دورية أكاديمية
Predictive impact of early mobilization on rehospitalization for elderly Japanese heart failure patients.
| العنوان: | Predictive impact of early mobilization on rehospitalization for elderly Japanese heart failure patients. |
|---|---|
| المؤلفون: | Kono Y; Department of Rehabilitation, Fujita Health University Bantane Hospital, Nagoya, Japan.; Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Japan., Izawa H; Department of Cardiology, Fujita Health University Bantane Hospital, 3-6-10, Otobashi, Nakagawa-ku, Nagoya, Japan. izawa@fujita-hu.ac.jp., Aoyagi Y; Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Japan., Ishikawa A; Department of Rehabilitation, Fujita Health University Bantane Hospital, Nagoya, Japan., Sugiura T; Department of Rehabilitation, Fujita Health University Bantane Hospital, Nagoya, Japan., Mori E; Department of Rehabilitation, Fujita Health University Bantane Hospital, Nagoya, Japan., Yanohara R; Department of Rehabilitation, Fujita Health University Bantane Hospital, Nagoya, Japan., Ishiguro T; Department of Cardiology, Fujita Health University Bantane Hospital, 3-6-10, Otobashi, Nakagawa-ku, Nagoya, Japan., Yamada R; Department of Cardiology, Fujita Health University Bantane Hospital, 3-6-10, Otobashi, Nakagawa-ku, Nagoya, Japan., Okumura S; Department of Cardiology, Fujita Health University Bantane Hospital, 3-6-10, Otobashi, Nakagawa-ku, Nagoya, Japan., Fujiwara W; Department of Cardiology, Fujita Health University Bantane Hospital, 3-6-10, Otobashi, Nakagawa-ku, Nagoya, Japan., Hayashi M; Department of Cardiology, Fujita Health University Bantane Hospital, 3-6-10, Otobashi, Nakagawa-ku, Nagoya, Japan., Saitoh E; Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Japan. |
| المصدر: | Heart and vessels [Heart Vessels] 2020 Apr; Vol. 35 (4), pp. 531-536. Date of Electronic Publication: 2019 Sep 26. |
| نوع المنشور: | Journal Article; Observational Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Verlag Country of Publication: Japan NLM ID: 8511258 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1615-2573 (Electronic) Linking ISSN: 09108327 NLM ISO Abbreviation: Heart Vessels Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Tokyo : Springer Verlag Original Publication: Tokyo ; Secaucus, NY : Springer International, c1985- |
| مواضيع طبية MeSH: | Early Ambulation*, Heart Failure/*mortality , Heart Failure/*therapy , Patient Readmission/*statistics & numerical data, Aged ; Aged, 80 and over ; Female ; Humans ; Japan ; Male ; Multivariate Analysis ; Prognosis ; Prospective Studies ; ROC Curve ; Risk Factors ; Survival Analysis ; Time Factors |
| مستخلص: | The aim of this study was to determine whether early mobilization was associated with rehospitalization among elderly heart failure patients. We measured the time from admission to mobilization and other clinical characteristics for 190 heart failure patients (mean age, 80.7 years). The primary outcome was heart failure rehospitalization. Kaplan-Meier survival curves were plotted and the hazard ratios for rehospitalization were determined using Cox proportional hazards regression models. During a median follow-up period of 750 days, 58 patients underwent rehospitalization. The time from admission to mobilization was significantly longer for these patients than for those who were not rehospitalized. Univariate and multivariate Cox proportional hazards analyses showed that the time from admission to mobilization was an independent predictor of rehospitalization, and receiver-operating characteristic analysis determined an optimal cutoff value of 3 days for differentiating the patients more likely to experience a subsequent cardiac event (sensitivity, 76%; specificity, 69%; area under the curve, 0.667). Kaplan-Meier survival curve analysis showed a significantly lower event rate in the ≤ 3-day group (p = 0.001, log-rank test). In conclusion, the time from admission to mobilization may be one of the strongest predictors of rehospitalization in elderly heart failure patients. Early mobilization within 3 days may be an initial target for the acute phase treatment of heart failure. |
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| معلومات مُعتمدة: | 16K09460 JSPS KAKENHI |
| فهرسة مساهمة: | Keywords: Acute heart failure; Elderly; Mobilization; Rehospitalization |
| تواريخ الأحداث: | Date Created: 20190928 Date Completed: 20201215 Latest Revision: 20201215 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC7222093 |
| DOI: | 10.1007/s00380-019-01517-8 |
| PMID: | 31559458 |
| قاعدة البيانات: | MEDLINE |
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