshi
Wakatsuki, Tetsuzo
Sata, Masataka
author_facet Kusunose, Kenya
Okushi, Yuichiro
Okayama, Yoshihiro
Zheng, Robert
Nakai, Michikazu
Sumita, Yoko
Ise, Takayuki
Yamaguchi, Koji
Yagi, Shusuke
Fukuda, Daiju
Yamada, Hirotsugu
Soeki, Takeshi
Wakatsuki, Tetsuzo
Sata, Masataka
author_sort Kusunose, Kenya
collection PubMed
description Background: Echocardiography requires a high degree of skill on the part of the examiner, and the skill may be more improved in larger volume centers. This study investigated trends and outcomes associated with the use and volume of echocardiographic exams from a real-world registry database of heart failure (HF) hospitalizations. Methods: This study was based on the Diagnosis Procedure Combination database in the Japanese Registry of All Cardiac and Vascular Datasets (JROAD-DPC). A first analysis was performed to assess the trend of echocardiographic examinations between 2012 and 2016. A secondary analysis was performed to assess whether echocardiographic use was associated with in-hospital mortality in 2015. Results: During this period, the use of echocardiography grew at an average annual rate of 6%. Patients with echocardiography had declining rates of hospital mortality, and these trends were associated with high hospitalization costs. In the 2015 sample, a total of 52,832 echocardiograms were examined, corresponding to 65.6% of all HF hospital admissions for that year. We found that the use and volume of echocardiography exams were associated with significantly lower odds of all-cause hospital mortality in heart failure (adjusted odds ratio (OR): 0.48 for use of echocardiography and 0.78 for the third tertile; both p < 0.001). Conclusions: The use of echocardiography was associated with decreased odds of hospital mortality in HF. The volumes of echocardiographic examinations were also associated with hospital mortality.
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spelling pubmed-85369842021-10-24 Use of Echocardiography and Heart Failure In-Hospital Mortality from Registry Data in Japan Kusunose, Kenya Okushi, Yuichiro Okayama, Yoshihiro Zheng, Robert Nakai, Michikazu Sumita, Yoko Ise, Takayuki Yamaguchi, Koji Yagi, Shusuke Fukuda, Daiju Yamada, Hirotsugu Soeki, Takeshi Wakatsuki, Tetsuzo Sata, Masataka J Cardiovasc Dev Dis Article Background: Echocardiography requires a high degree of skill on the part of the examiner, and the skill may be more improved in larger volume centers. This study investigated trends and outcomes associated with the use and volume of echocardiographic exams from a real-world registry database of heart failure (HF) hospitalizations. Methods: This study was based on the Diagnosis Procedure Combination database in the Japanese Registry of All Cardiac and Vascular Datasets (JROAD-DPC). A first analysis was performed to assess the trend of echocardiographic examinations between 2012 and 2016. A secondary analysis was performed to assess whether echocardiographic use was associated with in-hospital mortality in 2015. Results: During this period, the use of echocardiography grew at an average annual rate of 6%. Patients with echocardiography had declining rates of hospital mortality, and these trends were associated with high hospitalization costs. In the 2015 sample, a total of 52,832 echocardiograms were examined, corresponding to 65.6% of all HF hospital admissions for that year. We found that the use and volume of echocardiography exams were associated with significantly lower odds of all-cause hospital mortality in heart failure (adjusted odds ratio (OR): 0.48 for use of echocardiography and 0.78 for the third tertile; both p < 0.001). Conclusions: The use of echocardiography was associated with decreased odds of hospital mortality in HF. The volumes of echocardiographic examinations were also associated with hospital mortality. MDPI 2021-09-30 /pmc/articles/PMC8536984/ /pubmed/34677193 http://dx.doi.org/10.3390/jcdd8100124 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kusunose, Kenya
Okushi, Yuichiro
Okayama, Yoshihiro
Zheng, Robert
Nakai, Michikazu
Sumita, Yoko
Ise, Takayuki
Yamaguchi, Koji
Yagi, Shusuke
Fukuda, Daiju
Yamada, Hirotsugu
Soeki, Takeshi
Wakatsuki, Tetsuzo
Sata, Masataka
Use of Echocardiography and Heart Failure In-Hospital Mortality from Registry Data in Japan
title Use of Echocardiography and Heart Failure In-Hospital Mortality from Registry Data in Japan
title_full Use of Echocardiography and Heart Failure In-Hospital Mortality from Registry Data in Japan
title_fullStr Use of Echocardiography and Heart Failure In-Hospital Mortality from Registry Data in Japan
title_full_unstemmed Use of Echocardiography and Heart Failure In-Hospital Mortality from Registry Data in Japan
title_short Use of Echocardiography and Heart Failure In-Hospital Mortality from Registry Data in Japan
title_sort use of echocardiography and heart failure in-hospital mortality from registry data in japan
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8536984/
https://www.ncbi.nlm.nih.gov/pubmed/34677193
http://dx.doi.org/10.3390/jcdd8100124
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