Clinical impact of functional independent measure (FIM) on 180-day readmission and mortality in elderly patients hospitalized with acute decompensated heart failure

Iwata, Kentaro; Kitai, Takeshi; Yoshimura, Yoshihiro; Honda, Akihiro; Shimogai, Takayuki; Otsuka, Shuto; Takimoto, Ryuya; Yamada, Kanji; Furukawa, Yutaka; Kohara, Nobuo; Ishikawa, Akira

doi:10.1007/s00380-021-01841-y

Cited by 11 publications

(12 citation statements)

References 34 publications

(41 reference statements)

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“…It is clear that Japanese patients with HF are at a high risk of readmission within 1 year 13) . The readmission rates in previous studies were 5.4% within 30 days, approximately 20% within 90 days, approximately 24% within 180 days, and 26%-35% within 1 year; and the risk of readmission increased with increasing observation period 10,11,22,36) . Therefore, continued follow-up after preventing early readmission is important.…”

Section: Discussionmentioning

confidence: 76%

“…Our data may be important for preventing readmission among older adults with HF. Reports of early readmission (90-180 days) after discharge have increased over the past few years 22,24,36) , but very few studies have followed patients for longer periods. It is clear that Japanese patients with HF are at a high risk of readmission within 1 year 13) .…”

Section: Discussionmentioning

confidence: 99%

“…A detailed evaluation of frailty and body composition could not be conducted. Frailty and sarcopenia have been shown to affect the prognosis of patients with HF 37 , 38) . Therefore, detailed assessment of frailty and sarcopenia may be necessary.…”

Section: Discussionmentioning

confidence: 99%

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Characteristics of Older Patients with Heart Failure Readmitted due to Acute Exacerbations within the Past Year

Nonaka

Oike

TANAKA³

et al. 2023

Phys Ther Res

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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 χ 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.

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

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Characteristics of Older Patients with Heart Failure Readmitted due to Acute Exacerbations within the Past Year

Nonaka

Oike

TANAKA³

et al. 2023

Phys Ther Res

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“…The primary outcome was the FIM-motor score at discharge, which was evaluated by trained rehabilitation therapists [ 45 , 46 ]. The FIM is divided into a motor domain (FIM-motor) with 13 sub-items and a cognitive domain (FIM-cognitive) with 5 sub-items [ 38 ].…”

Section: Methodsmentioning

confidence: 99%

The Applicability of the ESPEN and EASO-Defined Diagnostic Criteria for Sarcopenic Obesity in Japanese Patients after Stroke: Prevalence and Association with Outcomes

Yoshimura¹,

Wakabayashi

Nagano³

et al. 2022

Nutrients

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Sarcopenic obesity is of growing research and clinical interest; however, validated diagnostic criteria are lacking. We therefore aimed to examine the prevalence of sarcopenic obesity as diagnosed by the criteria recently proposed by the European Society for Clinical Nutrition and Metabolism (ESPEN) and the European Association for the Study of Obesity (EASO), and its association with outcomes among patients after stroke. This study was based on a cohort of 760 Japanese patients after stroke admitted to a post-acute rehabilitation hospital. Sarcopenic obesity was diagnosed at admission according to the ESPEN and EASO criteria using reference values specific to Asians. Outcomes included the motor domain of the functional independence measure (FIM-motor) and the food intake level scale (FILS) at discharge. Multivariate linear regression models were used to assess the associations between sarcopenic obesity and outcomes. Among 760 patients (median age, 73 years; 352 women and 408 men), sarcopenic obesity was diagnosed in 34 patients (4.5%; 5.4% of women and 4.1% of men). In multivariate analyses, sarcopenic obesity was independently and negatively associated with FIM-motor (β = −0.048, p = 0.031) and FILS at discharge (β = −0.095, p = 0.046) in women. In contrast, in men, sarcopenic obesity showed an independent negative association with FIM-motor at discharge (β = −0.117, p < 0.001) but no statistically significant association with FILS at discharge (β = −0.004, p = 0.323). In conclusion, the prevalence of sarcopenic obesity diagnosed by the ESPEN and EASO-defined criteria was as low as 4.5% among Japanese patients after stroke. Furthermore, sarcopenic obesity was negatively associated with improvements in activities of daily living and dysphagia.

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“…In recent years, there has been a great deal of clinical and research interest in sarcopenia and frailty as a means of evaluating prediction of the event [1][2][3][4]. As for evaluation of sarcopenia and frailty, many theories have been proposed to relate them to various evaluation methods [5,6]. Asian Working Group for Sarcopenia (AWGS) has also focused on handgrip strength and has identified lifestyle interventions [7], particularly exercise and nutrition, as the mainstay of treatment and prevention to improve low muscle strength [8,9].…”

Section: Introductionmentioning

confidence: 99%

Pinch Endurance in Elderly People

Miyahara¹

2021

ABEB

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There are many items to measure physical functions, and assessment using a hand, such as handgrip strength, draws a great deal of interest. Pinch strength, as well as handgrip strength, can be measured in a short period of time, which makes it a common measurement method used in a clinical setting. However, there are no reports that have evaluated its endurance. Sixteen subjects (78.5±3.2 years old) living in Hiroshima city were measured their dominant hand pinch strength with maximum force for 20 seconds. The average value per second was calculated from the results. Fifteen students (21.5±0.6 years old, hereinafter referred to as the "younger group") were also measured in the same way for comparison.Result: The maximum pinch strength in 20 seconds was lower in the elderly group than that in the younger group (4.1±1.3 N vs. 6.8±1.2 N, p<0.01). Both groups showed maximum strength when two seconds had passed. The elderly group showed no significant decrease in pinch strength over 20 seconds, while the younger group showed decrease only after 20 seconds had passed, however, there was no difference between the groups (Group*Time effect p=0.82). In terms of decrease rate from the maximum value, elderly and younger group showed a significant decrease, however there was no difference between the groups (after 16 seconds vs. 15 seconds, Group*Time effect p=0.92).Conclusion: Measurement of pinch endurance showed no difference in transition of strength in both the elderly and the younger groups: a certain level of strength from the maximum value was able to be exerted. The results could be useful as a reference for demonstrating enduring strength in daily life and sports. We would like to continue to study its effect on circulatory hemodynamics, the comparison with other pinch strength, and the relationship with finger coordination.

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Clinical impact of functional independent measure (FIM) on 180-day readmission and mortality in elderly patients hospitalized with acute decompensated heart failure

Cited by 11 publications

References 34 publications

Characteristics of Older Patients with Heart Failure Readmitted due to Acute Exacerbations within the Past Year

Characteristics of Older Patients with Heart Failure Readmitted due to Acute Exacerbations within the Past Year

The Applicability of the ESPEN and EASO-Defined Diagnostic Criteria for Sarcopenic Obesity in Japanese Patients after Stroke: Prevalence and Association with Outcomes

Pinch Endurance in Elderly People

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