A descriptive study of health status after acute hospitalization in patients with heart failure
by Shah, Pinkesh K., M.S.P.T., MGH INSTITUTE OF HEALTH PROFESSIONS, 2008, 73 pages; 1457947

Abstract:

Background and significance. "Congestive Heart Failure" (CHF) plays a significant role in patients' health status due to multifaceted organ damage and its adverse outcome. Unfortunately, 80% of elders having CHF get hospitalized each year, which is 1.6 times more than any other cause of hospitalization in elders. Purpose. (1) Earlier identification of markers that lead to deterioration in health. (2) To describe characteristics of health status in CHF based on the available markers. (3) To have better understanding of patients' ability to function and thereby suggesting areas of future research to help them in improving quality of life. (4) Possibility of selecting the most appropriate markers of poor health in these patients. Methods. Design. Retrospective, secondary data analysis on 30 patients with CHF from a previous study. Data were collected within 2-3 days of admission to inpatient rehabilitation facility. We used 7 potential markers that have shown good relationship with poor health in different literature. Subjects. 16 females, 14 males, mean age 72 ± 9.8yrs with CHF. Inclusion criteria for previous study was EF less than 40%, Ability to ambulate 50 ft, Ability to rise from chair without assistance. Exclusion Criteria: Neuromuscular disease, Steroids and oxygen dependent pulmonary disease. Results. Diastolic blood pressure 24 of 30 patients (80%) and 6MWT 26 of 30 patients (86.7%) were found to be the best descriptor of poor health status in hospitalized patients with CHF. Discussion and conclusion . 5 variables out of 7 were in the normal range, according to the cutoff point selected based on literature, which reflects small sample size and the sample's homogeneity thereby hiding a possible relationship. Hematocrit and BMI values divides the group in almost same proportion and may not be helpful in identifying poor health. Systolic Blood pressure and Diastolic blood pressure divided group paradoxically which may be due to blood pressure management with medications. The 6MWT was found to be the best indicator of morbidity and mortality in CHF patients. TUG did not represent poor health status in many patients. MLHFQ score did not reflect poor health.

 
Advisor
SchoolMGH INSTITUTE OF HEALTH PROFESSIONS
SourceMAI/ 47-01, p. , Oct 2008
Source TypeThesis
SubjectsPhysical therapy
Publication Number1457947
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