PMID- 24898596
OWN - NLM
STAT- MEDLINE
DCOM- 20140904
LR  - 20220317
IS  - 1349-3299 (Electronic)
IS  - 1349-2365 (Linking)
VI  - 55
IP  - 4
DP  - 2014
TI  - Six-minute walk distance is an independent predictor of hospital readmission in 
      patients with chronic heart failure.
PG  - 331-6
AB  - Patients with chronic heart failure (CHF) are frequently readmitted to the 
      hospital due to disease progression. Although a shorter 6-minute walk distance 
      (6MWD) is correlated with poor prognosis, 6MWD is not considered a clinical 
      indicator for predicting hospital readmission.We investigated whether 6MWD 
      measured at the time of hospital discharge predicted readmission due to heart 
      failure in CHF patients.Patients admitted to the hospital for the first time due 
      to heart failure were enrolled. After 6MWD was measured at discharge, patients 
      were followed-up for 3 years. Clinical characteristics, 6MWD and readmission due 
      to heart failure were evaluated in 252 patients (68.5 +/- 11.8 years old, 162 
      males). Significant factors that affected readmission were extracted and cut-off 
      values were determined using multivariate logistic regression analysis and 
      receiver operating characteristic curves.Of 252 CHF patients, 103 were readmitted 
      within 3 years. 6MWD at the time of discharge was significantly shorter in 
      readmitted patients than non-readmitted patients (P < 0.001) and was a 
      significant predictor of readmission (P < 0.001). The odds ratio for readmission 
      was 1.22 (P < 0.001) with each 10-meter decrease in 6MWD. The 6MWD cut-off value 
      was determined to be 390 meters, with a sensitivity of 0.75 and a specificity of 
      0.77.6MWD measured at the time of discharge is an independent predictor of 
      hospital readmission in CHF patients, with a cut-off value of 390 meters.
FAU - Tabata, Minoru
AU  - Tabata M
AD  - Department of Cardiovascular Medicine, Kitasato University Graduate School of 
      Medical Sciences.
FAU - Shimizu, Ryosuke
AU  - Shimizu R
FAU - Kamekawa, Daisuke
AU  - Kamekawa D
FAU - Kato, Michitaka
AU  - Kato M
FAU - Kamiya, Kentaro
AU  - Kamiya K
FAU - Akiyama, Ayako
AU  - Akiyama A
FAU - Kamada, Yumi
AU  - Kamada Y
FAU - Tanaka, Shinya
AU  - Tanaka S
FAU - Noda, Chiharu
AU  - Noda C
FAU - Masuda, Takashi
AU  - Masuda T
LA  - eng
PT  - Journal Article
DEP - 20140605
PL  - Japan
TA  - Int Heart J
JT  - International heart journal
JID - 101244240
SB  - IM
MH  - Exercise Test/*methods
MH  - Exercise Tolerance
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Failure/*diagnosis/physiopathology/rehabilitation
MH  - Humans
MH  - Length of Stay/trends
MH  - Male
MH  - Middle Aged
MH  - *Patient Readmission
MH  - Predictive Value of Tests
MH  - ROC Curve
MH  - Retrospective Studies
MH  - Time Factors
MH  - *Walking
EDAT- 2014/06/06 06:00
MHDA- 2014/09/05 06:00
CRDT- 2014/06/06 06:00
PHST- 2014/06/06 06:00 [entrez]
PHST- 2014/06/06 06:00 [pubmed]
PHST- 2014/09/05 06:00 [medline]
AID - DN/JST.JSTAGE/ihj/13-224 [pii]
AID - 10.1536/ihj.13-224 [doi]
PST - ppublish
SO  - Int Heart J. 2014;55(4):331-6. doi: 10.1536/ihj.13-224. Epub 2014 Jun 5.