Dysphagia is associated with poor physical function in patients with acute heart failure: a prospective cohort study
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ORIGINAL ARTICLE
Dysphagia is associated with poor physical function in patients with acute heart failure: a prospective cohort study Haruyo Matsuo1 · Yoshihiro Yoshimura2 · Shoji Fujita3 · Yuichi Maeno4 Received: 22 April 2019 / Accepted: 20 July 2019 © Springer Nature Switzerland AG 2019
Abstract Background Dysphagia is an important clinical problem in older adults with heart failure. Moreover, evidence is scarce regarding the prevalence and impact of dysphagia on physical function in these patients. Aims This study examined the association of dysphagia and physical function in patients undergoing cardiac rehabilitation following heart failure. Methods This prospective cohort study included consecutive 149 (mean age 78.6 years, 72 women) inpatients in an acutecare hospital. Outcomes included the Food Intake Level Scale (FILS) and Barthel Index (BI) as indicators of dysphagia status and physical function, respectively. Multivariate analyses were used to determine whether FILS scores on admission and at the point of heart failure stabilization were associated with BI at discharge. Results Of the 149 patients, 14 (9.4%) had dysphagia at the time of stabilization of heart failure. Patients with dysphagia (FILS score
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