ArticlePloS one2021
Relationship between average daily rehabilitation time and decline in instrumental activity of daily living among older patients with heart failure: A preliminary analysis of a multicenter cohort study, SURUGA-CARE.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 24 citations in OpenAlex.
- Disparities in Physical Function and Rehabilitation Utilization: A Cross-sectional Study of Patients Hospitalized for Acute Medical Illness.Journal of general internal medicine · 2026Article
- Admission Renal Dysfunction Severity as a Prognostic Factor in Older Patients With Acute Heart Failure.Circulation reports · 2026Article
- Mapping of Early Exercise-Based Interventions for Patients Recovering From Acute Heart Failure: A Scoping Review.Journal of the American Heart Association · 2026Article
- Characteristics of Hospitalization-Associated Disability After Cardiac Surgery by Age Group.Circulation reports · 2026Article
- Ethical allocation of physical and occupational therapy in acute care.Journal of hospital medicine · 2025Article
- Relationship Between Cardiac Rehabilitation and Recovery From Decline in Activities of Daily Living in Patients Hospitalized With Cardiovascular Disease.Circulation reports · 2025Article
- Factors involved in the development of hospital-acquired conditions in older patients in acute care settings: a scoping review.BMC health services research · 2025Article
- Association of In-Hospital Cardiac Rehabilitation on Hospital-Associated Disability for Octogenarian Patients With Acute Myocardial Infarction - An Insight From the JROAD-DPC Database.Circulation reports · 2025Article
- Clinical impact of non-lying time on hospital-associated functional decline in older patients undergoing transcatheter aortic valve implantation.Heart and vessels · 2024Article
- Relationship Between the Frequency and Duration of Physical Therapy and Hospitalization-associated Disability Among Geriatric Patients with Heart Failure.Physical therapy research · 2024Article
- Reducing Physical Therapy Consults for Patients With High Functional Mobility in the Acute Medical Inpatient Setting: A Difference-in-Difference Analysis.Archives of physical medicine and rehabilitation · 2024Article
- The Effects of Post-Acute Care in Patients with Heart Failure in Taiwan: A Single Center Experience.Acta Cardiologica Sinica · 2023Article
- Sex Differences in Frequency of Instrumental Activities of Daily Living after Cardiac Rehabilitation and Its Impact on Outcomes in Patients with Heart Failure.Journal of cardiovascular development and disease · 2022Article
- Differences in Prognostic Factors among Patients Hospitalized for Heart Failure According to the Age Category: From the KUNIUMI Registry Acute Cohort.Internal medicine (Tokyo, Japan) · 2022Article
- Is prehospital physical performance a predictor of functional capacity decline at discharge in hospitalized Brazilian older adults?Brazilian journal of physical therapyArticle
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Authors and funding
7 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLimitation of instrumental activity of daily living (IADL) is independently associated with an adverse prognosis in older heart failure (HF) patients.
aimsThis multicenter study aims to examine the relationship between average daily rehabilitation time (ADRT) and risk of IADL decline during acute hospitalization in older patients with HF.
methodsFour hundred eleven older patients who were hospitalized due to acute HF and underwent rehabilitation were divided into three groups based on the tertile of the ADRT: short, intermediate, and long groups. IADL was assessed by the National Center for Geriatrics and Gerontology Activities of Daily Living (NCGG-ADL) scale. Change in NCGG-ADL (Δ NCGG-ADL) was calculated by subtracting the pre-hospitalization score from the at-discharge score and IADL decline was defined as Δ NCGG-ADL < = -1 point. Logistic regression analysis was carried out examining the association between ADRT and occurrence of IADL decline.
resultsThe ADRT was 23.9, 32.0, and 38.6 minutes in short, intermediate, and long group, respectively. The proportion of patients with IADL decline during hospitalization was 21% among all subjects and short group had the highest proportion of IADL decline (33%) and long group had the lowest proportion (14%). The long group had significantly lower odds of IADL decline compared with the short group (OR:0.475, 95% CI:0.231-0.975, P = 0.042). Among the items of NCGG-ADL scale, significant decreases in the "go out by oneself", "travel using a bus or train", "shop for necessities", "vacuum", and "manage medication" were observed at discharge compared to pre-hospitalization in the short group (p<0.01, p<0.01, p<0.01, p<0.05, and p<0.05).
conclusionsThe present study demonstrated that short of ADRT may be associated with the risk of IADL decline during hospitalization in older patients with HF.
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