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Geriatric nutritional risk index and 100-m walk achievement predict discharge to home in elderly patients with heart

Shota Shimoyama1,2, Tsuyoshi Ono3, Satoru Ebihara1

  • 1Department of Rehabilitation Medicine, Toho University Graduate School of Medicine, Ota-ku, Japan.

Geriatrics & Gerontology International
|September 14, 2020
PubMed

Insights

Elderly heart failure patients discharged home were predicted by 100-m walk ability and 2-week Geriatric Nutritional Risk Index (GNRI). These factors can help identify patients suitable for home discharge.

Area of Science:

  • Geriatric Medicine
  • Cardiology
  • Clinical Nutrition

Background:

  • Heart failure is a significant cause of hospitalization in the elderly.
  • Predicting discharge destination is crucial for patient management and resource allocation.
  • Few studies have focused on factors influencing home discharge for elderly heart failure patients.

Purpose of the Study:

  • To identify predictors of discharge to home for elderly patients with heart failure.
  • To evaluate the role of functional status and nutritional markers in predicting home discharge.

Main Methods:

  • Retrospective study of 110 elderly heart failure patients (≥75 years).
  • Comparison of clinical, comorbidity, laboratory, and echocardiographic data between home discharge and non-home discharge groups.
  • Assessment of nutritional status using Geriatric Nutritional Risk Index (GNRI) at admission and 2 weeks post-admission.
  • Multiple logistic regression and ROC curve analysis to identify predictors and cut-off values.

Main Results:

  • 100-m walk achievement and 2-week GNRI were independent predictors of discharge to home.
  • Odds ratios: 3.057 for 100-m walk, 1.083 for 2-week GNRI.
  • The 2-week GNRI showed an AUC of 0.735, with a cut-off of 75.29 for predicting home discharge (sensitivity 78.8%, specificity 60.0%).

Conclusions:

  • 100-m walk performance and 2-week GNRI are valuable predictors for home discharge in elderly heart failure patients.
  • These findings can aid clinicians in discharge planning and patient selection for home care.
  • Further research could explore interventions to improve these predictors.
Abstract

Keywords:
discharge to homegeriatric nutritional risk indexheart failurerehabilitationwalk achievement

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