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

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  • Takahashi Tetsuya
    Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy
  • Iwata Kentaro
    Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy
  • Morisawa Tomoyuki
    Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy
  • Kato Michitaka
    Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy
  • Kono Yuji
    Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy
  • Taya Masanobu
    Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy
  • Iida Yuki
    Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy
  • Funami Yoshinari
    Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy
  • Kamiya Kentaro
    Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy
  • Sakurada Koji
    Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy
  • Saitoh Masakazu
    Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy

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抄録

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

収録刊行物

  • Circulation Journal

    Circulation Journal 88 (5), 672-679, 2024-04-25

    一般社団法人 日本循環器学会

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