| アイテムタイプ |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2026-03-09 |
| タイトル |
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タイトル |
Emergency and Non-Referral Admissions as Predictors of Hospital Mortality Among Adults with Congenital Heart Diseases: A Nationwide Claim-Based Registry Study in Japan |
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言語 |
en |
| 言語 |
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|
言語 |
eng |
| キーワード |
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言語 |
en |
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キーワード |
adult congenital heart disease |
| キーワード |
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言語 |
en |
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キーワード |
claim data |
| キーワード |
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言語 |
en |
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キーワード |
epidemiology |
| キーワード |
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言語 |
en |
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キーワード |
healthcare policy |
| キーワード |
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言語 |
en |
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キーワード |
healthcare transition |
| キーワード |
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言語 |
en |
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キーワード |
universal healthcare coverage |
| 資源タイプ |
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資源タイプ |
journal article |
| アクセス権 |
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アクセス権 |
open access |
| 著者 |
Mitani, Yoshihide
中井, 陸運
WEKO
35309
e-Rad_Researcher
50595147
| ja |
中井, 陸運
宮崎大学
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| ja-Kana |
ナカイ, ミチカズ
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| en |
Nakai, Michikazu
University of Miyazaki
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Search repository
Shiraishi, Isao
| en |
Shiraishi, Isao（Personal）
National Cerebral and Cardiovascular Center
|
Search repository
Ohashi, Hiroyuki
Sawada, Hirofumi
Ohuchi, Hideo
| en |
Ohuchi, Hideo（Personal）
National Cerebral and Cardiovascular Center
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Search repository
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| 抄録 |
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内容記述タイプ |
Abstract |
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内容記述 |
Background: Improved pediatric cardiac care has markedly increased the adult congenital heart disease (ACHD) population worldwide, creating new clinical and healthcare delivery challenges. However, nationwide evidence on predictors of acute outcomes in ACHD patients, particularly the impact of disrupted specialist care under universal healthcare systems, remains limited. Methods: We conducted a retrospective analysis using Japan's nationwide administrative database from 2013 to 2022, evaluating hospital admissions of ACHD patients aged ≥15 years. Patients were categorized into surgical, catheter-based, and medical treatment groups. Multilevel logistic regression models identified predictors of in-hospital mortality, including emergency and non-referral admissions as indicators of impaired continuity of specialist care. Results: A total of 27,754 admissions were analyzed (median age 59 years; 49% male). Emergency admissions accounted for 35.2%, non-referral admissions for 9.9%, and overall in-hospital mortality was 5.0%. Older age, admission to non-ACHD centers, higher CHD complexity, emergency admissions, and non-referral admissions were independently associated with increased mortality. In addition, older age, CHD complexity, and admission to non-ACHD centers predicted emergency and non-referral admissions. Conclusions: These findings show persistent gaps in specialist care continuity for ACHD patients despite universal healthcare coverage and support the need for integrated ACHD care networks to improve outcomes in this aging population in Japan. |
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言語 |
en |
| 書誌情報 |
en : Healthcare
巻 14,
号 3,
p. 315,
発行日 2026-01-27
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| 出版者 |
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出版者 |
MDPI AG |
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言語 |
en |
| ISSN |
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収録物識別子タイプ |
EISSN |
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収録物識別子 |
22279032 |
| DOI |
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|
関連タイプ |
isVersionOf |
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識別子タイプ |
DOI |
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関連識別子 |
https://doi.org/10.3390/healthcare14030315 |
| 権利 |
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権利情報 |
© 2026 by the authors. |
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言語 |
en |
| 著者版フラグ |
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出版タイプ |
VoR |
Fulltext (493 KB)
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