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
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- Iwata Kentaro
- Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy
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- Morisawa Tomoyuki
- Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy
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- Kato Michitaka
- Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy
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- Kono Yuji
- Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy
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- Taya Masanobu
- Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy
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- Iida Yuki
- Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy
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- Funami Yoshinari
- Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy
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- Kamiya Kentaro
- Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy
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- Sakurada Koji
- Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy
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- Saitoh Masakazu
- Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy
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Abstract
<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>
Journal
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- Circulation Journal
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Circulation Journal 88 (5), 672-679, 2024-04-25
The Japanese Circulation Society
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Details 詳細情報について
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- CRID
- 1390862876079523840
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- NII Book ID
- AA11591968
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- ISSN
- 13474820
- 13469843
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- NDL BIB ID
- 033471778
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- PubMed
- 38220172
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- Text Lang
- en
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- Data Source
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- JaLC
- NDL
- Crossref
- PubMed
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- Abstract License Flag
- Disallowed