Worsening renal function during hospitalization in elderly patients with heart failure: an independent factor of activities of daily living decline
| Autor: | Hiroki Matsuzoe, Ikko Kubo, Daisuke Matsumoto, Nozomu Kajisa, Masanobu Ryu, Masashi Kanai, Asami Ogura, Kazuhiro P. Izawa, Hideki Akasaka |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Activities of daily living medicine.medical_treatment Renal function 030204 cardiovascular system & hematology 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Risk Factors Internal medicine Activities of Daily Living medicine Humans Renal Insufficiency 030212 general & internal medicine Retrospective Studies Aged 80 and over Heart Failure Creatinine Rehabilitation business.industry Confounding Prognosis medicine.disease Functional Independence Measure Hospitalization Preferred walking speed chemistry Heart failure Disease Progression Female Cardiology and Cardiovascular Medicine business human activities Biomarkers Follow-Up Studies Glomerular Filtration Rate |
| Zdroj: | Heart and Vessels. 36:76-84 |
| ISSN: | 1615-2573 0910-8327 |
| DOI: | 10.1007/s00380-020-01672-3 |
| Popis: | This study aimed to clarify the effects of worsening renal function (WRF) during hospitalization on activities of daily living (ADL) at discharge of elderly heart failure (HF) patients. We included 323 consecutive patients hospitalized for HF who were prescribed phase I cardiac rehabilitation (CR) from November 2017 to April 2019. WRF was defined as a relative increase from baseline in serum creatinine of 25% or that in serum creatinine ≥ 0.3 mg/dL during hospitalization. The indices of ADL and physical function were the functional independence measure (FIM), short physical performance battery (SPPB) and 10-m comfortable gait speed as assessed at discharge. We compared background factors, clinical parameters, walking level before hospitalization, physical function, and FIM in two groups. Multiple regression analysis was performed with FIM at discharge as the dependent variable and items with P |
| Databáze: | OpenAIRE |
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