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Clinical Features of Patients With Heart Failure After the 2016 Kumamoto Earthquakes
- Source :
- Disaster Medicine and Public Health Preparedness; May 2023, Vol. 17 Issue: 1
- Publication Year :
- 2023
-
Abstract
- AbstractObjective:Acute and chronic stress after severe earthquakes can contribute to cardiovascular events, including heart failure (HF). On April 14, 2016, magnitude 7 earthquakes occurred in the Aso region in the western part of Japan. This study aimed to investigate the clinical characteristics of HF in this area after these earthquakes.Methods:We investigated the clinical characteristics and 1-y mortality rate of patients with HF. Nutritional status was evaluated with the Geriatric Nutritional Risk Index (GNRI) and the Prognostic Nutritional Index (PNI).Results:Among a total of 58 cardiovascular events, HF was the most frequently observed (n= 28). The mean age of individuals with HF was 85.5 y. The total incidence of HF was significantly higher compared with the average of the prior 2 y. Disaster influence on mental health was suggested by patient history in 20 patients (71%). The 1-y mortality rate among patients with HF was 50%. Among those who died, 93% had malnutrition status (GNRI <92 and /or PNI ≤38).Conclusions:Our results demonstrated the poor prognosis of patients with HF following the disaster. The prevalence of malnutrition was high in those patients. Careful follow-up is necessary, especially for older people with frailty.
Details
- Language :
- English
- ISSN :
- 19357893 and 1938744X
- Volume :
- 17
- Issue :
- 1
- Database :
- Supplemental Index
- Journal :
- Disaster Medicine and Public Health Preparedness
- Publication Type :
- Periodical
- Accession number :
- ejs62118598
- Full Text :
- https://doi.org/10.1017/dmp.2021.331