Evidence map›Paper›PMID 42783036›Full record

ArticleJournal of cardiovascular development and disease2026

Association Between Barthel Index and Delirium During Hospitalization in Older Patients with Acute Decompensated Heart Failure.

Michiaki Nagai, Keigo Dote, Masaya Kato, Noboru Oda, Sophie Chang, Phillip J Tully, Tarun Dasari

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Article in Journal of cardiovascular development and disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Michiaki NagaiDepartment of Internal Medicine, Hiroshima Asa Medical Association Hospital, 2-1-38, Kabeminami, Aaskita-ku, Hiroshima 7310223, Japan.ORCID 0000-0002-3838-1369
Keigo DoteDepartment of Internal Medicine, Hiroshima Asa Medical Association Hospital, 2-1-38, Kabeminami, Aaskita-ku, Hiroshima 7310223, Japan.
Masaya KatoDepartment of Cardiology, Hiroshima City Asa Hospital, 2-1-1, Kabeminami, Aaskita-ku, Hiroshima City Asa, Hiroshima 7310293, Japan.
Noboru OdaDepartment of Cardiovascular Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3, Kasumi, Minami-ku, Hiroshima 7348551, Japan.
Sophie ChangCardiovascular Section, Department of Medicine, University of Oklahoma Health Science Center, Andrews Academic Tower, Suite 5400, Oklahoma City, OK 73104, USA.
Phillip J TullyFaculty of Medicine and Health, School of Psychology, Deakin University, 221 Burwood Highway, Burwood, VIC 3125, Australia.
Tarun DasariCardiovascular Section, Department of Medicine, University of Oklahoma Health Science Center, Andrews Academic Tower, Suite 5400, Oklahoma City, OK 73104, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough delirium is an acute confusional state, the available literature identifies impaired activities of daily living (ADL) as a predisposing factor. However, the question of whether ADL is associated with delirium in older patients with heart failure (HF) has not been evaluated. This study investigated the relationship between ADL and delirium and further explored whether HF phenotype moderates the relationship in older patients with acute decompensated HF (ADHF).

methodsIn older patients with ADHF, stabilized after HF admission, handgrip strength (HGS) and 6 min walk distance (6MWD) tests were performed, and ADL was assessed using the Barthel index. Delirium during hospitalization was defined according to the

resultsA total of 245 older patients (82.9 ± 6.0 years, 49.4% male) with ADHF (heart failure with preserved ejection fraction [HFpEF]; n = 107, 44%) were analyzed. In the group with delirium (n = 65, 26.5%), there was significant difference in Mini-Mental state examination (MMSE) score (19 vs. 25,

conclusionsIn older ADHF patients, decreased physical activity and ADL were significantly correlated with delirium. Lower Barthel index was associated with delirium, and this association was significantly modified by HFpEF status.

Indexed as

activity of daily livingacute decompensated heart failuredeliriumheart failure with preserved ejection fractionolder patients

Identifiers

PMID42783036
PMCPMC13607858

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