Clinical Characteristics of Older Heart Failure Patients With Hospital-Acquired Disability: A Preliminary, Single-Center, Observational Study

This study investigated the clinical factors related to hospital-acquired disability (HAD) among 70 patients (median age, 78 years; interquartile range (IQR), 78 - 83) who were hospitalized for heart failure (HF) at Ayase Heart Hospital between December 2019 and October 2020. HAD was defined as a ≥...

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Published in:Cardiology research 2021-10, Vol.12 (5), p.293-301
Main Authors: Takara, Yuki, Saitoh, Masakazu, Morisawa, Tomoyuki, Takahashi, Tetsuya, Yoshida, Nozomu, Sakiyama, Munetoshi, Nakamura, Ryuta, Tei, Imun, Fujiwara, Toshiyuki
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container_issue 5
container_start_page 293
container_title Cardiology research
container_volume 12
creator Takara, Yuki
Saitoh, Masakazu
Morisawa, Tomoyuki
Takahashi, Tetsuya
Yoshida, Nozomu
Sakiyama, Munetoshi
Nakamura, Ryuta
Tei, Imun
Fujiwara, Toshiyuki
description This study investigated the clinical factors related to hospital-acquired disability (HAD) among 70 patients (median age, 78 years; interquartile range (IQR), 78 - 83) who were hospitalized for heart failure (HF) at Ayase Heart Hospital between December 2019 and October 2020. HAD was defined as a ≥ 5-point decrease in Barthel Index (BI) scores from admission to discharge. Twenty-nine HF patients (41%) developed HAD after admission. Compared to the non-HAD group, the HAD group had higher Kihon Checklist scores (14 points (IQR, 11 - 17) vs. 9 points (IQR, 6 - 13); P < 0.01) and prevalence of multi-faceted frailty (90% vs. 29%; P < 0.01), a longer urinary-catheter-placement period (3 days (IQR, 1 - 5] vs. 1 day (IQR, 0 - 2), P < 0.05), less daily number of steps (457 steps (IQR, 301 - 997) vs. 1,692 steps (IQR, 1,227 - 2,418); P < 0.01), and moderate-intensity physical activity time (0 min (IQR, 0 - 2] vs. 1 min (IQR, 0 - 3); P < 0.05). In conclusion, lower physical function and general physical activity and longer urinary-catheter-placement are associated with HAD.
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title Clinical Characteristics of Older Heart Failure Patients With Hospital-Acquired Disability: A Preliminary, Single-Center, Observational Study
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