Cargando…

Relationship among Activities of Daily Living, Nutritional Status, and 90 Day Readmission in Elderly Patients with Heart Failure

Purpose: This investigation aimed to examine the relationship among activities of daily living (ADL), nutritional status and 90-day hospital readmission in elderly heart failure (HF) patients. Methods: Participants were selected from 634 HF patients consecutively hospitalized at one institution. We...

Descripción completa

Detalles Bibliográficos
Autores principales: Kitamura, Masahiro, Izawa, Kazuhiro P., Yaekura, Masakazu, Mimura, Yumi, Ikeda, Yuichi, Nagashima, Hitomi, Brubaker, Peter H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6950285/
https://www.ncbi.nlm.nih.gov/pubmed/31842307
http://dx.doi.org/10.3390/ijerph16245068
_version_ 1783486036024754176
author Kitamura, Masahiro
Izawa, Kazuhiro P.
Yaekura, Masakazu
Mimura, Yumi
Ikeda, Yuichi
Nagashima, Hitomi
Brubaker, Peter H.
author_facet Kitamura, Masahiro
Izawa, Kazuhiro P.
Yaekura, Masakazu
Mimura, Yumi
Ikeda, Yuichi
Nagashima, Hitomi
Brubaker, Peter H.
author_sort Kitamura, Masahiro
collection PubMed
description Purpose: This investigation aimed to examine the relationship among activities of daily living (ADL), nutritional status and 90-day hospital readmission in elderly heart failure (HF) patients. Methods: Participants were selected from 634 HF patients consecutively hospitalized at one institution. We investigated patient characteristics, ADL (motor and cognitive items of Functional Independence Measure (FIM)) and nutritional status (Geriatric Nutritional Risk Index (GNRI)). Data were analyzed using unpaired t-test, χ(2) test, Cox proportional hazard model, and Kaplan-Meier method. Results: The 169 participants that met inclusion criteria were divided into two groups based on hospital readmission within 90 days of discharge. Body mass index (BMI) (p = 0.03), hemoglobin (p = 0.047), GNRI (p = 0.02) and motor-FIM (p = 0.007) were significantly different between the readmission (n = 31) and non-readmission (n = 138) groups. After Cox proportional hazard model analysis, GNRI (HR: 0.96; p = 0.048) and motor-FIM (HR: 0.97; p = 0.03) scores remained statistically significant. Participants were then classified into four groups based on a previous study’s cut-off values of prognosis for GNRI and motor-FIM. Readmission avoidance rate was significantly lower (p = 0.002) in the group with GNRI <92 and motor FIM <75. Conclusions: This study showed that motor-FIM and GNRI scores for hospitalized elderly HF patients were predictors of readmission within 90 days of discharge.
format Online
Article
Text
id pubmed-6950285
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-69502852020-01-16 Relationship among Activities of Daily Living, Nutritional Status, and 90 Day Readmission in Elderly Patients with Heart Failure Kitamura, Masahiro Izawa, Kazuhiro P. Yaekura, Masakazu Mimura, Yumi Ikeda, Yuichi Nagashima, Hitomi Brubaker, Peter H. Int J Environ Res Public Health Article Purpose: This investigation aimed to examine the relationship among activities of daily living (ADL), nutritional status and 90-day hospital readmission in elderly heart failure (HF) patients. Methods: Participants were selected from 634 HF patients consecutively hospitalized at one institution. We investigated patient characteristics, ADL (motor and cognitive items of Functional Independence Measure (FIM)) and nutritional status (Geriatric Nutritional Risk Index (GNRI)). Data were analyzed using unpaired t-test, χ(2) test, Cox proportional hazard model, and Kaplan-Meier method. Results: The 169 participants that met inclusion criteria were divided into two groups based on hospital readmission within 90 days of discharge. Body mass index (BMI) (p = 0.03), hemoglobin (p = 0.047), GNRI (p = 0.02) and motor-FIM (p = 0.007) were significantly different between the readmission (n = 31) and non-readmission (n = 138) groups. After Cox proportional hazard model analysis, GNRI (HR: 0.96; p = 0.048) and motor-FIM (HR: 0.97; p = 0.03) scores remained statistically significant. Participants were then classified into four groups based on a previous study’s cut-off values of prognosis for GNRI and motor-FIM. Readmission avoidance rate was significantly lower (p = 0.002) in the group with GNRI <92 and motor FIM <75. Conclusions: This study showed that motor-FIM and GNRI scores for hospitalized elderly HF patients were predictors of readmission within 90 days of discharge. MDPI 2019-12-12 2019-12 /pmc/articles/PMC6950285/ /pubmed/31842307 http://dx.doi.org/10.3390/ijerph16245068 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kitamura, Masahiro
Izawa, Kazuhiro P.
Yaekura, Masakazu
Mimura, Yumi
Ikeda, Yuichi
Nagashima, Hitomi
Brubaker, Peter H.
Relationship among Activities of Daily Living, Nutritional Status, and 90 Day Readmission in Elderly Patients with Heart Failure
title Relationship among Activities of Daily Living, Nutritional Status, and 90 Day Readmission in Elderly Patients with Heart Failure
title_full Relationship among Activities of Daily Living, Nutritional Status, and 90 Day Readmission in Elderly Patients with Heart Failure
title_fullStr Relationship among Activities of Daily Living, Nutritional Status, and 90 Day Readmission in Elderly Patients with Heart Failure
title_full_unstemmed Relationship among Activities of Daily Living, Nutritional Status, and 90 Day Readmission in Elderly Patients with Heart Failure
title_short Relationship among Activities of Daily Living, Nutritional Status, and 90 Day Readmission in Elderly Patients with Heart Failure
title_sort relationship among activities of daily living, nutritional status, and 90 day readmission in elderly patients with heart failure
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6950285/
https://www.ncbi.nlm.nih.gov/pubmed/31842307
http://dx.doi.org/10.3390/ijerph16245068
work_keys_str_mv AT kitamuramasahiro relationshipamongactivitiesofdailylivingnutritionalstatusand90dayreadmissioninelderlypatientswithheartfailure
AT izawakazuhirop relationshipamongactivitiesofdailylivingnutritionalstatusand90dayreadmissioninelderlypatientswithheartfailure
AT yaekuramasakazu relationshipamongactivitiesofdailylivingnutritionalstatusand90dayreadmissioninelderlypatientswithheartfailure
AT mimurayumi relationshipamongactivitiesofdailylivingnutritionalstatusand90dayreadmissioninelderlypatientswithheartfailure
AT ikedayuichi relationshipamongactivitiesofdailylivingnutritionalstatusand90dayreadmissioninelderlypatientswithheartfailure
AT nagashimahitomi relationshipamongactivitiesofdailylivingnutritionalstatusand90dayreadmissioninelderlypatientswithheartfailure
AT brubakerpeterh relationshipamongactivitiesofdailylivingnutritionalstatusand90dayreadmissioninelderlypatientswithheartfailure