| アブストラクト | BACKGROUND: Whether acute-phase cardiac rehabilitation (CR) is beneficial for short-term improvement in activities of daily living (ADL) in patients hospitalized for acute heart failure (AHF) remains unclear. AIM: To investigate the association of acute-phase initiation of CR with short-term improvement in ADL in patients hospitalized for AHF. METHODS: We retrospectively analyze data from the Diagnosis Procedure Combination Database, a nationwide inpatient database. Patients hospitalized for HF between January 2010 and March 2018 are included. Propensity score matching and generalized linear models are built to examine the association between improvement in ADL and acute-phase CR initiation, defined as the initiation of CR within two days of admission. RESULTS: Among 306,826 eligible patients, CR is initiated in 45,428 patients (14.8%) within two days of hospital admission. Propensity score matching creates 45,427 pairs. CR initiation within two days of hospital admission is associated with ADL improvement (risk ratio: 1.018; 95% confidence interval: 1.004-1.032), particularly in elderly patients, females, and individuals with low ADL at admission, body mass index of 18.5-24.9 kg/m(2), and New York Heart Association class IV. CONCLUSIONS: Our analyses highlight the possibility that acute-phase CR initiation may result in short-term improvement in ADL in patients hospitalized for AHF. |
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| ジャーナル名 | Journal of cardiovascular development and disease |
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| 投稿日 | 2022/4/22 |
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| 投稿者 | Ueno, Kensuke; Kamiya, Kentaro; Kaneko, Hidehiro; Okada, Akira; Itoh, Hidetaka; Fujiu, Katsuhito; Takeda, Norifumi; Morita, Hiroyuki; Michihata, Nobuaki; Jo, Taisuke; Yasunaga, Hideo; Komuro, Issei |
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| 組織名 | Department of Cardiovascular Medicine, The University of Tokyo, Tokyo 113-8655,;Japan.;Department of Rehabilitation Sciences, Graduate School of Medical Sciences,;Kitasato University, Sagamihara 252-0373, Japan.;Department of Rehabilitation, School of Allied Health Sciences, Kitasato;University, Sagamihara 252-0373, Japan.;Department of Advanced Cardiology, The University of Tokyo, Tokyo 113-8655,;Department of Prevention of Diabetes and Lifestyle-Related Diseases, Graduate;School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.;Department of Health Services Research, The University of Tokyo, Tokyo 113-0033,;Department of Clinical Epidemiology and Health Economics, School of Public;Health, The University of Tokyo, Tokyo 113-0033, Japan. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/35448073/ |
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