PMID- 37181482
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230920
IS  - 2189-8448 (Print)
IS  - 2189-8448 (Electronic)
IS  - 2189-8448 (Linking)
VI  - 26
IP  - 1
DP  - 2023
TI  - Characteristics of Older Patients with Heart Failure Readmitted due to Acute 
      Exacerbations within the Past Year.
PG  - 17-23
LID - 10.1298/ptr.E10187 [doi]
AB  - 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 chi(2) 
      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.
CI  - (c)2023 Japanese Society of Physical Therapy.
FAU - Nonaka, Yuki
AU  - Nonaka Y
AD  - Graduate School of Health Science, Kio University, Japan.
AD  - Musashigaoka Clinical Research Center, Musashigaoka Hospital, Medical Corporation 
      Tanakakai, Japan.
AD  - Department of Rehabilitation, Musashigaoka Hospital, Medical Corporation 
      Tanakakai, Japan.
FAU - Oike, Takayuki
AU  - Oike T
AD  - Department of Rehabilitation, Kyushu University of Nursing and Social Welfare, 
      Japan.
FAU - Tanaka, Shinichiro
AU  - Tanaka S
AD  - Musashigaoka Clinical Research Center, Musashigaoka Hospital, Medical Corporation 
      Tanakakai, Japan.
FAU - Tabira, Kazuyuki
AU  - Tabira K
AD  - Graduate School of Health Science, Kio University, Japan.
LA  - eng
PT  - Journal Article
DEP - 20221228
PL  - Japan
TA  - Phys Ther Res
JT  - Physical therapy research
JID - 101700769
PMC - PMC10169309
OTO - NOTNLM
OT  - Brain natriuretic peptide
OT  - Heart failure
OT  - Older adults
OT  - Readmission
OT  - Short Physical Performance Battery
COIS- The authors report no conflicts of interest.
EDAT- 2023/05/14 19:13
MHDA- 2023/05/14 19:14
PMCR- 2022/12/28
CRDT- 2023/05/14 12:19
PHST- 2022/04/07 00:00 [received]
PHST- 2022/11/03 00:00 [accepted]
PHST- 2023/05/14 19:13 [pubmed]
PHST- 2023/05/14 19:14 [medline]
PHST- 2023/05/14 12:19 [entrez]
PHST- 2022/12/28 00:00 [pmc-release]
AID - ptr.E10187 [pii]
AID - 10.1298/ptr.E10187 [doi]
PST - ppublish
SO  - Phys Ther Res. 2023;26(1):17-23. doi: 10.1298/ptr.E10187. Epub 2022 Dec 28.