title: Clinical Characteristics and Social Frailty of Super-Elderly Patients With Heart Failure　- The Kitakawachi Clinical Background and Outcome of Heart Failure Registry.
abstract: Social background is important in preventing admission/readmission of heart failure (HF) patients. However, few clinical studies have been conducted to assess the social background of these patients, especially elderly patients.
  
  
  
  The Kitakawachi Clinical Background and Outcome of Heart Failure (KICKOFF) Registry is a prospective multicenter community-based cohort of HF patients, established in April 2015. We compared the clinical characteristics and social background of the super-elderly group (≥85 years old) and the non-super-elderly group (<85 years old). This study included 647 patients; 11.8% of the super-elderly patients were living alone, 15.6% were living with only a partner, and of these, only 66.7% had the support of other family members. The super-elderly group had less control over their diet and drug therapies than the non-super-elderly group. Most patients in the super-elderly group were registered for long-term care insurance (77.4%); 73.5% of the super-elderly patients could walk independently before admission, but only 55.5% could walk independently at discharge, whereas 94% of the non-super-elderly patients could walk independently before admission and 89.4% could walk independently at discharge.
  
  
  
  The KICKOFF Registry provides unique detailed social background information of Japanese patients with HF. Super-elderly patients are at serious risk of social frailty; they need the support of other people and their ability to perform activities of daily living decline when hospitalized.
authors.affiliation: Department of Cardiology, Hirakata Kohsai Hospital.
authors.forename: Kensuke
authors.initials: K
authors.lastname: Takabayashi
authors.forename: Akihiro
authors.initials: A
authors.lastname: Ikuta
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Okazaki
authors.forename: Mariko
authors.initials: M
authors.lastname: Ogami
authors.forename: Kotaro
authors.initials: K
authors.lastname: Iwatsu
authors.forename: Koichi
authors.initials: K
authors.lastname: Matsumura
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Ikeda
authors.forename: Tahei
authors.initials: T
authors.lastname: Ichinohe
authors.forename: Yuko
authors.initials: Y
authors.lastname: Morikami
authors.forename: Takashi
authors.initials: T
authors.lastname: Yamamoto
authors.forename: Ryoko
authors.initials: R
authors.lastname: Fujita
authors.forename: Kotoe
authors.initials: K
authors.lastname: Takenaka
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Takenaka
authors.forename: Yoshisumi
authors.initials: Y
authors.lastname: Haruna
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Muranaka
authors.forename: Masaaki
authors.initials: M
authors.lastname: Ozaki
authors.forename: Tetsuhisa
authors.initials: T
authors.lastname: Kitamura
authors.forename: Shouji
authors.initials: S
authors.lastname: Kitaguchi
authors.forename: Ryuji
authors.initials: R
authors.lastname: Nohara
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D016330:Frail Elderly; D006333:Heart Failure / Q000453:epidemiology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010359:Patient Readmission; D012042:Registries; D012959:Socioeconomic Factors