{"created":"2024-06-07T08:35:25.115167+00:00","id":2000358,"links":{},"metadata":{"_buckets":{"deposit":"54145d67-ba5a-4fd5-8809-0be319df9e7b"},"_deposit":{"created_by":29,"id":"2000358","owners":[29],"pid":{"revision_id":0,"type":"depid","value":"2000358"},"status":"published"},"_oai":{"id":"oai:ir.kagoshima-u.ac.jp:02000358","sets":["57:86"]},"author_link":["144137"],"control_number":"2000358","item_5_date_6":{"attribute_name":"作成日","attribute_value_mlt":[{"subitem_date_issued_datetime":"2024-03-08","subitem_date_issued_type":"Collected"}]},"item_5_date_granted_54":{"attribute_name":"学位授与年月日 ","attribute_value_mlt":[{"subitem_dategranted":"2024-03-25"}]},"item_5_degree_grantor_53":{"attribute_name":"学位授与機関","attribute_value_mlt":[{"subitem_degreegrantor":[{"subitem_degreegrantor_language":"ja","subitem_degreegrantor_name":"鹿児島大学"}],"subitem_degreegrantor_identifier":[{"subitem_degreegrantor_identifier_name":"17701","subitem_degreegrantor_identifier_scheme":"kakenhi"}]}]},"item_5_degree_name_42":{"attribute_name":"学位名","attribute_value_mlt":[{"subitem_degreename":"博士(医学)","subitem_degreename_language":"ja"},{"subitem_degreename":"Doctor of Philosophy in Medical Science","subitem_degreename_language":"en"}]},"item_5_description_17":{"attribute_name":"ファイル（説明）","attribute_value_mlt":[{"subitem_description":"博士論文全文, 博士論文要旨, 最終試験結果の要旨, 論文審査の要旨","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_5_description_4":{"attribute_name":"要約(Abstract)","attribute_value_mlt":[{"subitem_description":"Background \nLiving alone as a proxy for social isolation has been considered to increase the risk of cardiovascular disease. We thus investigated the impact of living alone on mortality in acute myocardial infarction (AMI) patients.\nMethods\nSubjects comprised 277 AMI patients who underwent percutaneous coronary intervention (PCI). Associations between all-cause and cardiac deaths after PCI and baseline characteristics including living alone and Global Registry of Acute Coronary Events (GRACE) risk score were assessed.\nResults\nEighty-three patients (30%) were living alone. Thirty patients died after PCI, including 20 cardiac deaths. Patients living alone showed higher incidences of both all-cause and cardiac deaths compared with patients not living alone (18% vs. 8%, P = 0.019 and 14% vs. 4%, P = 0.004). Multivariate Cox proportional hazards regression analysis models showed living alone [hazard ratio (HR), 2.60; 95% confidence interval (CI), 1.20–5.62; P = 0.016 and HR, 4.17; 95% CI, 1.60–10.84; P = 0.003] and GRACE risk score (HR, 1.02; 95% CI, 1.01–1.03; P = 0.003 and HR, 1.03; 95% CI, 1.01–1.04; P < 0.001) correlated significantly with all-cause and cardiac deaths. Cox proportional hazards modeling revealed that patients living alone with GRACE risk score ≥162 derived from the receiver-operating characteristic curve showed a significantly greater risk of all-cause death than patients not living alone with GRACE risk score <162 (HR 16.57; 95% CI 6.67–41.21; P < 0.001).\nConclusion \nAmong AMI patients, living alone represents an independent risk factor for all-cause and cardiac deaths after PCI, separate from GRACE risk score. Furthermore, AMI patients living alone with high GRACE risk scores may experience an additively increased risk of mortality after PCI.","subitem_description_language":"en","subitem_description_type":"Other"},{"subitem_description":"Fukumoto, Daichi; Kanda, Daisuke; Takumi, Takuro; Ikeda, Yoshiyuki; Tokushige, Akihiro; Ohmure, Kenta; Sonoda, Takeshi; Arikawa, Ryo; Anzaki, Kazuhiro; Ohishi, Mitsuru\nLiving alone predicts poor prognosis among patients with acute myocardial infarction\nCoronary Artery Disease 34(8):p 580-588 2023\nhttps://doi.org/10.1097/MCA.0000000000001286","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_5_dissertation_number_55":{"attribute_name":"学位授与番号","attribute_value_mlt":[{"subitem_dissertationnumber":"甲総研第737号"}]},"item_5_publisher_23":{"attribute_name":"公開者・出版者","attribute_value_mlt":[{"subitem_publisher":"Wolters Kluwer Health","subitem_publisher_language":"en"},{"subitem_publisher":"鹿児島大学","subitem_publisher_language":"ja"}]},"item_5_text_44":{"attribute_name":"備考","attribute_value_mlt":[{"subitem_text_language":"ja","subitem_text_value":"【指導教員:大石充】"}]},"item_5_text_47":{"attribute_name":"date.appl","attribute_value_mlt":[{"subitem_text_value":"【学位申請日】2023-12-06"}]},"item_5_version_type_14":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"福元, 大地","creatorNameLang":"ja"},{"creatorName":"Fukumoto, Daichi","creatorNameLang":"en"}],"familyNames":[{"familyName":"福元","familyNameLang":"ja"},{"familyName":"Fukumoto","familyNameLang":"en"}],"givenNames":[{"givenName":"大地","givenNameLang":"ja"},{"givenName":"Daichi","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"144137","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2025-09-11"}],"displaytype":"detail","fileDate":[{"fileDateType":"Collected","fileDateValue":"2024-03-08"}],"filename":"Diss_FUKUMOTO_Daichi_ISK737_2023.pdf","filesize":[{"value":"538.8 KB"}],"format":"application/pdf","licensetype":"license_5","mimetype":"application/pdf","url":{"label":"Diss_FUKUMOTO_Daichi_ISK737_2023.pdf","objectType":"fulltext","url":"https://ir.kagoshima-u.ac.jp/record/2000358/files/Diss_FUKUMOTO_Daichi_ISK737_2023.pdf"},"version_id":"e64ce5ab-4b34-46da-a07b-ed87ab295414"},{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2025-09-11"}],"displaytype":"detail","fileDate":[{"fileDateType":"Collected","fileDateValue":"2024-03-08"}],"filename":"Abstract_FUKUMOTO_Daichi_4520810303_2023.pdf","filesize":[{"value":"80.5 KB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"label":"Abstract_FUKUMOTO_Daichi_4520810303_2023.pdf","objectType":"abstract","url":"https://ir.kagoshima-u.ac.jp/record/2000358/files/Abstract_FUKUMOTO_Daichi_4520810303_2023.pdf"},"version_id":"d7f9510e-5f79-4dba-98d7-155ae8788946"},{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2024-06-07"}],"displaytype":"detail","fileDate":[{"fileDateType":"Collected","fileDateValue":"2024-03-08"}],"filename":"Result_FUKUMOTO_Daichi_isk_737.pdf","filesize":[{"value":"190 KB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"label":"Result_FUKUMOTO_Daichi_isk_737","objectType":"other","url":"https://ir.kagoshima-u.ac.jp/record/2000358/files/Result_FUKUMOTO_Daichi_isk_737.pdf"},"version_id":"b7b99225-faea-49d3-b88e-7c727db32fdc"},{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2024-06-07"}],"displaytype":"detail","fileDate":[{"fileDateType":"Collected","fileDateValue":"2024-03-08"}],"filename":"Comments_FUKUMOTO_Daichi_isk_737.pdf","filesize":[{"value":"138 KB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"label":"Comments_FUKUMOTO_Daichi_isk_737","objectType":"other","url":"https://ir.kagoshima-u.ac.jp/record/2000358/files/Comments_FUKUMOTO_Daichi_isk_737.pdf"},"version_id":"3d829cd2-91c6-4c1c-836e-f33b6e122b90"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"acute myocardial infarction","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"GRACE risk score","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"living alone","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"mortality","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"doctoral thesis","resourceuri":"http://purl.org/coar/resource_type/c_db06"}]},"item_title":"Living alone predicts poor prognosis among patients with acute myocardial infarction","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Living alone predicts poor prognosis among patients with acute myocardial infarction","subitem_title_language":"en"},{"subitem_title":"一人暮らしは急性心筋梗塞患者の予後不良を予測する","subitem_title_language":"ja"}]},"item_type_id":"5","owner":"29","path":["86"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-06-07"},"publish_date":"2024-06-07","publish_status":"0","recid":"2000358","relation_version_is_last":true,"title":["Living alone predicts poor prognosis among patients with acute myocardial infarction"],"weko_creator_id":"29","weko_shared_id":-1},"updated":"2025-09-11T08:35:47.045264+00:00"}