Basal functional status predicts one-year mortality after a heart failure hospitalization in elderly patients — The RICA prospective study

Chivite, David; Formiga, Francesç; Corbella, Xavier; Conde-Martel, Alicia; Aramburu, Óscar; Carrera, Margarita; Dávila, M.F.; Pérez-Silvestre, José; Manzano, Luís; Montero-Pérez-Barquero, Manuel

doi:10.1016/j.ijcard.2017.10.104

Cited by 52 publications

(34 citation statements)

References 45 publications

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“…Some studies have shown that frailer patients with CHF are unlikely to fully perform self‐care behaviours compared with those without frailty (Chen et al, ; Sousa‐Santos et al, ) and that older patients with frailty are frequently admitted to the hospital compared with those without frailty (Go et al, ; Rodríguez‐Pascual et al, ; Volpato et al, ). A decline in ADLs for patients with CHF increases dependence on daily life, reduces self‐care and increases the use of more healthcare services (Chivite et al, ). According to Sun et al (), ADL‐dependent patients with CHF are non‐adherent to medications and have more sodium and water intake within 1 year after hospital discharge.…”

Section: Introductionmentioning

confidence: 99%

Predictors of rehospitalization for community‐dwelling older adults with chronic heart failure: A structural equation model

Zhou

2020

Journal of Advanced Nursing

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Aims:To examine the effects of health literacy, activities of daily living, frailty and self-care on rehospitalization for older adults with chronic heart failure using a structural equation model. Design: This was a cross-sectional study.Methods: Two hundred and seventy-one older patients with chronic heart failure were recruited using a convenience sampling method from three community healthcare centres in Guangzhou, Southern China. The data were collected using a questionnaire survey between April 2018 and October 2018 by three research assistants. Findings: The proposed model revealed a good fit to the data (χ 2 /d.f. = 2.39, root mean square error of approximation = 0.06, goodness of fit index = 0.93, comparative fit index = 0.91, normed fit index = 0.91). Health literacy (β = 0.21), activities of daily living (β = 0.43), frailty (β = 0.29) and self-care (β = 0.40) directly affected the rehospitalization of older patients with chronic heart failure. Health literacy (β = 0.19), activities of daily living (β = 0.36) and frailty (β = 0.33) indirectly affected rehospitalization through self-care. Frailty (β = 0.16) indirectly affected rehospitalization by activities of daily living. Activities of daily living had the highest direct and total effects on rehospitalization; the effect values were 0.43 and 0.57, respectively.Conclusion: Community-dwelling older adults with chronic heart failure who had limited health literacy, frailty, declined activities of daily living and lower self-care were eligible for rehospitalization. Self-care and activities of daily living were considered mediators between rehospitalization and its predictors. A future longitudinal study is required to validate the results. Impact: Tailored and targeted measures aiming to enhance self-care and activities of daily living have been developed for older patients with chronic heart failure because they are not only predictors but also mediators. Assessment of health literacy level of this population is the first step before developing health education. Frailty of patients with chronic heart failure should be reduced to a minimum level. K E Y W O R D Sactivities of daily living, chronic heart failure, community care, frailty, health literacy, health promotion, nursing, older adults, rehospitalization, self-care

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Section: Introductionmentioning

confidence: 99%

Predictors of rehospitalization for community‐dwelling older adults with chronic heart failure: A structural equation model

Zhou

2020

Journal of Advanced Nursing

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“…Although BI, which is commonly used in the field of stroke, 27,28 is a simple method to evaluate ADL at admission, only a few studies have investigated its usefulness in CVD. 3,8,14 In contrast to gait speed or the measurement of muscle strength, BI can be easily evaluated at admission in all patients including those who die in the acute phase. Previous reports from the Spanish National Heart Failure Registry (Registro Nacional de Insuficencia Cardiaca, RICA), which is a nationwide cohort-based prospective multicenter registry of 4,200 patients at 52 centers from March 2008 until April 2015, investigated BI's usefulness in patients with HF.…”

Section: Discussionmentioning

confidence: 99%

Low Activities of Daily Living Associated With Increased Cardiovascular Disease Mortality in Japan　― Analysis of Health Records From a Nationwide Claim-Based Database, JROAD-DPC ―

et al. 2019

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Background: The aim of this study was to clarify the clinical impact of activities of daily living (ADL) using the J apanese R egistry o f A ll Cardiac and Vascular D iseases-Diagnosis Procedure Combination (JROAD-DPC) database. Methods and Results: From April 2012 to March 2014, the JROAD-DPC database included 206,643 patients with acute coronary syndrome (ACS; n=49,784), heart failure (HF; n=136,878), or aortic aneurysm/dissection (Aorta; n=19,981). We divided them into 3 categories with regard to age (low, 20–59 years; middle, 60–79 years; high, ≥80 years) and admission ADL (low, Barthel index [BI] 0–70; middle, BI 75–95; high, BI 100). ACS, HF, and Aorta patients with low ADL had higher in-hospital mortality rates (18.3%, 16.7%, and 33.4%) than those with middle or high ADL (P<0.001, χ 2 test). On multivariable analysis, BI on admission was associated with in-hospital mortality of ACS (OR, 0.986 per 1 BI; P<0.001), HF (OR, 0.986 per 1 BI; P<0.001), and Aorta (OR, 0.986 per 1 BI; P<0.001), adjusted for gender, age, body mass index, hypertension, diabetes mellitus, dyslipidemia, and the Charlson comorbidity index. Moreover, patients with low age and low ADL had a higher in-hospital mortality rate than those with high age and high ADL in regard to HF (8.6% vs. 6.0%). Conclusions: According to JROAD-DPC data, assessment of admission ADL is important in patients with cardiovascular disease.

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“…A total score of 100 indicates that the patient is independent of assistance from others [23]. In this study, we defined BADL disability as BI ≤60 points [24]. The Lawton IADL scale is an appropriate instrument used to assess independent living skills that are considered more complex than the BADLs (using the phone, shopping, preparing food, housekeeping, doing laundry, using transportation, handling medications, and handling finances) [25,26].…”

Section: Activities Of Daily Livingmentioning

confidence: 99%

Serum Albumin and Activities of Daily Living in Chinese Centenarians: A Cross-Sectional Study

Han

Wang

Jia

et al. 2020

Preprint

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Abstract Background Objective deterioration in activities of daily living (ADLs) exists among older people, and particularly worsens with age. Considering the criterion standard of positive aging and longevity, little information focusing on centenarians is available. The present study aimed to examine the relationship between serum albumin and ADLs among centenarians in long-lived areas. Methods This population-based cross-sectional study investigated a complete sample of Chinese persons aged ≥100 years in Hainan, the longest-lived area of China (n=1002). We assessed serum albumin levels and basic and instrumental activities of daily living (BADLs and IADLs). Results Of 1002 participants included in the analysis, 287 (28.64%) had BADL disabilities and 648 (64.67%) had IADL disabilities. The median serum albumin level was 38.5 g/L (interquartile range, 36.2–41.3). The multivariable analyses controlling for socio-demographic characteristics, lifestyle, morbidities, and other influential factors showed that albumin level was associated with the total score of BADL ( standard β=0.335, P<0.001) and IADL ( standard β=0.206, P<0.001). With the increasing of albumin level, the risk of ADLs disability decreased (BADL: odds ratios [OR] = 0.835, 95% Confidence interval [CI]: 0.797-0.876; IADL: OR=0.863, 95%CI: 0.824-0.905). In the stratified analyses, similar results were found in both sex, but were more prominent in women. Conclusions Higher levels of serum albumin was a protective factor for the decline of ADLs in centenarians. This association can be observed in both genders and is more pronounced in women.

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Basal functional status predicts one-year mortality after a heart failure hospitalization in elderly patients — The RICA prospective study

Cited by 52 publications

References 45 publications

Predictors of rehospitalization for community‐dwelling older adults with chronic heart failure: A structural equation model

Predictors of rehospitalization for community‐dwelling older adults with chronic heart failure: A structural equation model

Low Activities of Daily Living Associated With Increased Cardiovascular Disease Mortality in Japan　― Analysis of Health Records From a Nationwide Claim-Based Database, JROAD-DPC ―

Serum Albumin and Activities of Daily Living in Chinese Centenarians: A Cross-Sectional Study

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Basal functional status predicts one-year mortality after a heart failure hospitalization in elderly patients — The RICA prospective study

Cited by 52 publications

References 45 publications

Predictors of rehospitalization for community‐dwelling older adults with chronic heart failure: A structural equation model

Predictors of rehospitalization for community‐dwelling older adults with chronic heart failure: A structural equation model

Low Activities of Daily Living Associated With Increased Cardiovascular Disease Mortality in Japan ― Analysis of Health Records From a Nationwide Claim-Based Database, JROAD-DPC ―

Serum Albumin and Activities of Daily Living in Chinese Centenarians: A Cross-Sectional Study

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Low Activities of Daily Living Associated With Increased Cardiovascular Disease Mortality in Japan　― Analysis of Health Records From a Nationwide Claim-Based Database, JROAD-DPC ―