Key result
Hospital-acquired disability developed in 41% of older heart failure patients and was significantly associated with lower physical activity (457 vs. 1,692 steps/day) and longer urinary catheter placement.
Why the study?
This study was conducted to investigate clinical factors related to hospital-acquired disability among older patients hospitalized for heart failure.
Observational (n=70)
No
Absolute Event Rate: 457% vs 1692%
p-value: p=<0.01
In older patients hospitalized for heart failure, lower physical function, reduced physical activity, and longer urinary catheter placement are associated with the development of hospital-acquired disability.
HAD risk factors in elderly HF inpatients may guide screening; leaves open validation and intervention trials before practice change.
BACKGROUND: This study investigated the clinical factors related to hospital-acquired disability (HAD) among 70 patients (median age, 78 years; interquartile range (IQR), 78 - 83) who were hospitalized for heart failure (HF) at Ayase Heart Hospital between December 2019 and October 2020. METHODS: HAD was defined as a ≥ 5-point decrease in Barthel Index (BI) scores from admission to discharge. Twenty-nine HF patients (41%) developed HAD after admission. RESULTS: Compared to the non-HAD group, the HAD group had higher Kihon Checklist scores (14 points (IQR, 11 - 17) vs. 9 points (IQR, 6 - 13); P < 0.01) and prevalence of multi-faceted frailty (90% vs. 29%; P < 0.01), a longer urinary-catheter-placement period (3 days (IQR, 1 - 5] vs. 1 day (IQR, 0 - 2), P < 0.05), less daily number of steps (457 steps (IQR, 301 - 997) vs. 1,692 steps (IQR, 1,227 - 2,418); P < 0.01), and moderate-intensity physical activity time (0 min (IQR, 0 - 2] vs. 1 min (IQR, 0 - 3); P < 0.05). CONCLUSION: In conclusion, lower physical function and general physical activity and longer urinary-catheter-placement are associated with HAD.
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Takara et al. (2021) conducted an observational in Acute heart failure (n=70). Hospital-acquired disability (HAD) vs. No hospital-acquired disability was evaluated on Daily number of steps during hospitalization (p=<0.01). Hospital-acquired disability developed in 41% of older heart failure patients and was significantly associated with lower physical activity (457 vs. 1,692 steps/day) and longer urinary catheter placement.
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