2024-03-28T18:13:03Z
https://nagoya.repo.nii.ac.jp/oai
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2023-01-16T05:05:51Z
499:500:501
Functional Limitations Predict the Risk of Rehospitalization Among Patients With Chronic Heart Failure
Yamada, Sumio
64739
Shimizu, Yuko
64740
Suzuki, Makoto
64741
Izumi, Tohru
64742
Writing, group on behalf of the PTMaTCH collaborators
64743
Chronic heart failure
Functional limitation
Rehospitalization
Background: Although functional limitations (FLs) can predict clinical deterioration in chronic heart failure (CHF), few studies have focused on the associated clinical significance. The aim of the present study was to examine the association between FL and changes in the related time course with subsequent hospital readmission in CHF patients. Methods and Results: FLs were analyzed using the Performance Measure for Activities of Daily Living-8 (PMADL-8; higher scores indicate worse FLs) for 215 CHF patients at 1 and 3 months after discharge in a multicenter cohort study. The mean follow-up was 20 months. In a multivariate Cox regression analysis including covariates, only the PMADL-8 score remained significantly related to rehospitalization of CHF (hazard ratio, 2.49; 95% confidence interval: 1.27-4.90; P<0.01). Event-free survival differed significantly among the 4 PMADL-8 time-course groups (P<0.01). The persistent low-FL group had lower event rates than the other 3 time-course groups (P<0.01). Conclusions: FLs as measured by the PMADL-8 and the time course of the PMADL-8 score predict readmission in CHF patients after discharge. Accordingly, FL assessment is recommended as part of the clinical management because it not only identifies decline in physical function but also guides prognosis in CHF patients.
journal article
THE JAPANESE CIRCULATION SOCIETY
2012-04
application/pdf
Circulation Journal
7
76
1654
1661
http://doi.org/10.1253/circj.CJ-11-1178
http://hdl.handle.net/2237/23904
1346-9843
https://nagoya.repo.nii.ac.jp/record/21750/files/76_CJ-11-1178.pdf
eng
https://doi.org/10.1253/circj.CJ-11-1178
Copyright (c) 2012 THE JAPANESE CIRCULATION SOCIETY