ArticleAging clinical and experimental research2023
Association between hospital-acquired functional decline and 2-year readmission or mortality after cardiac surgery in older patients: a multicenter, prospective cohort study.
Article in Aging clinical and experimental research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed, 15 citations in OpenAlex.
- A risk prediction model using preoperative CT-based muscle and bone status for mortality and readmission after cardiac surgery in older patients.General thoracic and cardiovascular surgery · 2026Article
- 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
- Computed tomography-derived muscle quality and density and the risk of postoperative decline in exercise capacity in adults who received cardiac surgery: A retrospective cohort study.JPEN. Journal of parenteral and enteral nutrition · 2026Article
- Early In-Hospital Functional Status Predicts Recovery at Discharge in Older Patients Hospitalized for Acute Decompensated Heart Failure.Circulation reports · 2026Article
- Nurses' Behaviours and Implementation Factors Towards Promoting Mobility Among Hospitalized Older Adults in China: A Mixed Method Study.Nursing open · 2026Observational
- Machine learning model for predicting hospital-acquired functional decline in older patients with postoperative cardiovascular surgery.World journal of clinical cases · 2026Article
- A Nurse-Guided, Family-Involved Individualized Perioperative Management Multidisciplinary Team Model in Older Patients Underwent Cardiac Surgery.Journal of multidisciplinary healthcare · 2026Article
- Impact of Tailored Multidisciplinary Cardiac Rehabilitation on Patients With Cardiovascular Diseases and Multimorbidity in Convalescent Rehabilitation Hospitals in Japan - A Multicenter, Prospective Observational Study.Circulation reports · 2025Article
- Early achievement of walkability after cardiac surgery and the risk of cardiovascular disease after hospital discharge.ESC heart failure · 2024Article
- The geriatric nutritional risk index is related to adverse hospitalization outcomes in individuals undergoing cardiac surgery.Scientific reports · 2024Article
- Improving Respiratory Muscle Strength and Overall Function in Patients With Cardiovascular Disease Through Rehabilitation Hospitals.Cardiology research · 2024Article
- Examination of factors related to the performance index of patients with cardiovascular disease in a convalescent rehabilitation hospital.Japanese journal of comprehensive rehabilitation science · 2024Article
- Effect of in-patient cardiac rehabilitation at rehabilitation hospital for cardiology patients: two-center trial.Heart and vessels · 2024Article
- Utility of Cardiac Rehabilitation for Long-Term Outcomes in Patients with Hospital-Acquired Functional Decline after Cardiac Surgery: A Retrospective Study.Journal of clinical medicine · 2023Article
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11 authors at 7 institutions in 1 country.
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Abstract
backgroundHospital-acquired functional decline (HAFD) is a new predictor of poor prognosis in hospitalized older patients.
aimsWe aimed to assess the impact of HAFD on the prognosis of older cardiac surgical patients 2 years after discharge.
methodsThis multicenter prospective cohort study assessed 293 patients with cardiac disease aged ≥ 65 years who underwent cardiac surgery at 7 Japanese hospitals between June 2017 and June 2018. The primary endpoint was the composite outcome of cardiovascular-related readmission and all-cause mortality 2 years after discharge. HAFD was assessed using the total Short Physical Performance Battery at hospital discharge.
resultsThe primary outcome was observed in 17.3% of the 254 included patients, and HAFD was significantly associated with the primary outcome. Female sex (hazard ratio [HR], 2.451; 95% confidence interval [CI] 1.232-4.878; P = 0.011), hemoglobin level (HR, 0.839; 95% CI 0.705-0.997; P = 0.046), preoperative frailty (HR, 2.391; 95% CI 1.029-5.556; P = 0.043), and HAFD (HR, 2.589; 95% CI 1.122-5.976; P = 0.026) were independently associated with the primary outcome. The incidence rate of HAFD was 22%, with female sex (odds ratio [OR], 1.912; 95% CI 1.049-3.485; P = 0.034), chronic obstructive pulmonary disease (OR, 3.958; 95% CI 1.413-11.086; P = 0.009), and the time interval (days) between surgery and the start of ambulation (OR, 1.260, 95% CI 1.057-1.502; P = 0.010) identified as significant factors. DISCUSSION: HAFD was found to be an independent prognostic determinant of the primary outcome 2 years after discharge.
conclusionHAFD prevention should be prioritized in the hospital care of older cardiac surgery patients.
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