Association Between Barthel Index and Delirium During Hospitalization in Older Patients with Acute Decompensated Heart Failure
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Le résumé fourni par la source
Background: Although delirium is an acute confusional state, the available literature identifies impaired activities of daily living (ADL) as a predisposing factor. However, the question of whether ADL is associated with delirium in older patients with heart failure (HF) has not been evaluated. This study investigated the relationship between ADL and delirium and further explored whether HF phenotype moderates the relationship in older patients with acute decompensated HF (ADHF). Methods: In older patients with ADHF, stabilized after HF admission, handgrip strength (HGS) and 6 min walk distance (6MWD) tests were performed, and ADL was assessed using the Barthel index. Delirium during hospitalization was defined according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Logistic regression analyses were used to estimate the association of physical activity and ADL with delirium during hospitalization in older patients with ADHF. Results: A total of 245 older patients (82.9 ± 6.0 years, 49.4% male) with ADHF (heart failure with preserved ejection fraction [HFpEF]; n = 107, 44%) were analyzed. In the group with delirium (n = 65, 26.5%), there was significant difference in Mini–Mental state examination (MMSE) score (19 vs. 25, p < 0.001), HGS (13 vs. 16 kg, p < 0.05), 6MWD (120 vs. 160 m, p < 0.05) and Barthel index (55 vs. 65, p < 0.05) compared to the group without delirium. In the HFpEF group, 6MWD (p < 0.05) and Barthel index (p < 0.001) had significant negative correlations with delirium. In the multiple logistic regression analysis adjusted for the confounders, Barthel index (Odds ratio: 0.390 per 1 standard deviation, p < 0.01) was significantly associated with delirium in the HFpEF group. Conclusions: In older ADHF patients, decreased physical activity and ADL were significantly correlated with delirium. Lower Barthel index was associated with delirium, and this association was significantly modified by HFpEF status.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Association Between Barthel Index and Delirium During Hospitalization in Older Patients with Acute Decompensated Heart Failure
- Date Crossref
- 01/09/2026
- Éditeur
- MDPI AG
- 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.
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University of Oklahoma Health Sciences Center pays non établi dans la noticeÉtablissement de santé
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Hiroshima City Asa Citizens Hospital pays non établi dans la noticeÉtablissement de santé
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Hiroshima University pays non établi dans la noticeUniversité ou école supérieure
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SA Health pays non établi dans la noticeOrganisme public
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University of Oklahoma Health Science Center Department of Medicine pays non établi dans la noticeUniversité ou école supérieure
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Hiroshima Asa Medical Association Hospital Department of Internal Medicine pays non établi dans la noticeÉtablissement de santé
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University of Oklahoma Health Sciences Center, Hiroshima City Asa Citizens Hospital et Hiroshima University, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.