Incidence of Hospitalization-Associated Disability in Older Patients With Heart Failure

Tetsuya Takahashi; Kentaro Iwata; Tomoyuki Morisawa; Michitaka Kato; Yuji Kono; Masanobu Taya; Yuki Iida; Yoshinari Funami; Kentaro Kamiya; Koji Sakurada; Masakazu Saitoh

doi:10.1253/circj.CJ-23-0722

Comorbidities

Incidence of Hospitalization-Associated Disability in Older Patients With Heart Failure

Tetsuya Takahashi , Kentaro Iwata, Tomoyuki Morisawa, Michitaka Kato, Yuji Kono, Masanobu Taya, Yuki Iida, Yoshinari Funami, Kentaro Kamiya, Koji Sakurada, Masakazu Saitoh

Author information

Tetsuya Takahashi Corresponding author
Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy [Japan]
Kentaro Iwata
Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy [Japan]
Tomoyuki Morisawa
Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy [Japan]
Michitaka Kato
Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy [Japan]
Yuji Kono
Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy [Japan]
Masanobu Taya
Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy [Japan]
Yuki Iida
Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy [Japan]
Yoshinari Funami
Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy [Japan]
Kentaro Kamiya
Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy [Japan]
Koji Sakurada
Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy [Japan]
Masakazu Saitoh
Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy [Japan]

Keywords: Heart failure, Hospitalization-associated disability, Rehabilitation

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Supplementary material

2024 Volume 88 Issue 5 Pages 672-679

DOI https://doi.org/10.1253/circj.CJ-23-0722

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Abstract

Background: This study determined the incidence of hospitalization-associated disability (HAD) and its characteristics in older patients with heart failure in Japan.

Methods and Results: Ninety-six institutions participated in this nationwide multicenter registry study (J-Proof HF). From December 2020 to March 2022, consecutive heart failure patients aged ≥65 years who were prescribed physical rehabilitation during hospitalization were enrolled. Of the 9,403 patients enrolled (median age 83.0 years, 50.9% male), 3,488 (37.1%) had HAD. Compared with the non-HAD group, the HAD group was older and had higher rates of hypertension, chronic kidney disease, and cerebrovascular disease comorbidity. The HAD group also had a significantly lower Barthel Index score and a significantly higher Kihon checklist score before admission. Of the 9,403 patients, 2,158 (23.0%) had a preadmission Barthel Index score of <85 points. Binomial logistic analysis revealed that age and preadmission Kihon checklist score were associated with HAD in patients with a preadmission Barthel Index score of ≥85, compared with New York Heart Association functional classification and preadmission cognitive decline in those with a Barthel Index score <85.

Conclusions: This nationwide registry survey found that 37.1% of older patients with HF had HAD and that these patients are indicated for convalescent rehabilitation. Further widespread implementation of rehabilitation for older patients with heart failure is expected in Japan.

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