Condition of Need for Long-term Care and High BNP Level are Risk Factors of Long-term Hospitalization for Elderly Patient

Abstract

BackgroundBecause of Japanese society is aging gradually, the medical care for elderly patients with cardiovascular disease are becoming important. Generally, the elderly patient would have potential renal dysfunction, anemia, dementia, and low activity of daily living.PurposeTo clarify the risks of long-term hospitalization for elderly patient.MethodsOne hundred seventy patients older than 80 with cardiovascular disease had been admitted to our hospital, classified into Long-term hospitalization (LTH) group (N=28) and Short-term hospitalization (STH) group (N=142) according to whether the patients needed hospitalization for longer than 20 days or not. Patient characteristics, clinical outcome, blood examination, echocardiographic parameters, and Certification of Needed Long-Term Care or Support Condition were compared between the two groups.ResultsPatient characteristics were not significant difference between the two groups. The left ventricle diastolic dimension, ejection fraction, serum creatinine, and hemoglobin level were not significant difference too. But the serum BNP level was significantly higher in LTH group (P<0.05). The ratio of the patient was issued a certification of Needed Long-Term Care or Support Condition was significantly higher in LTH group (P<0.05). In hospital death by any reason was significantly higher in LTH group (p<0.05).ConclusionsHigh BNP level and certification of Needed Long-Term Care or Support Condition was correlated with long-term hospitalization, and showed the possibility of early intervention. BackgroundBecause of Japanese society is aging gradually, the medical care for elderly patients with cardiovascular disease are becoming important. Generally, the elderly patient would have potential renal dysfunction, anemia, dementia, and low activity of daily living. Because of Japanese society is aging gradually, the medical care for elderly patients with cardiovascular disease are becoming important. Generally, the elderly patient would have potential renal dysfunction, anemia, dementia, and low activity of daily living. PurposeTo clarify the risks of long-term hospitalization for elderly patient. To clarify the risks of long-term hospitalization for elderly patient. MethodsOne hundred seventy patients older than 80 with cardiovascular disease had been admitted to our hospital, classified into Long-term hospitalization (LTH) group (N=28) and Short-term hospitalization (STH) group (N=142) according to whether the patients needed hospitalization for longer than 20 days or not. Patient characteristics, clinical outcome, blood examination, echocardiographic parameters, and Certification of Needed Long-Term Care or Support Condition were compared between the two groups. One hundred seventy patients older than 80 with cardiovascular disease had been admitted to our hospital, classified into Long-term hospitalization (LTH) group (N=28) and Short-term hospitalization (STH) group (N=142) according to whether the patients needed hospitalization for longer than 20 days or not. Patient characteristics, clinical outcome, blood examination, echocardiographic parameters, and Certification of Needed Long-Term Care or Support Condition were compared between the two groups. ResultsPatient characteristics were not significant difference between the two groups. The left ventricle diastolic dimension, ejection fraction, serum creatinine, and hemoglobin level were not significant difference too. But the serum BNP level was significantly higher in LTH group (P<0.05). The ratio of the patient was issued a certification of Needed Long-Term Care or Support Condition was significantly higher in LTH group (P<0.05). In hospital death by any reason was significantly higher in LTH group (p<0.05). Patient characteristics were not significant difference between the two groups. The left ventricle diastolic dimension, ejection fraction, serum creatinine, and hemoglobin level were not significant difference too. But the serum BNP level was significantly higher in LTH group (P<0.05). The ratio of the patient was issued a certification of Needed Long-Term Care or Support Condition was significantly higher in LTH group (P<0.05). In hospital death by any reason was significantly higher in LTH group (p<0.05). ConclusionsHigh BNP level and certification of Needed Long-Term Care or Support Condition was correlated with long-term hospitalization, and showed the possibility of early intervention. High BNP level and certification of Needed Long-Term Care or Support Condition was correlated with long-term hospitalization, and showed the possibility of early intervention.