Predicting Decline in Activities of Daily Living at Discharge in Patients with Heart Failure

• Published in: Physical Therapy Japan Vol. 48; no. 2; pp. 180 - 188
• Main Authors: KOIWA, Yudai, NEMOTO, Shinji, KASAHARA, Yusuke, TAKEICHI, Naoya, WATANABE, Satoshi, KIDA, Keisuke, AKASHI, Yoshihiro J
• Format: Journal Article
• Language: Japanese
• Published: Japanese Society of Physical Therapy 2021
• Subjects: Activities of daily living; Early during hospitalization; Heart failure; Motor function
• ISSN: 0289-3770; 2189-602X
• DOI: 10.15063/rigaku.11840

Objective: The aim of this study was to predict the decline in activities of daily living (ADLs) at discharge in patients with heart failure based on motor function early during hospitalization.Method: Ninety-six patients with heart failure whose ADLs were independent before hospital admission were enrolled in the present study. The patients' performances on the modified functional reach test (M-FRT) and standing from a seat height of 30 cm were measured early during hospitalization as indicators of motor function. We also evaluated the Katz index at discharge as an indicator of ADLs and created a formula to predict the decline in ADLs at discharge.Result: The formula to predict the decline in ADLs at discharge based on the M-FRT and standing from a seat height of 30 cm was obtained from the results of multiple logistic regression analysis (sensitivity: 91.7%, specificity: 86.9%, area under the curve: 0.925, p<0.05).Conclusion: We created a formula to predict the decline in ADLs at discharge based on motor function early during hospitalization.