ArticleClinical cardiology2016
Barthel Index as a Predictor of 1-Year Mortality in Very Elderly Patients Who Underwent Percutaneous Coronary Intervention for Acute Coronary Syndrome: Better Activities of Daily Living, Longer Life.
Article in Clinical cardiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Factors Associated With Improvement in Activities of Daily Living in Patients With Cardiovascular Disease in a Japanese Community Rehabilitation Ward: A Multicenter Prospective Study.Circulation reports · 2026Article
- Early discontinuation of chemotherapy in older adults with early breast cancer: results from the prospective multicenter HOPE study.Journal of the National Cancer Institute · 2026Article
- Association between ICU rehabilitation parameters and recovery of activities of daily living in mechanically ventilated patients: A multicenter prospective observational study.Journal of intensive medicine · 2026Article
- Reliability and Validity of the Japanese Perme ICU Mobility Score: An Initial Psychometric Evaluation.Progress in rehabilitation medicine · 2025Article
- Development and validation of prognostic machine learning models for short- and long-term mortality among acutely admitted patients based on blood tests.Scientific reports · 2024Article
- Effect of in-patient cardiac rehabilitation at rehabilitation hospital for cardiology patients: two-center trial.Heart and vessels · 2024Article
- Combination of the Barthel Index at Discharge with GRACE Leads to Improved One-Year Mortality Prediction in Older Patients with Acute Myocardial Infarction.Clinical interventions in aging · 2023Article
- A Higher Postoperative Barthel Index at Discharge is Associated with a Lower One-Year Mortality After Hip Fracture Surgery for Geriatric Patients: A Retrospective Case‒Control Study.Clinical interventions in aging · 2023Article
- Effect of pulmonary training for community-dwelling frail older adults with chronic stroke: A randomized controlled pilot trial.Journal of general and family medicine · 2022Article
- Evaluation of risk stratification program based on trajectories of functional capacity in patients with acute coronary syndrome: The REACP study.Frontiers in cardiovascular medicine · 2022Article
- Comparison of Machine Learning Techniques for Mortality Prediction in a Prospective Cohort of Older Adults.International journal of environmental research and public health · 2021Article
- Different Impact of Beta-Blockers on Long-Term Mortality in Heart Failure Patients with and without Chronic Obstructive Pulmonary Disease.Journal of clinical medicine · 2021Article
- Hyperglycemia at admission, comorbidities, and in-hospital mortality in elderly patients hospitalized in internal medicine wards: data from the RePoSI Registry.Acta diabetologica · 2021Article
- Large disparities in 28-day case fatality by stroke subtype: data from a French stroke registry between 2008 and 2017.European journal of neurology · 2021Article
- Barthel Index as a Predictor of Mortality in Patients with Acute Coronary Syndrome: Better Activities of Daily Living, Better Prognosis.Clinical interventions in aging · 2020Article
- Functional impairment and serum albumin predict in-hospital mortality in nonagenarians with acute infection: a retrospective cohort study.BMC geriatrics · 2019Article
- Thromboembolic Risk, Bleeding Outcomes and Effect of Different Antithrombotic Strategies in Very Elderly Patients With Atrial Fibrillation: A Sub-Analysis From the PREFER in AF (Journal of the American Heart Association · 2017Article
- Article
- Clinical impact of non-culprit lesions on 1-year mortality in very elderly patients with acute coronary syndrome.Heart and vessels · 2017Article
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7 authors.
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Abstract
backgroundPercutaneous coronary intervention (PCI) is safe and effective in very elderly patients, defined as those who are age ≥85 years, with acute coronary syndrome (ACS). However, the prognostic factors remain unknown. The association between activities of daily living (ADL) and the prognosis after PCI has not yet been investigated. HYPOTHESIS: Better ADL is associated with better 1-year prognosis.
methodsThis retrospective study included 91 consecutive very elderly patients with ACS. We calculated the Barthel Index (BI) as an indicator for ADL. Patients were classified into 2 groups according to BI: high BI (≥85) and low BI (<85). The BI was assessed both on admission (pre-BI) and at discharge (post-BI).
resultsIn the 91 patients (mean age, 88.2 ± 3.0 years, 52% male), 1-year mortality was 33%. The Cox regression model demonstrated that low pre-BI was not a risk factor for 1-year mortality (hazard ratio: 0.73, 95% confidence interval [CI]: 0.30-1.78, P = 0.490). However, post-BI was significantly associated with 1-year mortality (hazard ratio: 0.25, 95% CI: 0.11-0.57, P = 0.001). The 1-year mortality of the high and the low post-BI group was estimated as 21% (95% CI: 12%-35%) and 62% (95% CI: 42%-82%), respectively. A 5-unit decrease in post-BI was related to a 1.10-fold increased risk for 1-year mortality (95% CI: 1.05-1.15, P < 0.001).
conclusionsActivities of daily living at discharge, although not before admission, may be a useful predictor for 1-year mortality in very elderly patients undergoing PCI for ACS.
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