Prognostic Impact of the Preservation of Activities of Daily Living on Post-Discharge Outcomes in Patients With Acute Heart Failure

Circulation Journal : Official Journal of the Japanese Circulation Society
Yusuke UemuraMasato Watarai

Abstract

Hospitalization for heart failure (HF) carries a risk of impairment in physical activity. We assessed the association between changes in Barthel index (BI) during hospitalization and prognosis in patients with acute HF. Methods and Results: We evaluated the BI in 256 patients with acute HF at the time of hospital admission (pre-BI) and at discharge (post-BI). All patients were followed for 1 year after discharge. BI significantly decreased during hospitalization in enrolled patients. Patients with a post-BI <60 had longer hospital stays and higher rates of non-home discharge, and had a lower 1-year survival rate than those with a post-BI ≥60. Multivariate Cox regression analysis revealed that post-BI, not pre-BI or changes in BI, significantly correlated with all-cause death and the composite of all-cause death or rehospitalization for HF for 1 year after discharge. Patients with decreasing BI during hospitalization had significantly lower all-cause death- or HF readmission-free survival following acute HF than those having a pre-BI ≥60 and changes in BI ≥0. Results demonstrate that low BI at discharge and decreased BI during hospitalization predicted poor outcomes in Japanese patients with acute HF. A comprehensive approach, b...Continue Reading

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Citations

Jun 27, 2019·Journal of Cardiopulmonary Rehabilitation and Prevention·Shoya SuzukiMasahiro Abo
Sep 15, 2020·Geriatrics & Gerontology International·Shota ShimoyamaSatoru Ebihara
Feb 11, 2021·Circulation Journal : Official Journal of the Japanese Circulation Society·Yasuhiro MatsudaToshiaki Mano
Sep 13, 2020·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Naoki AkazawaHideki Moriyama
Mar 2, 2021·Circulation Journal : Official Journal of the Japanese Circulation Society·Yosuke HondaKazuhisa Domen
Apr 11, 2021·ESC Heart Failure·Masakazu SaitohTetsuya Takahashi
Apr 16, 2021·Circulation Journal : Official Journal of the Japanese Circulation Society·Tomomi IdeUNKNOWN JROADHF Investigators

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