Relationship among Activities of Daily Living, Nutritional Status, and 90 Day Readmission in Elderly Patients with Heart Failure

Masahiro Kitamura, Kazuhiro P. Izawa, Masakazu Yaekura, Yumi Mimura, Yuichi Ikeda, Hitomi Nagashima and Peter H. Brubaker
Additional contact information
Masahiro Kitamura: Department of Physical Therapy, Kokura Rehabilitation College, Kitakyushu, Kitakyushu 800-0206, Japan
Kazuhiro P. Izawa: Department of Public Health, Graduate School of Health Sciences, Kobe University, Kobe 654-0142, Japan
Masakazu Yaekura: Department of Rehabilitation, Shinyukuhashi Hospital, Yukuhashi 824-0026, Japan
Yumi Mimura: Department of Rehabilitation, Shinyukuhashi Hospital, Yukuhashi 824-0026, Japan
Yuichi Ikeda: Department of Rehabilitation, Shinyukuhashi Hospital, Yukuhashi 824-0026, Japan
Hitomi Nagashima: Department of Rehabilitation, Shinyukuhashi Hospital, Yukuhashi 824-0026, Japan
Peter H. Brubaker: Cardiovascular stroke Renal Project (CRP), Institute, Kobe 654-0142, Japan

IJERPH, 2019, vol. 16, issue 24, 1-10

Abstract: 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, χ 2 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.

Keywords: activities of daily living; nutritional; readmission; elderly; heart failure (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/16/24/5068/pdf (application/pdf)
https://www.mdpi.com/1660-4601/16/24/5068/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:16:y:2019:i:24:p:5068-:d:297073

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().