Worsening renal function during hospitalization in elderly patients with heart failure: an independent factor of activities of daily living decline

2020 ◽  
Vol 36 (1) ◽  
pp. 76-84
Author(s):  
Ikko Kubo ◽  
Kazuhiro P. Izawa ◽  
Nozomu Kajisa ◽  
Masanobu Ryu ◽  
Hideki Akasaka ◽  
...  
2017 ◽  
Vol 81 (1) ◽  
pp. 28-29 ◽  
Author(s):  
Hideo Izawa ◽  
Yuji Kohno ◽  
Wakaya Fujiwara ◽  
Mutsuharu Hayashi

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Masahiro Kitamura ◽  
Kazuhiro P. Izawa ◽  
Hiroki Taniue ◽  
Yumi Mimura ◽  
Keita Imamura ◽  
...  

Aims. To examine the relationship between activities of daily living (ADL) and readmission within 90 days and assess the cutoff value of ADL to predict readmission in hospitalized elderly patients with heart failure (HF). Methods. This cohort study comprised 589 consecutive patients with HF aged ≥65 years, who underwent cardiac rehabilitation from May 2012 to May 2016 and were discharged home. We investigated patients’ characteristics, basic attributes, and ADL (motor and cognitive Functional Independence Measure [FIM]). We analyzed the data using the unpaired t-test, χ2 test, Cox proportional hazard model, receiver operating characteristic (ROC) curve, and Kaplan-Meier method. Results. Of 589 patients, 113 met the criteria, and they were divided into the nonreadmission (n=90) and readmission groups (n=23). Age, body mass index, New York Heart Association class, hemoglobin level, and motor FIM score were significantly different between the two groups (p<0.05). The body mass index (hazard ratio [HR]: 0.87; p<0.05) and motor FIM score (HR: 0.94; p<0.01) remained statistically significant. The cutoff value for the motor FIM score determined by ROC curve analysis was 74.5 points (area under the curve = 0.78; p<0.001). Conclusion. The motor FIM score in elderly patients with HF was an independent predictor of rehospitalization within 90 days.


BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e044416
Author(s):  
Tan Van Nguyen ◽  
Huyen Thanh Dang ◽  
Mason Jenner Burns ◽  
Hiep HH Dao ◽  
Tu Ngoc Nguyen

ObjectivesThis study aims to investigate the prevalence of impairment of activities of daily living (ADLs) in older patients with heart failure (HF), and to examine the impact of ADL impairment on readmission after discharge.Design and settingsA prospective cohort study was conducted in patients aged ≥65 years with HF admitted to a tertiary hospital in Vietnam from August 2016 to June 2017. Difficulties with six ADLs were assessed by a questionnaire. Participants were classified into two categories (with and without ADL impairment). The associations of ADL impairment with 3-month readmission were examined using logistic regression models.ResultsThere were 180 participants (mean age 80.6±8.2, 50% female) and 26.1% were classified as having ADL impairment. The most common impaired activity was bathing (21.1%), followed by transferring (20.0%), toileting (12.2%), dressing (8.9%), eating (3.3%), and continence (2.8%). During 3-month follow-up, 32.8% of the participants were readmitted to hospitals (55.3% in participants with ADL impairment, 24.8% in those without ADL impairment, p<0.001). ADL impairment significantly increased the risk of 3-month readmission (adjusted OR 2.75, 95% CI 1.25 to 6.05, p=0.01).ConclusionsIn summary, ADL impairment was common in older hospitalised patients with HF and was associated with increased readmission. These findings suggest further studies on ADL assessment and intervention during transition care for older patients with HF after discharge to prevent readmission.


2011 ◽  
Vol 17 (9) ◽  
pp. S167
Author(s):  
Ryuichiro Fukushima ◽  
Eiji Taguchi ◽  
Tomohiro Sakamoto ◽  
Kazuhiro Nishigami ◽  
Toshihiro Honda ◽  
...  

2013 ◽  
Vol 35 (7) ◽  
pp. 455-469 ◽  
Author(s):  
K. Damman ◽  
M. A. E. Valente ◽  
A. A. Voors ◽  
C. M. O'Connor ◽  
D. J. van Veldhuisen ◽  
...  

2017 ◽  
Vol 30 (1) ◽  
pp. 45-51 ◽  
Author(s):  
Masahiro Kitamura ◽  
Kazuhiro P. Izawa ◽  
Hiroki Taniue ◽  
Yumi Mimura ◽  
Yuichi Ikeda ◽  
...  

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