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Updated: Mar 31, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
[Heart failure as a predictor of functional dependence in hospitalized elderly]
Sara de Oliveira Xavier1, Renata Eloah de Lucena Ferretti-Rebustini2, Eduesley Santana-Santos3
1Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.
Insights
Heart Failure (HF) significantly predicts functional dependence in hospitalized elderly patients, increasing their risk of decline, especially in bathing. This highlights the need for targeted care for this vulnerable population.
Area of Science:
- Geriatric Medicine
- Cardiology
- Rehabilitation Science
Context:
- Hospitalized elderly patients are at high risk for functional decline.
- Heart Failure (HF) is a common comorbidity in this population.
- Understanding predictors of functional dependence is crucial for effective geriatric care.
Purpose:
- To determine if Heart Failure (HF) predicts functional dependence in Basic Activities of Daily Living (BADL) among hospitalized elderly.
- To quantify the association between HF and functional decline in this demographic.
Summary:
- A study of 100 elderly patients admitted to a geriatric ward found a 21% prevalence of HF.
- Patients with HF showed a high dependency rate for BADLs (95%), particularly for bathing.
- Linear regression analysis confirmed HF as a significant predictor of functional dependence, with increased odds of decline and lower Katz Index scores.
Impact:
- Identifies Heart Failure (HF) as a key predictor of functional dependence in hospitalized elderly.
- Emphasizes the heightened risk of functional decline, especially in bathing, for HF patients.
- Informs clinical practice and care planning for geriatric patients with Heart Failure (HF).
Objective:
Identify whether Heart Failure (HF) is a predictor of functional dependence for Basic Activities of Daily Living (BADL) in hospitalized elderly.
Methods:
We 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.
Results:
The 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).
Conclusion:
HF is a dependency predictor of ADL in hospitalized elderly, who tend to be more dependent, especially for bathing.
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