Xavier SDO, Ferretti-Rebustini REDL. Clinical characteristics of heart failure associated with functional dependence at admission in hospitalized elderly.
Rev Lat Am Enfermagem 2019;
27:e3137. [PMID:
31038631 PMCID:
PMC6528626 DOI:
10.1590/1518-8345.2869-3137]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2018] [Accepted: 12/16/2018] [Indexed: 01/27/2023] Open
Abstract
Objective
to identify which clinical features of heart failure are associated with a
greater chance of functional dependence for the basic activities of daily
living in hospitalized elderly.
Method
cross-sectional study conducted with elderly hospitalized patients. The
clinical characteristics of heart failure were assessed by self-report,
medical records and scales. Dependency was assessed by the Katz Index. The
Fisher’s Exact Test was used to analyze associations between the nominal
variables, and logistic regression to identify factors associated with
dependence.
Results
the sample consisted of 191 cases. The prevalence of functional dependence
was 70.2%. Most of the elderly were partially dependent (66.6%). Clinical
characteristics associated with dependence at admission were dyspnea (Odds
Ratio 8.5, Confidence Interval 95% 2.668-27.664, p <0.001), lower limb
edema (Odds Ratio 5.7, 95% Confidence Interval 2.148-15.571, p <0.001);
cough (Odds Ratio 9.0, 95% confidence interval 1.053-76.938, p <0.045);
precordial pain (Odds Ratio 4.5, 95% confidence interval 1.125-18.023, p
<0.033), and pulmonary crackling (Odds Ratio 4.9, 95% Confidence Interval
1.704-14.094, p <0.003).
Conclusion
functional dependence in admitted elderly patients with heart failure is more
associated with congestive signs and symptoms.
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