PMID- 38196778
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240111
IS  - 2185-5323 (Electronic)
IS  - 2185-5323 (Linking)
VI  - 14
DP  - 2023
TI  - Effect of cognitive impairment at admission on activities of daily living at 
      discharge in older patients with heart failure.
PG  - 78-83
LID - 10.11336/jjcrs.14.78 [doi]
AB  - Nonaka Y, Fujii R, Tanaka S, Tabira K. Effect of cognitive impairment at 
      admission on activities of daily living at discharge in older patients with heart 
      failure. Jpn J Compr Rehabil Sci 2023; 14: 78‒83. OBJECTIVE: Hasegawa's Dementia 
      Scale-Revised (HDS-R) is widely used as a screening test for cognitive function 
      in older adults. In this study, we examined the effect of cognitive impairment 
      (CI) at admission on activities of daily living (ADL) at discharge in older 
      patients with heart failure (HF). METHODS: This retrospective observational study 
      included 394 patients hospitalized for acute decompensated HF between April 2016 
      and December 2022. Data on age, sex, body mass index, length of hospital stay, 
      initiation of rehabilitation, New York Heart Association (NYHA) class, Charlson 
      Comorbidity Index, medication, brain natriuretic peptide levels, left ventricular 
      ejection fraction, renal function, hemoglobin level, serum albumin level, 
      Geriatric Nutritional Risk Index (GNRI), Barthel Index (BI), and HDS-R score were 
      analyzed using the chi(2) test, unpaired t test, Mann-Whitney U test, and multiple 
      linear regression. RESULTS: Among 394 patients, 102 who met the final inclusion 
      criteria were included in the study. Based on previous studies, patients were 
      divided into a high BI group (N = 44) and a low BI group (N = 58). Multiple 
      linear regression analysis showed that CI at admission independently affected BI 
      at discharge even after adjusting for confounding effects of age, NYHA class, 
      GNRI, and BI at admission. CONCLUSIONS: Our study showed that the presence or 
      absence of CI may influence ADL improvement in rehabilitation interventions aimed 
      at improving ADL in older patients with HF.
CI  - (c)Kaifukuki Rehabilitation Ward Association 2023.
FAU - Nonaka, Yuki
AU  - Nonaka Y
AD  - Graduate School of Health Science, Kio University, Koryo, Nara, Japan.
AD  - Musashigaoka Clinical Research Center, Medical Corporation Tanakakai, 
      Musashigaoka Hospital, Kumamoto, Kumamoto, Japan.
FAU - Fujii, Ren
AU  - Fujii R
AD  - Musashigaoka Clinical Research Center, Medical Corporation Tanakakai, 
      Musashigaoka Hospital, Kumamoto, Kumamoto, Japan.
FAU - Tanaka, Shinichiro
AU  - Tanaka S
AD  - Musashigaoka Clinical Research Center, Medical Corporation Tanakakai, 
      Musashigaoka Hospital, Kumamoto, Kumamoto, Japan.
FAU - Tabira, Kazuyuki
AU  - Tabira K
AD  - Graduate School of Health Science, Kio University, Koryo, Nara, Japan.
LA  - eng
PT  - Journal Article
DEP - 20240109
PL  - Japan
TA  - Jpn J Compr Rehabil Sci
JT  - Japanese journal of comprehensive rehabilitation science
JID - 9918556585006676
PMC - PMC10776209
OTO - NOTNLM
OT  - activities of daily living
OT  - cognitive impairment
OT  - heart failure
OT  - older adults
COIS- Conflict of interest: There are no conflicts of interest to disclose in this 
      study.
EDAT- 2024/01/10 06:42
MHDA- 2024/01/10 06:43
PMCR- 2024/01/09
CRDT- 2024/01/10 03:42
PHST- 2023/10/06 00:00 [accepted]
PHST- 2024/01/10 06:43 [medline]
PHST- 2024/01/10 06:42 [pubmed]
PHST- 2024/01/10 03:42 [entrez]
PHST- 2024/01/09 00:00 [pmc-release]
AID - 10.11336/jjcrs.14.78 [doi]
PST - epublish
SO  - Jpn J Compr Rehabil Sci. 2024 Jan 9;14:78-83. doi: 10.11336/jjcrs.14.78. 
      eCollection 2023.