Impact of inpatient cardiac rehabilitation on Barthel Index score and prognosis in patients with acute decompensated heart failure

Motoki, Hirohiko; Nishimura, Musashi; Kanai, Masamitsu; Kimura, Kazuhiro; Minamisawa, Masatoshi; Yamamoto, Shuhei; Saigusa, Tatsuya; Ebisawa, Soichiro; Okada, Ayako; Kuwahara, Koichiro

doi:10.1016/j.ijcard.2019.06.071

Cited by 21 publications

(24 citation statements)

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“…The primary outcome was post-ADL. The ADL status was evaluated using the Barthel Index (BI) [15][16][17]. The BI consists of 10 items concerning functional capability regarding ADL (e.g., feeding, dressing, and chair/bed transfer).…”

Section: Discussionmentioning

confidence: 99%

“…The score ranges from 0 (totally dependent when carrying out ADL) to 100 (fully independent in carrying out ADL). For stratified analysis, we applied a BI score of 60 as a meaningful ADL deterioration threshold [17].…”

Section: Discussionmentioning

confidence: 99%

“…Post-ADL of ADHF patients is closely related to short-and long-term mortality and readmission [24], and improvement in ADL levels leads to lower mortality in patients with impaired ADL at baseline [17]. No report has precisely described the minimal clinically important difference for heart failure patients while in stroke patients, it has been estimated to be 1.85 points [25]; therefore, a post-ADL difference between the ICU and GW groups of 6.7 points can be strongly considered as a clinically important difference with a notable impact on patient prognosis [14].…”

Section: Discussionmentioning

confidence: 99%

“…Although quality of life and ADL are related [13], the direct translation of these ADL improvements to quality-adjusted life-year was impractical. However, post-ADL <60 points has been reported to be associated with a significantly higher risk of mortality and readmission compared to post-ADL >60 points [17,24]. Therefore, the transition from the high-risk category (post-ADL <60 points) to the low-risk category (post-ADL �60 points) by ICU admission could partially justify the cost increase.…”

Section: Plos Onementioning

confidence: 99%

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Association between early intensive care or coronary care unit admission and post-discharge performance of activities of daily living in patients with acute decompensated heart failure

et al. 2021

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The management of acute decompensated heart failure often requires intensive care. However, the effects of early intensive care unit/coronary care unit admission on activities of daily living (ADL) in acute decompensated heart failure patients have not been precisely evaluated. Thus, we retrospectively assessed the association between early intensive care unit admission and post-discharge ADL performance in these patients. Acute decompensated heart failure patients (New York Heart Association I–III) admitted on emergency between April 1, 2014, and December 31, 2018, were selected from the Diagnosis Procedure Combination database and divided into intensive care unit/coronary care unit (ICU) and general ward (GW) groups according to the hospitalization type on admission day 1. The propensity score was calculated to create matched cohorts where admission style (intensive care unit/coronary care unit admission) was independent of measured baseline confounding factors, including ADL at admission. The primary outcome was ADL performance level at discharge (post-ADL) defined according to the Barthel index. Secondary outcomes included length of stay and total hospitalization cost (expense). Overall, 12231 patients were eligible, and propensity score matching created 2985 pairs. After matching, post-ADL was significantly higher in the ICU group than in the GW group [mean (standard deviation), GW vs. ICU: 71.5 (35.3) vs. 78.2 (31.2) points, P<0.001; mean difference: 6.7 (95% confidence interval, 5.1–8.4) points]. After matching, length of stay was significantly shorter and expenses were significantly higher in the ICU group than in the GW group. Stratified analysis showed that the patients with low ADL at admission (Barthel index score <60) were the most benefited from early intensive care unit/coronary care unit admission. Thus, early intensive care unit/coronary care unit admission was associated with improved post-ADL in patients with emergency acute decompensated heart failure admission.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

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Association between early intensive care or coronary care unit admission and post-discharge performance of activities of daily living in patients with acute decompensated heart failure

et al. 2021

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“…Se a marcha do idoso sofre influência da perda de força muscular, os exercícios resistidos com ênfase no ganho de força também são de extrema relevância na reabilitação de idosos hospitalizados. Muitos dos artigos revisados neste estudo, propõe os treinos resistidos para membros inferiores com terapias de seus protocolos (ASTEASU et al, 2019(ASTEASU et al, , 2020MARTÍNEZ-VELILLA et al, 2019;MOTOKI et al, 2019;SULLIVAN et al, 2001;TAKEUCHI et al, 2018;TORRES-SÁNCHEZ et al, 2016;UEHARA et al, 2018).…”

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Formação Em Serviço Dos Profissionais De Educação Física Na Residência Multiprofissional Em Saúde Coletiva No Âmbito Do Sus: Um Estudo Etnográfico

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Impact of inpatient cardiac rehabilitation on Barthel Index score and prognosis in patients with acute decompensated heart failure

Cited by 21 publications

References 34 publications

Association between early intensive care or coronary care unit admission and post-discharge performance of activities of daily living in patients with acute decompensated heart failure

Association between early intensive care or coronary care unit admission and post-discharge performance of activities of daily living in patients with acute decompensated heart failure

Formação Em Serviço Dos Profissionais De Educação Física Na Residência Multiprofissional Em Saúde Coletiva No Âmbito Do Sus: Um Estudo Etnográfico

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