Relationship among Activities of Daily Living, Nutritional Status, and 90 Day Readmission in Elderly Patients with Heart Failure

Kitamura, Masahiro; Izawa, Kazuhiro P.; Yaekura, Masakazu; Mimura, Yumi; Ikeda, Yuichi; Nagashima, Hitomi; Brubaker, Peter H.

doi:10.3390/ijerph16245068

Cited by 13 publications

(17 citation statements)

References 45 publications

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“…Furthermore, BNP level and SPPB score were identified as independent risk factors for readmission in the multivariate analysis. The mean age of patients in the present study was 85.5 ± 7.2 years, which was higher than that reported in previous studies [22][23][24] . In Japan, no definite view has been obtained about the effect of cardiac rehabilitation on older patients with HF, and the influence of physical performance of older patients with HF on the risk of readmission within the past year is unknown.…”

Section: Discussioncontrasting

confidence: 77%

“…In the present study, we examined the factors associated with readmission of patients with HF within the past year in Japan, which is becoming a super-aging society. Reportedly, ADLs are associated with readmission in Japan, and the presence or absence of sarcopenia affects the prognosis [22][23][24][25] . The readmission group in the present study exhibited higher NYHA class, more comorbidities, higher BNP levels, and lower physical function and physical performance than the non-readmission group.…”

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: Discussioncontrasting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

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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“…Local influences include loss of appetite, loose teeth, edentulism, jaw muscle weakness and dry mouth. Other factors such as cognitive decline, difficulty performing daily life activities (ADLs), multimorbidity, sensory changes and social isolation contribute to low food intake and associated macro- and micronutrient deficiencies [ 49 , 50 , 51 , 52 ]. There is a two-way relationship between low food intake and oral health problems, such as tooth loss, tooth decay and periodontitis [ 38 ].…”

Section: Introductionmentioning

confidence: 99%

Protein Intake and Oral Health in Older Adults—A Narrative Review

et al. 2022

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Oral health is vital to general health and well-being for all ages, and as with other chronic conditions, oral health problems increase with age. There is a bi-directional link between nutrition and oral health, in that nutrition affects the health of oral tissues and saliva, and the health of the mouth may affect the foods consumed. Evidence suggests that a healthy diet generally has a positive impact on oral health in older adults. Although studies examining the direct link between oral health and protein intake in older adults are limited, some have explored the relationship via malnutrition, which is also prevalent among older adults. Protein–energy malnutrition (PEM) may be associated with poor oral health, dental caries, enamel hypoplasia, and salivary gland atrophy. This narrative review presents the theoretical evidence on the impact of dietary protein and amino acid composition on oral health, and their combined impact on overall health in older adults.

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“… 1 In older patients with HF, the presence of ADL impairment was shown to be associated with increased risk of rehospitalisation. 2–4 …”

Section: Introductionmentioning

confidence: 99%

Impairment in activities of daily living and readmission in older patients with heart failure: a cohort study

et al. 2021

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ObjectivesThis study aims to investigate the prevalence of impairment of activities of daily living (ADLs) in older patients with heart failure (HF), and to examine the impact of ADL impairment on readmission after discharge.Design and settingsA prospective cohort study was conducted in patients aged ≥65 years with HF admitted to a tertiary hospital in Vietnam from August 2016 to June 2017. Difficulties with six ADLs were assessed by a questionnaire. Participants were classified into two categories (with and without ADL impairment). The associations of ADL impairment with 3-month readmission were examined using logistic regression models.ResultsThere were 180 participants (mean age 80.6±8.2, 50% female) and 26.1% were classified as having ADL impairment. The most common impaired activity was bathing (21.1%), followed by transferring (20.0%), toileting (12.2%), dressing (8.9%), eating (3.3%), and continence (2.8%). During 3-month follow-up, 32.8% of the participants were readmitted to hospitals (55.3% in participants with ADL impairment, 24.8% in those without ADL impairment, p<0.001). ADL impairment significantly increased the risk of 3-month readmission (adjusted OR 2.75, 95% CI 1.25 to 6.05, p=0.01).ConclusionsIn summary, ADL impairment was common in older hospitalised patients with HF and was associated with increased readmission. These findings suggest further studies on ADL assessment and intervention during transition care for older patients with HF after discharge to prevent readmission.

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Relationship among Activities of Daily Living, Nutritional Status, and 90 Day Readmission in Elderly Patients with Heart Failure

Cited by 13 publications

References 45 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

Protein Intake and Oral Health in Older Adults—A Narrative Review

Impairment in activities of daily living and readmission in older patients with heart failure: a cohort study

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