Impact of Physical Function and Exercise Capacity on the Outcomes In Hospitalized Elderly Patients with Acute Heart Failure

2020 ◽  
Vol 26 (10) ◽  
pp. S114
Author(s):  
Takeshi Kitai ◽  
Takayuki Shimogai ◽  
Kentaro Iwata ◽  
Andrew Xanthopoulos ◽  
Shuichiro Kaji ◽  
...  
Keyword(s):  
Heart Failure ◽  
Elderly Patients ◽  
Physical Function ◽  
Acute Heart Failure ◽  
Exercise Capacity ◽  
Hospitalized Elderly ◽  
Hospitalized Elderly Patients

Racial Disparities in Hospitalized Elderly Patients with Chronic Heart Failure

2004 ◽  
Vol 15 (4) ◽  
pp. 291-297 ◽  
Author(s):  
Erlinda C. Wheeler ◽  
Paula Klemm ◽  
Thomas Hardie ◽  
Lisa Plowfield ◽  
Margaret Birney ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Elderly Patients ◽  
Racial Disparities ◽  
Hospitalized Elderly ◽  
Hospitalized Elderly Patients

Relationship Between the Administration of Selected Medications and Falls in Hospitalized Elderly Patients

1995 ◽  
Vol 29 (4) ◽  
pp. 354-358 ◽  
Author(s):  
Barry J Gales ◽  
Susan M Menard
Keyword(s):  
Heart Failure ◽  
Elderly Patients ◽  
Half Life ◽  
The Elderly ◽  
Disease States ◽  
Hospitalized Elderly ◽  
Benzodiazepine Use ◽  
Hospitalized Elderly Patients ◽  
The Relationship ◽  
Digoxin Therapy

Objective: To examine the relationship between administration of selected medications and falls experienced by hospitalized elderly patients. Benzodiazepines and other medications previously associated with falls in elderly patients residing in the community and nursing homes were the primary focus. Design: Retrospective case control. Setting: Private, not-for-profit, 575-bed acute care hospital. Participants: A total of 100 patients who had fallen and 100 control patients, aged at least 70 years, admitted during the same 17-month time period. Main Outcome Measures: We examined the relationship between falls and patient demographics, underlying disease states, number of concurrent disease states, and length of hospitalization. Possible associations between the administration of narcotics, benzodiazepines, antidepressants, antipsychotics, other sedating agents, antihypertensives, diuretics, nitrates, and digoxin 48 hours prior to the fall or reference day were explored. The relationships between benzodiazepine half-life, dosage, administration frequency, cumulative dose, and falls were also examined. Results: Demographically the groups were similar except that patients who had fallen were hospitalized significantly longer (mean 18.8 vs 12.2 d; p < 0.00001) than control patients. Benzodiazepines were received by more (40% vs 20%, odds ratio = 2.67) patients who had fallen than control patients. The use of long (>24 h) half-life benzodiazepines was similar in patients who had fallen (48%) and control patients (45%). Long half-life benzodiazepines were commonly administered (65%) to patients who had fallen in doses greater than that recommended for the elderly. Benzodiazepine use, expressed as milligrams of diazepam equivalents received during the 48-hour study, was higher in patients who had fallen than in control patients (15.00 ± 17.80 vs 9.73 ± 6.58 mg), but this was not statistically significant (p = 0.1030). Congestive heart failure (37% vs 24%), digoxin therapy (35% vs 22%), or administration of 3 or more psychoactive agents (17% vs 4%) were all more common in patients who had fallen than in control patients. Conclusions: Falls experienced by the elderly patients in our acute care institution were associated with the presence of congestive heart failure along with digoxin therapy, benzodiazepine use, or the use of at least 3 psychoactive agents.

scholarly journals Relationship between Activities of Daily Living and Readmission within 90 Days in Hospitalized Elderly Patients with Heart Failure

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Masahiro Kitamura ◽  
Kazuhiro P. Izawa ◽  
Hiroki Taniue ◽  
Yumi Mimura ◽  
Keita Imamura ◽  
...  
Keyword(s):  
Heart Failure ◽  
Body Mass Index ◽  
Elderly Patients ◽  
Activities Of Daily Living ◽  
Roc Curve ◽  
Daily Living ◽  
Cutoff Value ◽  
Hospitalized Elderly ◽  
Patients With Heart Failure ◽  
Hospitalized Elderly Patients

Aims. To examine the relationship between activities of daily living (ADL) and readmission within 90 days and assess the cutoff value of ADL to predict readmission in hospitalized elderly patients with heart failure (HF). Methods. This cohort study comprised 589 consecutive patients with HF aged ≥65 years, who underwent cardiac rehabilitation from May 2012 to May 2016 and were discharged home. We investigated patients’ characteristics, basic attributes, and ADL (motor and cognitive Functional Independence Measure [FIM]). We analyzed the data using the unpaired t-test, χ2 test, Cox proportional hazard model, receiver operating characteristic (ROC) curve, and Kaplan-Meier method. Results. Of 589 patients, 113 met the criteria, and they were divided into the nonreadmission (n=90) and readmission groups (n=23). Age, body mass index, New York Heart Association class, hemoglobin level, and motor FIM score were significantly different between the two groups (p<0.05). The body mass index (hazard ratio [HR]: 0.87; p<0.05) and motor FIM score (HR: 0.94; p<0.01) remained statistically significant. The cutoff value for the motor FIM score determined by ROC curve analysis was 74.5 points (area under the curve = 0.78; p<0.001). Conclusion. The motor FIM score in elderly patients with HF was an independent predictor of rehospitalization within 90 days.

scholarly journals Short Physical Performance Battery versus 6-minute Walking Test in Hospitalized Elderly Patients with Heart Failure

2021 ◽  
Author(s):  
Takeshi Kitai ◽  
Takayuki Shimogai ◽  
W H Wilson Tang ◽  
Kentaro Iwata ◽  
Andrew Xanthopoulos ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Failure ◽  
Elderly Patients ◽  
Physical Performance ◽  
Prognostic Value ◽  
Walking Test ◽  
Hospitalized Elderly ◽  
Hospitalized Elderly Patients ◽  
Incremental Prognostic Value ◽  
Conventional Risk Factors

Abstract Aims Functional decline due to skeletal muscle abnormalities leads to poor outcomes in patients with acute heart failure (AHF). The 6-minute walking test (6MWT) reliably evaluates functional capacity, but its technical difficulty for the elderly often limits its benefits. Although the Short Physical Performance Battery (SPPB) is a comprehensive measure of physical performance, its role in AHF remains unclear. This study aimed to examine the prognostic significance of SPPB compared to the 6MWT in elderly patients hospitalized for AHF. Methods and Results We retrospectively analyzed 1,192 elderly patients with AHF whose SPPB and 6MWT were measured during the hospitalization. The primary outcome measure was defined as a composite of all-cause death and heart failure readmission until 1 year after discharge. Patients with lower SPPB scores (0 − 6, n = 373) had significantly poorer outcomes than those with higher SPPB scores (7 − 12, n = 819) even after multivariable adjustment (adjusted hazard ratio [HR]: 1.28, 95% confidence interval [CI]: 1.01 − 1.61, p = 0.049), similar to those with shorter 6MWT (&lt;median) than those with longer 6MWT (adjusted HR:1.61, 95% CI:1.27 − 2.04, p &lt; 0.001). Although both SPPB and 6MWT (net reclassification index [NRI]: 0.139, p = 0.036 and NRI: 0.350, p &lt; 0.001, respectively) exhibited incremental prognostic value over conventional risk factors of HF, the additive prognostic effect of 6MWT was superior to that of SPPB (NRI: 0.300, p &lt; 0.001). Conclusions Reduced functional capacity assessed by either the SPPB or 6MWT was associated with worse outcomes in hospitalized elderly patients with AHF. The incremental prognostic value over the conventional risk factors was higher in 6MWT than in SPPB. Trial Registration UMIN000023929

Analysis of prognosis in hospitalized elderly patients with pneumonia according to age groups

2017 ◽  
Vol 21 (3) ◽  
pp. 109-117
Author(s):  
Ayşegül Albay ◽  
Bengü Şaylan ◽  
Hacer Sali Çakır ◽  
Sema Basat
Keyword(s):  
Elderly Patients ◽  
Age Groups ◽  
Hospitalized Elderly ◽  
Hospitalized Elderly Patients

scholarly journals Prognostic nutritional index in elderly patients hospitalized for acute heart failure

2020 ◽  
Vol 7 (5) ◽  
pp. 2479-2484 ◽  
Author(s):  
Matteo Candeloro ◽  
Marcello Di Nisio ◽  
Martina Balducci ◽  
Stefano Genova ◽  
Emanuele Valeriani ◽  
...  
Keyword(s):  
Heart Failure ◽  
Elderly Patients ◽  
Acute Heart Failure ◽  
Prognostic Nutritional Index ◽  
Nutritional Index
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