Six-Minute Walk Distance Is an Independent Predictor of Hospital Readmission in Patients With Chronic Heart Failure

Abstract

SummaryPatients with chronic heart failure (CHF) are frequently readmitted to the hospital due to disease progression. Although a shorter 6-minute walk distance (6MWD) is correlated with poor prognosis, 6MWD is not considered a clinical indicator for predicting hospital readmission.We investigated whether 6MWD measured at the time of hospital discharge predicted readmission due to heart failure in CHF patients.Patients admitted to the hospital for the first time due to heart failure were enrolled. After 6MWD was measured at discharge, patients were followed-up for 3 years. Clinical characteristics, 6MWD and readmission due to heart failure were evaluated in 252 patients (68.5 ± 11.8 years old, 162 males). Significant factors that affected readmission were extracted and cut-off values were determined using multivariate logistic regression analysis and receiver operating characteristic curves.Of 252 CHF patients, 103 were readmitted within 3 years. 6MWD at the time of discharge was significantly shorter in readmitted patients than non-readmitted patients (P < 0.001) and was a significant predictor of readmission (P < 0.001). The odds ratio for readmission was 1.22 (P < 0.001) with each 10-meter decrease in 6MWD. The 6MWD cut-off value was determined to be 390 meters, with a sensitivity of 0.75 and a specificity of 0.77.6MWD measured at the time of discharge is an independent predictor of hospital readmission in CHF patients, with a cut-off value of 390 meters. (Int Heart J 2014; 55: 331-336)

Serial soluble ST2 for the monitoring of pharmacologically optimised chronic stable heart failure

“…Furthermore, in order to improve the assessment of functional capacity, future work could incorporate more objective measures such as a sixminute walk test. Previous studies have demonstrated that a sixminute walk distance is an independent predictor of hospital admission in patients with chronic heart failure [45][46][47]. Separating subjects according to the results of a six-minute walk test, rather than the arguably subjective NYHA classification, may have improved the strength of our study and enabled correlations between these results and biomarker concentrations.…”

Normativa SEPAR sobre disfunción muscular de los pacientes con enfermedad pulmonar obstructiva crónica

“…63-65 , la prueba de marcha de 6 min es la más popular, siendo en la actualidad el protocolo simple de ejercicio de referencia en la EPOC y otras enfermedades [66][67][68][69][70][71][72] . Tiene un buen nivel de estandarización 63,73,74 , con una reproducibilidad razonable 75 , y es muy útil para la evaluación del estado funcional de los pacientes, así como para medir los efectos de diferentes intervenciones en una gran variedad de enfermedades crónicas [76][77][78][79][80][81] .…”

Assessment of Transthyretin Combined With Mini Nutritional Assessment on Admission Provides Useful Prognostic Information in Patients With Acute Decompensated Heart Failure

“…Evidence of cardiac rehabilitation has been shown in patients with heart disease. [10][11][12][13] However, there is little evidence of nutritional management in HF patients and the most appropriate nutritional assessment has not yet been established.…”