Dysphagia and malnutrition limit activities of daily living improvement in phase i cardiac rehabilitation: a prospective cohort study for acute phase heart failure patients

Yokota, Jun‐Ichi; Endo, Ryunosuke; Takahashi, Ren; Matsukawa, Yuko; Matsushima, Keisuke

doi:10.1007/s00380-021-01814-1

Cited by 7 publications

(6 citation statements)

References 48 publications

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“…All data are reported as medians and interquartile ranges for continuous variables and as counts and percentages for categorical variables. Oral intake impairment at the start of cardiac rehabilitation was defined by a FOIS score of ≤ 5 11,12,22 . Based on whether oral intake improved, the patients were categorized into the improvement group (FOIS score = 6-7) or the non-improvement group (FOIS score = 1-5) for further analysis.…”

Section: Discussionmentioning

confidence: 99%

“…Onset of dysphagia during acute care of patients with HF has been shown to hinder improvements in the activities of daily living (ADL) 11 and lead to poorer outcomes throughout hospitalization 12 and after discharge 13 . Therefore, to improve the prognosis of patients with HF, reducing the incidence of dysphagia and delivering appropriate treatment to those who develop it during hospitalization is important.…”

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confidence: 99%

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Physical performance and maximum tongue pressure associated with oral intake independence: a retrospective study on hospitalized patients with heart failure

Yokota

Takahashi

Endo

et al. 2022

Sci Rep

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Dysphagia in patients with heart failure leads to poorer outcomes during hospitalization and after discharge. Therefore, addressing dysphagia is critical for improving patient prognosis. This retrospective observational study aimed to evaluate associations between improvements in swallowing dysfunction at the time of hospital discharge and the physical function, cognitive function, nutritional status, and maximum tongue pressure (MTP). Overall, 111 patients who underwent cardiac rehabilitation and were deemed to have oral intake impairment were included. The exclusion criteria comprised the following: pre-admission diagnosis of dysphagia, in-hospital death, and missing data. Patients were categorized based on whether they did (n = 65) or did not (n = 46) exhibit improvements in oral intake impairment, which were determined from the functional oral intake scale (FOIS) score at discharge. Associations between potential explanatory variables and the FOIS score at discharge were assessed using a linear regression model. After adjusting for covariates, such as age, sex, heart failure severity, short physical performance battery score, Mini-Mental State Examination score, transthyretin level, and provision of swallowing therapy, the FOIS score at discharge was significantly associated with the MTP (P = 0.024, confidence interval: 0.006–0.046). In conclusion, the MTP was independently associated with improvements in FOIS in patients with heart failure.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Physical performance and maximum tongue pressure associated with oral intake independence: a retrospective study on hospitalized patients with heart failure

Yokota

Takahashi

Endo

et al. 2022

Sci Rep

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“…Quality of the included studies was evaluated using the modified Newcastle-Ottawa Scale (M-NOS) ( 12 ). There are 5 items, with 1 point given for each “Yes” answer and 0 point given for each “No” answer.…”

Section: Methodsmentioning

confidence: 99%

“…In this review, 5 studies were occurred in America (10,(13)(14)(15)(16), 4 in Asia (7,8,12,17) and 3 in Europe (11,18,19). The prevalence of ADL impairment in HF patients ranged from 11.1 to 70.5%.…”

Section: Basic Information Of the Included Studiesmentioning

confidence: 99%

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The Prevalence of Activities of Daily Living Impairment in Patients With Heart Failure: A Systematic Review and Meta-Analysis

Lü

Wang

Zhang

et al. 2022

Front. Cardiovasc. Med.

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ObjectivesThe prevalence of activities of daily living (ADL) in patients with heart failure (HF) reported in current studies were inconsistent, ranging from 11.1 to 70.5%. The purpose of this study is to quantify the prevalence of ADL impairment in HF patients.MethodsPubMed, Embase, Cochrane, CINAHL, CNKI, SinoMed, VIP, and Wanfang databases were systematically searched for relevant studies (up to March 2, 2022). Cross-sectional, case-control, or cohort studies with detailed descriptions of overall ADL impairment in HF were included. Stata 16.0 was used for statistical analysis. Fixed-effect or random-effect model was adopted according to heterogeneity which was evaluated by Cochran’s Q and I2 values. Sensitivity analysis, subgroup analysis, and meta-regression were performed to investigate the sources of heterogeneity.ResultsA total of 12 studies with 15,795 HF patients were included in the meta-analysis, and the pooled prevalence of ADL impairment in patients with HF was 38.8% (95%CI: 28.2–49.3%; I2 = 99.5%, P < 0.001). No possible sources of heterogeneity were found in subgroup analysis and meta-regression. Funnel plots and Egger’s test showed no publication bias (P = 0.595).ConclusionThe prevalence of ADL impairment is relatively high in HF patients. Differences in the prevalence of ADL impairment in patients with HF may be influenced by country, region, and assessment time. We suggest that more researchers could focus on the changes of ADL impairment in HF patients during different disease periods in different regions and countries.

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Dysphagia is an independent predictor of hospital-acquired disability in older patients with heart failure: a propensity score-matched analysis

et al. 2022

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Dysphagia and malnutrition limit activities of daily living improvement in phase i cardiac rehabilitation: a prospective cohort study for acute phase heart failure patients

Cited by 7 publications

References 48 publications

Physical performance and maximum tongue pressure associated with oral intake independence: a retrospective study on hospitalized patients with heart failure

Physical performance and maximum tongue pressure associated with oral intake independence: a retrospective study on hospitalized patients with heart failure

The Prevalence of Activities of Daily Living Impairment in Patients With Heart Failure: A Systematic Review and Meta-Analysis

Dysphagia is an independent predictor of hospital-acquired disability in older patients with heart failure: a propensity score-matched analysis

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