Naito Koichi, Kamo Miyuki
Department of Physical Therapy, Hakuho College, Oji 6360011, Japan.
Department of Cardiac Rehabilitation, Iwama Cardiovascular and Dental Clinic for Prevention and Care, Oji 6360002, Japan.
Healthcare (Basel). 2020 Nov 5;8(4):463. doi: 10.3390/healthcare8040463.
We assessed 22 elderly patients with heart failure, 3 months after hospital discharge. We examined and compared factors that predict small life space after discharge with the same factors before discharge. Life-Space Assessment was used to classify the participants as either having "small living spaces" or "large living spaces". We collected data regarding characteristics, Cardiac and Comorbid Conditions Heart Failure Score (3C-HF score), and evaluated motor function. We also collected data on the patients' lifestyle habits. We investigated spreading life space at 3 months after discharge by mailing a questionnaire to the subjects. Using multiple logistic regression analysis, we were able to predict the patients having a small life space at 3 months after discharge by the Cardiac and Comorbid Conditions Heart Failure (3C-HF) score (odds ratio, 1.19; 95% confidence interval, 1.01-1.39; = 0.038) at admission. Overall, the 3C-HF score at admission may be associated with the size of life space at 3 months after hospital discharge in elderly patients with heart failure. Future multicenter studies should be conducted to validate the results of this study by measuring post-discharge activity with a more objective index.
我们对22例老年心力衰竭患者出院3个月后进行了评估。我们检查并比较了出院后预测生活空间狭小的因素与出院前相同因素。生活空间评估用于将参与者分类为“生活空间狭小”或“生活空间宽敞”。我们收集了有关特征、心脏和合并症心力衰竭评分(3C-HF评分)的数据,并评估了运动功能。我们还收集了患者生活习惯的数据。我们通过向受试者邮寄问卷来调查出院3个月后的生活空间扩展情况。使用多元逻辑回归分析,我们能够通过入院时的心脏和合并症心力衰竭(3C-HF)评分(优势比,1.19;95%置信区间,1.01-1.39;P = 0.038)预测出院3个月后生活空间狭小的患者。总体而言,入院时的3C-HF评分可能与老年心力衰竭患者出院3个月后的生活空间大小有关。未来应开展多中心研究,通过使用更客观的指标测量出院后活动来验证本研究结果。