Impact of in‐hospital cardiac rehabilitation on hospital‐associated disability after transcatheter aortic valve implantation
Rattachement africain : jp. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Abstract Background Hospital‐associated disability (HAD), a decline in the ability to perform activities of daily living (ADL) during hospitalization, is a modifiable target in integrated care for older adults. The aim of this study was to determine the impact of inpatient cardiac rehabilitation (CR) on the development of HAD in older patients with aortic stenosis undergoing transcatheter aortic valve implantation (TAVI). Methods Older patients undergoing TAVI were extracted from the Japanese nationwide database (JROAD‐DPC) from April 2014 to March 2021 and were divided into patients receiving inpatient CR (CR group) and a non‐CR group. HAD was defined as a decrease in the Barthel Index (BI) score ≥5 points at discharge compared with the score at admission. Results Of 19,789 eligible patients, 17,066 (86%) underwent inpatient CR. The overall prevalence of HAD was 9.6%, with a lower incidence in the CR group than in the non‐CR group (8.8% vs. 14.2%, p < 0.001). Random forest analysis revealed key features associated with HAD risk including BI score at admission, inpatient CR participation, age, body mass index (BMI), and chronic kidney disease. The results of multivariate logistic regression analysis showed that participation in inpatient CR was associated with a lower odds ratio (OR) of HAD (OR, 0.62; 95% confidence interval, 0.54–0.70), with similar results in inverse probability of treatment weighting‐adjusted logistic regression analyses (OR, 0.82; 95% confidence interval, 0.77–0.88). Analyses in subgroups of interest showed heterogeneity in the effects of inpatient CR with possible loss in patients with a BMI of <18.5 kg/m 2 or a BI score of less than 60 points at admission. Conclusions The data suggest a beneficial effect of inpatient CR participation on the prevention of HAD in older patients undergoing TAVI, but the effect may be limited in lean patients with disability for ADL before TAVI.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Impact of in‐hospital cardiac rehabilitation on hospital‐associated disability after transcatheter aortic valve implantation
- Date Crossref
- 21/11/2024
- Éditeur
- Wiley
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Sapporo Medical University Division of Rehabilitation pays non établi dans la noticeUniversité ou école supérieure
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Sapporo Medical University Hospital pays non établi dans la noticeÉtablissement de santé
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Fujita Health University Hospital Department of Rehabilitation pays non établi dans la noticeÉtablissement de santé
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National Cerebral and Cardiovascular Center pays non établi dans la noticeÉtablissement de santé
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Ichinomiya Municipal City Hospital pays non établi dans la noticeÉtablissement de santé
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Nagasaki University Hospital Department of Cardiology pays non établi dans la noticeÉtablissement de santé
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University of the Ryukyus Department of Cardiology pays non établi dans la noticeUniversité ou école supérieure
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Fukuoka University Department of Cardiology pays non établi dans la noticeUniversité ou école supérieure
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Nippon Medical School pays non établi dans la noticeUniversité ou école supérieure
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Saitama Medical University Department of Rehabilitation pays non établi dans la noticeUniversité ou école supérieure
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Fujita Health University pays non établi dans la noticeUniversité ou école supérieure
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Department of Medical and Health Information Management pays non établi dans la noticeInstitution
Division of Rehabilitation — Sapporo Medical University, Sapporo Medical University Hospital et Department of Rehabilitation — Fujita Health University Hospital, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.