PMID- 28849550
OWN - NLM
STAT- MEDLINE
DCOM- 20180904
LR  - 20181202
IS  - 1720-8319 (Electronic)
IS  - 1594-0667 (Print)
IS  - 1594-0667 (Linking)
VI  - 30
IP  - 6
DP  - 2018 Jun
TI  - Frailty syndrome and rehospitalizations in elderly heart failure patients.
PG  - 617-623
LID - 10.1007/s40520-017-0824-6 [doi]
AB  - BACKGROUND: Heart failure (HF) patients with frailty syndrome (FS) are at higher 
      risk of falling, decreased mobility, ability to perform the basic activities of 
      daily living, frequent hospitalizations, and death. AIMS: The purpose of this 
      study was to evaluate the correlations between FS and hospital readmissions, and 
      to assess which factors are associated with rehospitalizations. METHODS: The 
      study included 330 patients with a mean age of 72.1 +/- 7.9 years, diagnosed with 
      HF. Frailty was measured using the Polish version of the Tilburg Frailty 
      Indicator (TFI). Demographic, sociodemographic, and clinical data, such as the 
      New York Heart Association (NYHA) functional class, ejection fraction (EF), 
      number of rehospitalizations, and the medications taken, were obtained. RESULTS: 
      Positive correlation was observed between the number of hospitalizations and FS. 
      In the single-factor correlation analysis, treatment with diuretics, a higher 
      NYHA class, and a lower left ventricular EF were predictors of a higher number of 
      hospitalizations. Additionally, the physical and psychological components of the 
      TFI, as well as the total TFI score, predisposed HF patients to more frequent 
      hospitalizations. DISCUSSION: It seems that a deterioration of functional 
      capabilities and an increase in symptom severity naturally lead to increased 
      hospitalization frequency in HF. In the own study, regression analysis indicates 
      that high NYHA classes and TFI social component scores are significant predictors 
      of the number of hospitalizations in the studied group. CONCLUSIONS: FS is highly 
      prevalent among elderly HF patients. Higher frailty levels in elderly patients 
      are a determinant of more frequent rehospitalizations in HF.
FAU - Uchmanowicz, Izabella
AU  - Uchmanowicz I
AD  - Division of Nursing in Internal Medicine Procedures, Department of Clinical 
      Nursing, Faculty of Health Sciences, Wroclaw Medical University, 5 Bartla Street, 
      51-618, Wroclaw, Poland. izabella.uchmanowicz@umed.wroc.pl.
FAU - Kusnierz, Maria
AU  - Kusnierz M
AD  - Division of Nursing in Internal Medicine Procedures, Department of Clinical 
      Nursing, Faculty of Health Sciences, Wroclaw Medical University, 5 Bartla Street, 
      51-618, Wroclaw, Poland.
FAU - Wleklik, Marta
AU  - Wleklik M
AD  - Division of Nursing in Internal Medicine Procedures, Department of Clinical 
      Nursing, Faculty of Health Sciences, Wroclaw Medical University, 5 Bartla Street, 
      51-618, Wroclaw, Poland.
FAU - Jankowska-Polanska, Beata
AU  - Jankowska-Polanska B
AD  - Division of Nursing in Internal Medicine Procedures, Department of Clinical 
      Nursing, Faculty of Health Sciences, Wroclaw Medical University, 5 Bartla Street, 
      51-618, Wroclaw, Poland.
FAU - Jaroch, Joanna
AU  - Jaroch J
AD  - Wroclaw Department of Cardiology, T. Marciniak Lower Silesian Hospital, 2 
      Fieldorfa Street, 54-049, Wroclaw, Poland.
FAU - Loboz-Grudzien, Krystyna
AU  - Loboz-Grudzien K
AD  - Wroclaw Department of Cardiology, T. Marciniak Lower Silesian Hospital, 2 
      Fieldorfa Street, 54-049, Wroclaw, Poland.
LA  - eng
PT  - Journal Article
DEP - 20170828
PL  - Germany
TA  - Aging Clin Exp Res
JT  - Aging clinical and experimental research
JID - 101132995
SB  - IM
MH  - Activities of Daily Living
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - Frail Elderly/*statistics & numerical data
MH  - Frailty/*epidemiology
MH  - Heart Failure/*physiopathology
MH  - Hospitalization/*statistics & numerical data
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Readmission/statistics & numerical data
MH  - Poland
MH  - Prevalence
MH  - Ventricular Function, Left
PMC - PMC5968054
OTO - NOTNLM
OT  - Aging
OT  - Frailty syndrome
OT  - Heart failure
OT  - Rehospitalizations
COIS- FUNDING: There was no external source of funding for this research and no writing 
      assistance from external services was required. CONFLICT OF INTEREST: The authors 
      declare that they have no conflict of interest. ETHICAL APPROVAL: All procedures 
      performed in studies involving human participants were in accordance with the 
      ethical standards of the institutional and/or national research committee and 
      with the 1964 Helsinki declaration and its later amendments or comparable ethical 
      standards. INFORMED CONSENT: Informed consent was obtained from all individual 
      participants included in the study.
EDAT- 2017/08/30 06:00
MHDA- 2018/09/05 06:00
PMCR- 2017/08/28
CRDT- 2017/08/30 06:00
PHST- 2017/04/26 00:00 [received]
PHST- 2017/08/11 00:00 [accepted]
PHST- 2017/08/30 06:00 [pubmed]
PHST- 2018/09/05 06:00 [medline]
PHST- 2017/08/30 06:00 [entrez]
PHST- 2017/08/28 00:00 [pmc-release]
AID - 10.1007/s40520-017-0824-6 [pii]
AID - 824 [pii]
AID - 10.1007/s40520-017-0824-6 [doi]
PST - ppublish
SO  - Aging Clin Exp Res. 2018 Jun;30(6):617-623. doi: 10.1007/s40520-017-0824-6. Epub 
      2017 Aug 28.