目的:本研究的目的是探讨老年心力衰竭(HF)住院患者物理治疗(PT)的频率和持续时间与住院相关残疾(HAD)发展之间的关系。
方法:这种单中心,回顾性,观察性研究纳入了接受PT治疗的65岁或以上的HF住院患者.有关人口统计的数据,合并症,实验室发现,药物,康复,并从电子病历中收集日常生活活动(ADLs)状态。根据PT的平均频率和持续时间,患者分为三组:第1组,≥3天/周和≥120分钟/周;第2组,≥3天/周和<120分钟/周;第3组,<3天/周和<120分钟/周.进行Logistic回归分析以确定每周PT的平均频率和持续时间与HAD发生率之间的关联。
结果:总而言之,105名患者(平均年龄,84.8岁;妇女比例,59%)参加了研究,43例(41.0%)患者出院时出现HAD。在多变量逻辑回归分析中,第2组(赔率比[OR],3.66)和第3组(OR,6.71)使用第1组作为参考,发生HAD的风险显着升高,即使在调整了年龄之后,入院前的ADL,认知功能,HF的严重程度。
结论:这项研究表明,在老年心力衰竭住院患者中,PT的频率较低和持续时间较短与HAD的发生有关。然而,需要进一步的前瞻性研究来证实这些发现.
OBJECTIVE: The aim of this study was to examine the relationship between the frequency and
duration of physical therapy (PT) and the development of hospitalization-associated disability (HAD) in hospitalized geriatric patients with heart failure (HF).
METHODS: This single-center, retrospective, observational study included hospitalized patients with HF aged 65 years or older who had received PT. Data regarding demographics, comorbidities, laboratory findings, medications, rehabilitation, and activities of daily living (ADLs) status were collected from electronic medical records. Based on the average frequency and
duration of PT, patients were divided into three groups: Group 1, ≥3 days/week and ≥120 minutes/week; Group 2, ≥3 days/week and <120 minutes/week; and Group 3, <3 days/week and <120 minutes/week. Logistic regression analysis was performed to identify the association between the average frequency and
duration of weekly PT and the incidence of HAD.
RESULTS: In all, 105 patients (mean age, 84.8 years; proportion of women, 59%) were enrolled in the study, and 43 (41.0%) patients exhibited HAD at discharge. In the multivariate logistic regression analysis, Group 2 (odds ratio [OR], 3.66) and Group 3 (OR, 6.71) had a significantly elevated risk of developing HAD using Group 1 as the reference, even after adjusting for age, ADLs before admission, cognitive function, and severity of HF.
CONCLUSIONS: This study showed that a lower frequency and shorter
duration of PT are associated with developing HAD in hospitalized geriatric patients with HF. However, further prospective studies are required to confirm these findings.