Using Physical Function to Predict Hospital Readmission within 1 Year in Patients with Heart Failure

Teramatsu, Hiroaki; Shiraishi, Junichiro; Matsushima, Yasuyuki; Araki, Motoharu; Okazaki, Taro; Saeki, Satoru

doi:10.2490/prm.20190018

Cited by 10 publications

(22 citation statements)

References 49 publications

(78 reference statements)

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“…[12][13][14] Together, transitional care interventions and telehealth reduce unplanned rehospitalization rates 15,16 and increase satisfaction with care. 17 Functional status is a known predictor of rehospitalization in patients with HF 18,19 as over 56% have moderately limited to inferior functional status. 20 High rehospitalization rates and reduced functional status could be influenced by inadequate HF-specific knowledge and ineffective symptom management; as these lead to poor health behaviors and functional ability deterioration.…”

Section: Introductionmentioning

confidence: 99%

Effects of a Transitional Telehealth Program on Functional Status, Rehospitalization, and Satisfaction With Care in Thai Patients with Heart Failure

Somsiri

Asdornwised

O’Connor

et al. 2020

Home Health Care Management & Practice

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Limited functional status is a common health problem in patients living with heart failure (HF), which often requires rehospitalization.Home-based transitional telehealth programs (TTPs) focused on health monitoring, education, promotion of self-management, and multidisciplinary team consultation have been shown to improve functional status and satisfaction with care while reducing rehospitalization rates in this population. Nonetheless, these variables and outcomes have yet to be assessed in a Thai patient with HF. Thus, the aim of this study was to investigate the effectiveness of a TTP on functional status, rehospitalization, and satisfaction with care in Thai patients with HF. Eligible participants (N = 146) were randomly assigned to either the control or TTP group. The TTP included in-hospital discharge planning and 6-week telemonitoring via a mobile phone application to provide follow-up home care. Data on the outcome variables were collected at 6 and 8 weeks post-enrollment and analyzed by descriptive statistics, independent t-tests, repeated measures ANOVA, and Z-tests. Functional status and satisfaction with care scores in the TTP group were significantly higher than those of the control group, and rehospitalization rates in the TTP group were significantly lower than those of the control group at 6 and 8 weeks post-enrollment. Thus, the TTP effectively improved functional status, increased satisfaction with care, and reduced rehospitalization rates in Thai patients with HF. TTP implementation could be considered to improve the quality of transitional care in Thailand.

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Section: Introductionmentioning

confidence: 99%

Effects of a Transitional Telehealth Program on Functional Status, Rehospitalization, and Satisfaction With Care in Thai Patients with Heart Failure

Somsiri

Asdornwised

O’Connor

et al. 2020

Home Health Care Management & Practice

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“…This finding is in concordance with nearly all studies that tested the utility of the 6-minute walk distance, either in acute heart failure or in chronic heart failure. [5][6][7][8][9][10][11][12]17,18 This answers the primary objective with which this study…”

Section: The 6-minute Walk Test In Acute Heart Failure Patientsmentioning

confidence: 65%

Predicting Short-term Readmission in Hospitalized Patients with Acute Heart Failure: The Use of 6-minute Walk Test at Discharge

Vijayakumar¹,

Meganathan²,

Paulchamy³

et al. 2023

JAPI

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Background: Hospitalization is an important landmark in the history of heart failure. Patients admitted for acute heart failure have a high chance of readmission. We require predictors which can foresee readmission. Functional capacity assessment by the 6-minute walk test is one such predictor. Objectives: To compare the mean 6-minute walk distance among acute heart failure patients readmitted within 30 days, those readmitted within 60 days, those readmitted within 90 days, and those not readmitted at 90 days following discharge after the first admission. Methodology: This is a follow-up study conducted in Madras Medical College from March 2021 to August 2021. The study included patients who were admitted for the first time in their life for acute heart failure. The clinical details were noted, and the patients were managed as per standard protocols. Before discharge, a 6-minute walk test was performed. The patients were followed up at the end of 30, 60, and 90 days. Results: 25% of the patients had one readmission at the end of 90 days. Majority of readmissions occurred at the end of 30 days. A low 6-minute walk distance at discharge was a significant predictor of readmission at the end of 30 days. A distance of 200 m was a reasonable cutoff in our population. A lower time walked was also a significant predictor of readmission at the end of 30 days. A slower walking speed was also a significant predictor of readmission at the end of 30 days. Some other parameters such as a longer duration of stay, a longer duration of intravenous (IV) diuretic requirement, discharge respiratory rate, and lower serum albumin at admission were also significant predictors of readmission at the end of 30 days.

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“…Upper arm and calf circumferences were used as anthropometric measurements. KES and grip strength were used to assess muscle strength [14], and SPPB was used as a simple physical performance battery [15]. The 10-meter walk time and 6-minute walk test were used as gait assessments [16].…”

Section: Assessment Of Physical Performancementioning

confidence: 99%

“…EQ-5D-3L was used to assess health-related QOL [17]. Details of the physical performance assessment are described in previous reports [12][13][14][15][16][17].…”

Section: Assessment Of Physical Performancementioning

confidence: 99%

Pre-operative Physical Performance Is Associated With Early Return to Work in Peri-operative Lung Cancer Patients

Teramatsu

Jiang

KAKO

et al. 2022

J UOEH

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Little is known about the factors related to return to work (RTW) in patients with peri-operative lung cancer (LC). This study aimed to investigate whether pre-operative physical performance is associated with early RTW in patients with peri-operative LC. A total of 59 patients who wished to resume work after lung resection surgery were included and were divided into three groups: early RTW (within 14 days after discharge), delayed RTW (within 15-90 days), and non-RTW (failure of RTW within 90 days). The early RTW group had significantly lower scores on the modified Medical Research Council dyspnea scale (mMRC) and significantly higher scores on the Euro Quality of Life 5-Dimension 3-Level (EQ-5D-3L) than the non-RTW group. Multivariate logistic regression analysis showed that EQ-5D-3L scores were significantly associated with early RTW, and mMRC scores and knee extensor strength tended to be associated with early RTW. Better pre-operative quality of life, mild dyspnea, and greater lower limb muscle strength tended to be associated with early RTW in patients with peri-operative LC.

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Using Physical Function to Predict Hospital Readmission within 1 Year in Patients with Heart Failure

Cited by 10 publications

References 49 publications

Effects of a Transitional Telehealth Program on Functional Status, Rehospitalization, and Satisfaction With Care in Thai Patients with Heart Failure

Effects of a Transitional Telehealth Program on Functional Status, Rehospitalization, and Satisfaction With Care in Thai Patients with Heart Failure

Predicting Short-term Readmission in Hospitalized Patients with Acute Heart Failure: The Use of 6-minute Walk Test at Discharge

Pre-operative Physical Performance Is Associated With Early Return to Work in Peri-operative Lung Cancer Patients

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