Barthel Index Score Predicts Mortality in Elderly Heart Failure　― A Goal of Comprehensive Cardiac Rehabilitation ―

Katano, Satoshi; Yano, Toshiyuki; Ohori, Katsuhiko; Kouzu, Hidemichi; Nagaoka, Ryohei; Honma, Suguru; Shimomura, Kanako; Inoue, Takuya; Takamura, Yuhei; Ishigo, Tomoyuki; Watanabe, Ayako; Koyama, Masayuki; Nagano, Nobutaka; Fujito, Takefumi; Nishikawa, Ryo; Ohwada, Wataru; Hashimoto, Akiyoshi; Katayose, Masaki; Ishiai, Sumio; Miura, Tetsuji

doi:10.1253/circj.cj-21-0584

Cited by 34 publications

(28 citation statements)

References 42 publications

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“…Other items were more essential for discharged patients without caregivers, including grooming, dressing, mobility, and stairs climbing. The Barthel index has been used as an important indicator of hospital outcome [ 25 ] and could be used as a predictor of mortality [ 26 ]. On the other hand, there have been studies on patients with COVID-19 that aimed to identify predictive factors of functional prognosis [ 18 , 27 , 28 ].…”

Section: Discussionmentioning

confidence: 99%

Predictors of Basic Activity in Daily Living and Length of Hospitalization in Patients with COVID-19

2022

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Background: Patients recovered from COVID-19 often suffer from the sequelae of the disease, which can hinder the patients’ activity in daily living. Early recognition of the patients at risk of prolonged hospitalization and impaired physical functioning is crucial for early intervention. We aim to identify the predictors of prolonged hospitalization and impaired activity in daily living in this study. Methods: COVID-19 patients hospitalized in a medical center were divided into two groups according to the Barthel index three months after discharge and the median length of hospital stay, respectively. Chi-square test and Mann–Whitney U test were performed to check the differences between the two groups in patient characteristics as well as hematology tests at the emergency department, the intensive care unit mobility scale (ICUMS), and the medical research council sum score (MRCSS). Logistic regression and the receiver operating characteristic curve analysis were further performed for the factors with significant differences between the two groups. Results: Both ICUMS and MRCSS showed significant differences between the groups. The ICUMS had an odds ratio of 0.61 and the MRCSS of 0.93 in predicting a Barthel index score less than 100 three months after discharge. The MRCSS had an odds ratio of 0.82 in predicting a prolonged length of hospital stay. Conclusion: Both ICUMS and MRCSS upon admission are predictive of a Barthel index score of less than 100 three months after discharge. On the other hand, only MRCSS has predictive value of a prolonged hospitalization.

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Section: Discussionmentioning

confidence: 99%

Predictors of Basic Activity in Daily Living and Length of Hospitalization in Patients with COVID-19

2022

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“…We have previously demonstrated that hospitalization for HF was signi cantly correlated with decreased BI as an assessment of ADL, and a decreased BI during hospitalization was associated with worse clinical outcomes 8 . It has also been reported that a decline in ADL due to acute HF is an independent risk factor of hospitalization for HF and mortality [34,35]. Therefore, it is important to identify predictors of ADL decline during hospitalization in patients with HF.…”

Section: Discussionmentioning

confidence: 99%

Clinical Implications of Oral Assessment in Elderly Patients with Acute Heart Failure: A Single-center, Retrospective Study

Uemura

Shibata

Ishikawa

et al. 2021

Preprint

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Oral health problems are common and are associated with various geriatric conditions in older adults. The importance of oral health has not been fully highlighted in the assessment and management of patients with heart failure. Here, we investigated the clinical implications of oral assessment in elderly patients with acute heart failure. We evaluated oral health using the revised oral assessment guide in 77 patients aged 65 years or older who were admitted to hospital for acute heart failure. Poor oral health (defined as a revised oral assessment guide score ≥ 9) was identified in 66.2% of the patients. Patients with poor oral health had high prevalence of decreased physical function, undernutrition, and cognitive impairment. A reduction in the Barthel Index, as an indicator of activities of daily living during hospitalization, was significant in the enrolled patients. The Barthel Index decreased more in patients with poor oral health than those with normal oral health. Furthermore, the revised oral assessment guide score on admission was found to be the only independent predictor of changes in the Barthel Index during hospitalization in the multivariate regression analyses. In conclusion, oral assessment using the revised oral assessment guide during hospitalization could provide useful information for the management of elderly heart failure patients.

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“…We calculated t- tests with the variables. The cut-off for the calculation of the t- tests of the subgroups was set at 85 (Katano et al, 2021). Regarding the frequencies of the themes as the dependent variable, we calculated a ratio of PTGs within each goal type/goal category to the total number of PTGs to control for possible differences in the number of PTGs in the subgroups.…”

Section: Methodsmentioning

confidence: 99%

Motivation and Psychotherapy in Older Adults with Care Needs and Depression

et al. 2023

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Abstract. The utilization of psychotherapy for home-living, vulnerable older adults with depression is limited. Understanding patients’ motivation is essential to tailoring psychotherapy to their needs and improving therapeutical efficacy. Based on cross-sectional data obtained from a pragmatic, randomized controlled trial (PSY-CARE study), this study investigated general intake concerns (ICs) and patients’ treatment goals (PTG) of home-living older adults with depression. Data on ICs ( N = 251 older adults interested in participation) were analyzed using qualitative content analysis. Data on PTGs ( N = 86 participants receiving psychotherapy) were analyzed quantitatively. Main ICs included reducing depressive symptoms and coping with new (health) situations. PTGs focused on coping with health problems and age-related losses. The results provide clinicians with valuable insights into motivational factors in this vulnerable and hard-to-reach population.

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Barthel Index Score Predicts Mortality in Elderly Heart Failure　― A Goal of Comprehensive Cardiac Rehabilitation ―

Cited by 34 publications

References 42 publications

Predictors of Basic Activity in Daily Living and Length of Hospitalization in Patients with COVID-19

Predictors of Basic Activity in Daily Living and Length of Hospitalization in Patients with COVID-19

Clinical Implications of Oral Assessment in Elderly Patients with Acute Heart Failure: A Single-center, Retrospective Study

Motivation and Psychotherapy in Older Adults with Care Needs and Depression

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Barthel Index Score Predicts Mortality in Elderly Heart Failure ― A Goal of Comprehensive Cardiac Rehabilitation ―

Cited by 34 publications

References 42 publications

Predictors of Basic Activity in Daily Living and Length of Hospitalization in Patients with COVID-19

Predictors of Basic Activity in Daily Living and Length of Hospitalization in Patients with COVID-19

Clinical Implications of Oral Assessment in Elderly Patients with Acute Heart Failure: A Single-center, Retrospective Study

Motivation and Psychotherapy in Older Adults with Care Needs and Depression

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Product

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Barthel Index Score Predicts Mortality in Elderly Heart Failure　― A Goal of Comprehensive Cardiac Rehabilitation ―