Predictors of activities of daily living at discharge in elderly patients with heart failure with preserved ejection fra

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ORIGINAL ARTICLE

Predictors of activities of daily living at discharge in elderly patients with heart failure with preserved ejection fraction Masahiro Kitamura1,2,5 · Kazuhiro P. Izawa2,5   · Kodai Ishihara2,3,5 · Masakazu Yaekura4 · Hitomi Nagashima4 · Takashi Yoshizawa1 · Nobuhiro Okamoto1 Received: 3 August 2020 / Accepted: 16 October 2020 © Springer Japan KK, part of Springer Nature 2020

Abstract The purpose of this study was to clarify the predictive factors of activities of daily living (ADL) at discharge in elderly patients with heart failure with preserved ejection fraction (HFpEF). Participants were selected from among 598 consecutive hospitalized HF patients based on certain criteria. We investigated patient characteristics, and ADL with the motor and cognitive items of the Functional Independence Measure (FIM). We analyzed the data with the unpaired t test, Mann– Whitney U test, χ2 test, logistic regression analysis, and receiver operating characteristic (ROC) curves. We included 154 patients for further analyses who were divided into the low ADL group (n = 75) and high ADL group (n = 79). There were significant differences between the two groups in age, long-term care insurance (LTCI) level, New York Heart Association class, creatinine level, albumin level, β-blocker, sitting, standing and walking exercise start days, length of hospital stay, and motor- and cognitive-FIM scores at admission and discharge (p