PMID- 26553773
OWN - NLM
STAT- MEDLINE
DCOM- 20160927
LR  - 20200225
IS  - 1932-8737 (Electronic)
IS  - 0160-9289 (Print)
IS  - 0160-9289 (Linking)
VI  - 38
IP  - 12
DP  - 2015 Dec
TI  - Clinical Practice Patterns in Constrictive Pericarditis Patients With Heart 
      Failure: A Retrospective Cohort Study Using a National Inpatient Database in 
      Japan.
PG  - 740-6
LID - 10.1002/clc.22483 [doi]
AB  - BACKGROUND: Previous studies on constrictive pericarditis (CP) mainly concerned 
      patients undergoing pericardiectomy. The reported perioperative mortality of CP 
      patients remained high. Data on medically treated CP patients without 
      pericardiectomy have been scarce. HYPOTHESIS: Constrictive pericarditis patients 
      with more comorbidities are less likely to undergo pericardiectomy. METHODS: 
      Using the Diagnosis Procedure Combination database from 2007 to 2013, we 
      retrospectively identified CP patients admitted with heart failure of New York 
      Heart Association (NYHA) class II to IV. We compared clinical characteristics 
      between patients treated with and without pericardiectomy. A multivariable 
      logistic regression analysis was performed to assess the factors associated with 
      likelihood of undergoing pericardiectomy. RESULTS: Of 855 eligible patients, 164 
      (19.2%) underwent pericardiectomy (surgery group) and 691 (80.8%) did not 
      (no-surgery group). The surgery group was younger (mean age, 65.0 years vs 70.3 
      years; P < 0.001) and more often male (81.7% vs 72.2%; P = 0.013) than the 
      no-surgery group. No significant difference was seen in NYHA class and Barthel 
      Index between the groups, whereas the surgery group had a lower Charlson 
      Comorbidity Index (CCI). Older age, female sex, and higher CCI were significantly 
      associated with a lower likelihood of undergoing pericardiectomy. In the surgery 
      group, 30-day postoperative mortality was significantly higher in patients who 
      underwent cardiopulmonary bypass than in those who did not (11.3% vs 2.9%; P = 
      0.030). CONCLUSIONS: Patients' backgrounds were associated with the likelihood of 
      undergoing pericardiectomy. Conservative medical therapy may be acceptable in CP 
      patients with severe background and high preoperative need for cardiopulmonary 
      bypass.
CI  - (c) 2015 Wiley Periodicals, Inc.
FAU - Isogai, Toshiaki
AU  - Isogai T
AD  - Department of Clinical Epidemiology and Health Economics, School of Public 
      Health, The University of Tokyo, Tokyo, Japan.
AD  - Department of Cardiology, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.
FAU - Yasunaga, Hideo
AU  - Yasunaga H
AD  - Department of Clinical Epidemiology and Health Economics, School of Public 
      Health, The University of Tokyo, Tokyo, Japan.
FAU - Matsui, Hiroki
AU  - Matsui H
AD  - Department of Clinical Epidemiology and Health Economics, School of Public 
      Health, The University of Tokyo, Tokyo, Japan.
FAU - Tanaka, Hiroyuki
AU  - Tanaka H
AD  - Department of Cardiology, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.
FAU - Hisagi, Motoyuki
AU  - Hisagi M
AD  - Department of Cardiovascular Surgery, Tokyo Metropolitan Tama Medical Center, 
      Tokyo, Japan.
FAU - Fushimi, Kiyohide
AU  - Fushimi K
AD  - Department of Health Policy and Informatics, Graduate School of Medicine, Tokyo 
      Medical and Dental University, Tokyo, Japan.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20151110
PL  - United States
TA  - Clin Cardiol
JT  - Clinical cardiology
JID - 7903272
SB  - IM
MH  - Adult
MH  - Aged
MH  - Cohort Studies
MH  - Female
MH  - Heart Failure/complications/*therapy
MH  - Humans
MH  - Inpatients
MH  - Japan
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Pericardiectomy/*statistics & numerical data
MH  - Pericarditis, Constrictive/complications/*therapy
MH  - Practice Patterns, Physicians'/*statistics & numerical data
MH  - Retrospective Studies
MH  - Young Adult
PMC - PMC6490736
EDAT- 2015/11/11 06:00
MHDA- 2016/09/28 06:00
PMCR- 2015/11/10
CRDT- 2015/11/11 06:00
PHST- 2015/07/30 00:00 [received]
PHST- 2015/10/01 00:00 [accepted]
PHST- 2015/11/11 06:00 [entrez]
PHST- 2015/11/11 06:00 [pubmed]
PHST- 2016/09/28 06:00 [medline]
PHST- 2015/11/10 00:00 [pmc-release]
AID - CLC22483 [pii]
AID - 10.1002/clc.22483 [doi]
PST - ppublish
SO  - Clin Cardiol. 2015 Dec;38(12):740-6. doi: 10.1002/clc.22483. Epub 2015 Nov 10.