Heart failure as a predictor of functional dependence in hospitalized elderly

Author:

Xavier Sara de Oliveira1,Ferretti-Rebustini Renata Eloah de Lucena1,Santana-Santos Eduesley1,Lucchesi Paola Alves de Oliveira2,Hohl Karine Generoso1

Affiliation:

1. Universidade de São Paulo, Brazil

2. Instituto do Câncer do Estado de São Paulo, Brazil

Abstract

AbstractOBJECTIVEIdentify whether Heart Failure (HF) is a predictor of functional dependence for Basic Activities of Daily Living (BADL) in hospitalized elderly.METHODSWe investigated medical records and assessed dependence to BADL (by the Katz Index) of 100 elderly admitted to a geriatric ward of a university hospital. In order to verify if HF is a predictor of functional dependence, linear regression analyzes were performed.RESULTSThe prevalence of HF was 21%; 95% of them were dependent for BADLs. Bathing was the most committed ADL. HF is a predictor of dependence in hospitalized elderlies, increasing the chance of functional decline by 5 times (95% CI, 0.94-94.48), the chance of functional deterioration by 3.5 times (95% CI, 1.28-11.66; p <0.02) and reducing 0.79 points in the Katz Index score (p <0.05).CONCLUSIONHF is a dependency predictor of ADL in hospitalized elderly, who tend to be more dependent, especially for bathing.

Publisher

FapUNIFESP (SciELO)

Subject

General Nursing

Reference27 articles.

1. Management of chronic heart failure in the older population;Azad N;J Geriatr Cardiol,2014

2. Differential clinical characteristics and outcome predictors of acute heart failure in elderly patients;Herrero-Puente P;Int J Cardiol,2012

3. Utility of the SENIORS elderly heart failure risk model applied to the RICA registry of acute heart failure;Montero-Perez-Barquero M;Int J Cardiol,2015

4. Drug therapy for heart failure in older patients-what do they want?;Zachariah D;J Geriatr Cardiol,2015

5. Occupational performance and strategies for managing daily life among the elderly with heart failure;Norberg EB;Scand J Occup Ther,2014

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