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https://hdl.handle.net/20.500.14094/90006723
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2024-05-06
12:15 集計
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90006723 (fulltext)
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メタデータID
90006723
アクセス権
open access
出版タイプ
Version of Record
タイトル
Relationship among Activities of Daily Living, Nutritional Status, and 90 Day Readmission in Elderly Patients with Heart Failure
著者
Kitamura, Masahiro ; Izawa, P. Kazuhiro ; Yaekura, Masakazu ; Mimura, Yumi ; Ikeda, Yuichi ; 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/search/detail?systemId=3330637c7f4d6307520e17560c007669
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
Yaekura, Masakazu
著者名
Mimura, Yumi
著者名
Ikeda, Yuichi
著者名
Nagashima, Hitomi
著者名
Brubaker, Peter H.
収録物名
International Journal of Environmental Research and Public Health
巻(号)
16(24)
ページ
5068-5068
出版者
MDPI
刊行日
2019-12
公開日
2020-02-06
抄録
Purpose: This investigation aimed to examine the relationship among activities of daily living (ADL), nutritional status and 90-day hospital readmission in elderly heart failure (HF) patients. Methods: Participants were selected from 634 HF patients consecutively hospitalized at one institution. We investigated patient characteristics, ADL (motor and cognitive items of Functional Independence Measure (FIM)) and nutritional status (Geriatric Nutritional Risk Index (GNRI)). Data were analyzed using unpaired t-test, χ2 test, Cox proportional hazard model, and Kaplan-Meier method. Results: The 169 participants that met inclusion criteria were divided into two groups based on hospital readmission within 90 days of discharge. Body mass index (BMI) (p = 0.03), hemoglobin (p = 0.047), GNRI (p = 0.02) and motor-FIM (p = 0.007) were significantly different between the readmission (n = 31) and non-readmission (n = 138) groups. After Cox proportional hazard model analysis, GNRI (HR: 0.96; p = 0.048) and motor-FIM (HR: 0.97; p = 0.03) scores remained statistically significant. Participants were then classified into four groups based on a previous study's cut-off values of prognosis for GNRI and motor-FIM. Readmission avoidance rate was significantly lower (p = 0.002) in the group with GNRI <92 and motor FIM <75. Conclusions: This study showed that motor-FIM and GNRI scores for hospitalized elderly HF patients were predictors of readmission within 90 days of discharge.
キーワード
activities of daily living
nutritional
readmission
elderly
heart failure
カテゴリ
保健学研究科
学術雑誌論文
権利
© 2019 by the authors. Licensee MDPI, Basel, Switzerland.
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
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資源タイプ
journal article
言語
English (英語)
ISSN
1661-7827
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eISSN
1660-4601
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関連情報
DOI
https://doi.org/10.3390/ijerph16245068
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