Key result
Higher SPPB scores linked to ~22% lower readmission risk in older HF patients.
Why the study?
The study aimed to examine the relationship between physical performance and readmission among older patients with heart failure over the past year.
Are physical performance (SPPB score) and BNP levels associated with readmission in older patients with heart failure?
Cohort (n=108)
No
Are physical performance (SPPB score) and BNP levels associated with readmission in older patients with heart failure?
Effect estimate: OR 0.776 (95% CI 0.674-0.895)
p-value: p=<0.001
Lower physical performance, as measured by the SPPB score, and higher BNP levels at discharge are independent predictors of 1-year readmission in older adults with heart failure.
Objective: We aimed to examine the relationship between physical performance and readmission among older patients with heart failure (HF) over the past year. Methods: This retrospective cohort study included 325 patients with HF who were aged ≥65 years and were hospitalized for acute exacerbation between November 2017 and December 2021. We investigated age, sex, body mass index, length of hospital stay, initiation of rehabilitation, New York Heart Association (NYHA) class, Charlson comorbidity index (CCI) score, medications, cardiac/renal function, nutrition, maximal quadriceps isometric strength, grip strength, and Short Physical Performance Battery (SPPB) score. Data were analyzed using the χ2 test, Mann–Whitney U test, and logistic regression analysis. Results: Altogether, 108 patients met the inclusion criteria and were divided into the non-readmission (n = 76) and readmission (n = 32) groups. The readmission group exhibited longer hospital stay, more severe NYHA class, higher CCI score, higher brain natriuretic peptide (BNP) levels, lower muscle strength, and lower SPPB score compared to the non-readmission group. In the logistic regression model, BNP level and SPPB score were independent factors associated with readmission. Conclusion: BNP level and SPPB score were associated with readmission in patients with HF within the past year.
No takes yet. Share an insight, caveat, or question.
Nonaka et al. (2022) conducted a cohort in Heart failure (n=108). Short Physical Performance Battery (SPPB) score was evaluated on Readmission within the past year (OR 0.776, 95% CI 0.674-0.895, p=<0.001). Higher Short Physical Performance Battery (SPPB) scores were independently associated with a reduced risk of readmission within the past year in older patients with heart failure (OR 0.776).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: