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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 59 - 66 (8page)
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초록· 키워드
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Background and Objectives: Little information is available regarding adult patients with congenital heart disease (CHD) who needed unscheduledhospitalization (USH). This paper aims to elucidate the clinical features of adult patients with CHD requiring USH.
Subjects and Methods: Study subjects included patients with CHD aged 18 years or older who were hospitalized at our facility during a5-year study period. Medical records were retrospectively reviewed and data regarding USH were collected. Patient’s background, underlyingheart disease, cause of hospitalization, and prognosis (second USH regardless of cause or death) were examined.
Results: Overall, 959 CHD patients underwent a total of 1761 hospitalizations, including 145 patients who were unexpectedly hospitalized239 times. The median age at USH was 27 years old. Of the 959 patients, 54% were male. Underlying heart diseases included repaired tetralogyof Fallot (21%), single ventricular physiology after Fontan operation (17%), and Eisenmenger syndrome (12%). The causes of USH includedarrhythmia (40%), heart failure (20%), infectious disease (13%), and hemorrhage or thrombus (13%). A total of 48 patients requiredreadmission. In total, 13 patients died, including four hospital deaths. The USH-free survival rate was 77% for 1 year and 58% for 3 years.
Conclusion: The rate of USH was high for adults with complicated CHD. Common causes of USH included arrhythmia, heart failure, hemorrhage-related or thrombus-related conditions and infection. These data provide the current status of medical care for adult CHD patientsin Japan and their therapeutic needs.
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참고문헌 (22)
참고문헌 신청
Warnes CA / 2001 / Task force 1: the changing profile of congenital heart disease in adult life / J Am Coll Cardiol 37:1170~1175
Marelli AJ / 2007 / Congenital heart disease in the general population: changing prevalence and age distribution / Circulation 115:163~172
Shiina Y / 2011 / Prevalence of adult patients with congenital heart disease in Japan / Int J Cardiol 146:13~16
Verheugt CL / 2010 / The emerging burden of hospital admissions of adults with congenital heart disease / Heart 96:872~878
Perloff JK / 2001 / Challenges posed by adults with repaired congenital heart disease / Circulation 103:2637~2643
Marelli AJ / 2007 / Congenital heart disease in the general population: changing prevalence and age distribution / Circulation 115:163~172
Shiina Y / 2011 / Prevalence of adult patients with congenital heart disease in Japan / Int J Cardiol 146:13~16
Verheugt CL / 2010 / The emerging burden of hospital admissions of adults with congenital heart disease / Heart 96:872~878
Perloff JK / 2001 / Challenges posed by adults with repaired congenital heart disease / Circulation 103:2637~2643
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