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

Yuki Takara, Masakazu Saitoh, Tomoyuki Morisawa, Tetsuya Takahashi, Nozomu Yoshida, Munetoshi Sakiyama, Ryuta Nakamura, Imun Tei, Toshiyuki Fujiwara

Abstract


Background: 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.

Methods: 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.

Results: 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).

Conclusion: In conclusion, lower physical function and general physical activity and longer urinary-catheter-placement are associated with HAD.




Cardiol Res. 2021;12(5):293-301
doi: https://doi.org/10.14740/cr1306

Keywords


Older patients; Heart failure; Hospital-acquired disability; Clinical characteristics

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