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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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Relationship between the Kihon Checklist and the clinical parameters in patients who participated in cardiac

Mitsuhiro Kunimoto1, Kazunori Shimada1,2, Miho Yokoyama1,2

  • 1Department of Cardiovascular Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.

Geriatrics & Gerontology International
|February 23, 2019
PubMed

Insights

The Kihon Checklist effectively identifies frailty in cardiac rehabilitation patients, correlating with reduced exercise tolerance. This screening tool aids in assessing patients undergoing cardiac rehabilitation.

Area of Science:

  • Gerontology
  • Cardiology
  • Rehabilitation Medicine

Background:

  • The Kihon Checklist is a validated frailty screening tool.
  • Its clinical utility in cardiac rehabilitation patients requires further investigation.

Purpose of the Study:

  • To assess the relationship between Kihon Checklist scores and clinical parameters in cardiac rehabilitation patients.
  • To determine the significance of frailty assessment in this population.

Main Methods:

  • 845 cardiac rehabilitation patients were categorized into non-frailty, pre-frailty, and frailty groups based on Kihon Checklist scores.
  • Cardiopulmonary exercise testing was performed on 302 patients.
  • Clinical parameters including body composition and grip strength were analyzed.

Main Results:

  • Frailty was associated with older age and a higher prevalence of heart failure history.
  • Muscle mass, lean body weight, and grip strength were significantly lower in pre-frailty and frailty groups.
  • Peak oxygen uptake decreased significantly across the non-frailty, pre-frailty, and frailty groups (p < 0.01).
  • Kihon Checklist scores were independently associated with peak oxygen uptake (r = -0.34, p < 0.0001).

Conclusions:

  • The Kihon Checklist is a valuable tool for assessing frailty in cardiac rehabilitation patients.
  • Frailty assessment using the Kihon Checklist correlates with exercise tolerance and clinical parameters.
  • This tool can aid in clinical decision-making for cardiac rehabilitation programs.
Abstract

Keywords:
Kihon Checklistcardiac rehabilitationexercise tolerancefrailty

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