title: Prevalence, predictors and prognosis of patients with heart failure requiring nursing care.
abstract: BACKGROUND
  Although the need for nursing care (NC) in heart failure (HF) patients is recognized, detailed information on the current status in Japan is lacking. METHODS AND RESULTS: In the CHART-2 Study, we obtained information on daily life, physical ability, nutrition and mental status for 4,174 patients (mean age, 67.1±10.8 years; 73.3% male) out of 10,219 patients. We examined the prevalence, baseline characteristics and clinical outcomes of stage B and C/D HF patients requiring NC. The prevalence of HF requiring NC was significantly higher in stage C/D (38.6%) than in stage B (30.4%; P<0.001). Among the reasons for requiring NC, physical dysfunction was most prevalent in both stage B (20.6%) and C/D (29.0%). Compared with the non-NC group, the NC group was characterized by higher age, higher prevalence of female gender and cerebrovascular disease, and increased plasma brain natriuretic peptide regardless of HF stage. During a median follow-up of 12.7 months after the survey, the NC group had a significantly higher mortality compared with the non-NC group (9.6% vs. 3.6%, P<0.001). On multivariate logistic analysis depressive mental status (hazard ratio [HR], 3.61; P<0.001) and dementia (HR, 2.70; P<0.001) were significantly associated with NC need.
  
  
  CONCLUSIONS
  In HF patients, NC need is considerably high and is associated with increased mortality regardless of HF stage in Japan.
authors: Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine.
authors: Masanobu
authors: M
authors: Miura
authors: Yasuhiko
authors: Y
authors: Sakata
authors: Kotaro
authors: K
authors: Nochioka
authors: Tsuyoshi
authors: T
authors: Takada
authors: Soichiro
authors: S
authors: Tadaki
authors: Ryoichi
authors: R
authors: Ushigome
authors: Takeshi
authors: T
authors: Yamauchi
authors: Jun
authors: J
authors: Takahashi
authors: Satoshi
authors: S
authors: Miyata
authors: Nobuyuki
authors: N
authors: Shiba
authors: Hiroaki
authors: H
authors: Shimokawa
mesh_terms: D000203:Activities of Daily Living; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D018572:Disease-Free Survival; D005260:Female; D005500:Follow-Up Studies; D006333:Heart Failure / Q000401:mortality* / Q000451:nursing*; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D020097:Natriuretic Peptide, Brain; D009732:Nursing Care; D015995:Prevalence; D012737:Sex Factors; D015996:Survival Rate
chemical_list: D020097:Natriuretic Peptide, Brain