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https://hdl.handle.net/20.500.14094/90004328
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2024-03-29
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90004328 (fulltext)
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メタデータID
90004328
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open access
出版タイプ
Version of Record
タイトル
Relationship between Activities of Daily Living and Readmission within 90 Days in Hospitalized Elderly Patients with Heart Failure
著者
Kitamura, Masahiro ; Izawa, P. Kazuhiro ; Taniue, Hiroki ; Mimura, Yumi ; Imamura, Keita ; Nagashima, Hitomi ; Brubaker, Peter H.
著者名
Kitamura, Masahiro
著者ID
A1350
研究者ID
1000010736185
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/profile/ja.3330637c7f4d6307520e17560c007669.html
著者名
Izawa, P. Kazuhiro
井澤, 和大
イザワ, カズヒロ
所属機関名
保健学研究科
著者名
Taniue, Hiroki
著者名
Mimura, Yumi
著者名
Imamura, Keita
著者名
Nagashima, Hitomi
著者名
Brubaker, Peter H.
収録物名
BioMed Research International
巻(号)
2017
ページ
7420738-7420738
出版者
Hindawi Publishing Corporation
刊行日
2017-10-22
公開日
2017-11-08
抄録
Aims. To examine the relationship between activities of daily living (ADL) and readmission within 90 days and assess the cutoff value of ADL to predict readmission in hospitalized elderly patients with heart failure (HF). Methods. This cohort study comprised 589 consecutive patients with HF aged >= 65 years, who underwent cardiac rehabilitation from May 2012 to May 2016 and were discharged home. We investigated patients' characteristics, basic attributes, and ADL (motor and cognitive Functional Independence Measure [FIM]). We analyzed the data using the unpaired t-test, chi(2) test, Cox proportional hazard model, receiver operating characteristic (ROC) curve, andKaplan-Meiermethod. Results. Of 589 patients, 113 met the criteria, and they were divided into the nonreadmission (p = 90) and readmission groups (n = 23). Age, body mass index, New York Heart Association class, hemoglobin level, and motor FIM score were significantly different between the two groups (p < 0.05). The body mass index (hazard ratio [HR]: 0.87; p < 0.05) and motor FIM score (HR: 0.94; p < 0.01) remained statistically significant. The cutoff value for the motor FIM score determined by ROC curve analysis was 74.5 points (area under the curve = 0.78; p < 0.001). Conclusion. The motor FIM score in elderly patients with HF was an independent predictor of rehospitalization within 90 days.
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保健学研究科
学術雑誌論文
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© 2017 Masahiro Kitamura et al.
This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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資源タイプ
journal article
言語
English (英語)
ISSN
2314-6133
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eISSN
2314-6141
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関連情報
DOI
https://doi.org/10.1155/2017/7420738
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