[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).
Abstract

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