神戸大学附属図書館デジタルアーカイブ
https://hdl.handle.net/20.500.14094/0100495537

このアイテムのアクセス数:19件（2025-05-31 09:58 集計）

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メタデータID
0100495537
アクセス権
open access
出版タイプ
Accepted Manuscript
タイトル
Factors delaying the progress of early rehabilitation of elderly Japanese patients with heart failure
著者
Kubo, Ikko ; Izawa, P. Kazuhiro ; Kajisa, Nozomu ; Ogura, Asami ; Kanai, Masashi ; Matsumoto, Daisuke
著者名
Kubo, Ikko
著者ID
A1350
研究者ID
1000010736185
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail.html?systemId=3330637c7f4d6307520e17560c007669
著者名
Izawa, P. Kazuhiro
井澤, 和大
イザワ, カズヒロ
所属機関名
保健学研究科
著者名
Kajisa, Nozomu
著者名
Ogura, Asami
著者名
Kanai, Masashi
著者名
Matsumoto, Daisuke
言語
English (英語)
収録物名
Aging Clinical and Experimental Research
巻(号)
32(3)
ページ
399-406
出版者
Springer Nature
刊行日
2020-03
公開日
2025-04-11
抄録
Background: Although intervention with early cardiac rehabilitation (CR) is recommended for elderly patients treated for acute heart failure (HF), there are patients in whom the progress of early CR will be delayed. The aim of this study was to clarify factors related to the progress of early CR. Methods: We enrolled 180 Japanese inpatients aged ≥ 65 years with HF in the present retrospective cohort study. We set a short-term goal of 30 m of walking at 1 week after the start of early CR. We divided the patients into two groups according to whether this goal was achieved (Achievement group, n = 124) or not (Non-achievement group, n = 56) and compared patients’ characteristics and clinical parameters. Results: There was a significant difference (p < 0.05) between the groups for age, length of hospital stay, Functional Independence Measure at discharge, walking level before hospitalization, rate of co-existence of diabetes mellitus, chronic renal failure, orthopedic disease, use of diuretics, creatinine, Prognostic Nutritional Index, hemoglobin, C-reactive protein, and estimated glomerular filtration rate (eGFR). Furthermore, logistic regression analysis showed that walking level before hospitalization (odds ratio [OR]: 3.144, p = 0.0001) and eGFR (OR: 0.971, p = 0.009) were factors related to the inability to achieve the short-term goal. Conclusion: Our findings suggest that walking level before hospitalization and renal function on admission are factors related to delayed progress in early CR of elderly Japanese patients with HF.
キーワード
Heart failure
Elderly Japanese patients
Early rehabilitation
Factors in delaying progress
カテゴリ
保健学研究科
学術雑誌論文
権利
This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature's AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: https://doi.org/10.1007/s40520-019-01213-7
関連情報
DOI
https://doi.org/10.1007/s40520-019-01213-7
PMID
31076966