Open AccessCardiac function in elderly inpatients in the recovery phase of rehabilitation: determining methods of treatment during the heart failure pandemic
Author(s) -
Hakuo Takahashi
Publication year - 2021
Publication title -
rehabilitacja medyczna
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.108
H-Index - 7
eISSN - 1896-3250
pISSN - 1427-9622
DOI - 10.5604/01.3001.0014.7871
Subject(s) - medicine , heart failure , natriuretic peptide , diabetes mellitus , rehabilitation , renal function , hemoglobin , albumin , cardiology , cardiac function curve , lipoprotein , cholesterol , endocrinology , physical therapy
Objectives: This study aimed to evaluate cardiac function in elderly inpatients admitted to a recovery phase rehabilitation ward. N-terminal pro-B-type natriuretic peptide (NT-proBNP) was statistically analyzed, along with other laboratory and demographic variables.Methods: Laboratory parameters included NT-proBNP, serum albumin, hemoglobin (Hb), low-density lipoprotein cholesterol, hemoglobin A1c, and estimated glomerular filtration rate (eGFR). In addition, number of medications and trends in the use of cardiovascular agents were examined.Results: Four hundred fifty-seven patients were admitted throughout the year 2017 (188 men and 269 women, aged 83 ±10.1 years). The number of patients with NT-proBNP levels of more than 125, 400, and 900 pg/mL were 347 (75.9%), 204 (44.6%), and 109 (23.9%), respectively. The percentage of patients had been treated for hypertension, diabetes mellitus, and hypercholesterolemia were 51.8%, 20.5%, and 18.0%, respectively. N-terminal pro-B-type natriuretic peptide positively correlated with age (p=0.003), and negatively albumin (p<0.0000) and Hb (p=0.0000). Multiple regression analysis of NT-proBNP with age, albumin, eGFR, Hb, low-density lipoprotein cholesterol, and number of medications as independent variables revealed significant negative correlation only with albumin (p<0.0000) and eGFR (p<0.0000) independently. Conclusions: These results indicate that 3 out of 4 elderly inpatients in the recovery phase of rehabilitation are affected by chronic congestive heart failure, and management of nutrition is essential for prevention and progression of heart failure in this group.