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Incidence of Hospitalization-Associated Disability in Older Patients With Heart Failure. | LitMetric

AI Article Synopsis

  • A study analyzed the incidence of hospitalization-associated disability (HAD) in older heart failure patients in Japan, finding that 37.1% of the 9,403 participants experienced HAD during their hospital stay.
  • Patients with HAD were generally older and had higher rates of comorbidities such as hypertension and chronic kidney disease, along with lower functional scores prior to admission.
  • The research suggests that factors like age and prehospital health status are linked to the development of HAD, highlighting the need for increased rehabilitation efforts for older heart failure patients in Japan.

Article Abstract

Background: This study determined the incidence of hospitalization-associated disability (HAD) and its characteristics in older patients with heart failure in Japan.

Methods and results: Ninety-six institutions participated in this nationwide multicenter registry study (J-Proof HF). From December 2020 to March 2022, consecutive heart failure patients aged ≥65 years who were prescribed physical rehabilitation during hospitalization were enrolled. Of the 9,403 patients enrolled (median age 83.0 years, 50.9% male), 3,488 (37.1%) had HAD. Compared with the non-HAD group, the HAD group was older and had higher rates of hypertension, chronic kidney disease, and cerebrovascular disease comorbidity. The HAD group also had a significantly lower Barthel Index score and a significantly higher Kihon checklist score before admission. Of the 9,403 patients, 2,158 (23.0%) had a preadmission Barthel Index score of <85 points. Binomial logistic analysis revealed that age and preadmission Kihon checklist score were associated with HAD in patients with a preadmission Barthel Index score of ≥85, compared with New York Heart Association functional classification and preadmission cognitive decline in those with a Barthel Index score <85.

Conclusions: This nationwide registry survey found that 37.1% of older patients with HF had HAD and that these patients are indicated for convalescent rehabilitation. Further widespread implementation of rehabilitation for older patients with heart failure is expected in Japan.

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Source
http://dx.doi.org/10.1253/circj.CJ-23-0722DOI Listing

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