Impacts of ACC/AHA Stage A, B, and C Heart Failure on Improvement Efficiency in Activities of Daily Living in Individuals With Disabilities Who Underwent Inpatient Rehabilitation.

Abstract

To evaluate the impacts of American College of Cardiology (ACC)/American Heart Association (AHA) stage A, B, and C heart failure (HF) on improvement efficiency in activities of daily living in patients with disabilities who underwent inpatient rehabilitation. A retrospective cohort study. An inpatient rehabilitation ward. The ACC/AHA stage 0, A, B, and C HF patients (N=368) with disabilities because of neurologic disorders, musculoskeletal disorders, or hospital-associated deconditioning were included. Not applicable. The outcomes included improvement efficiency of functional independence measure (FIM) (gain in FIM score divided by duration of stay) for motor function and FIM for cognitive function. The beta coefficients of the ACC/AHA stage A HF group, stage B HF group, and stage C HF group relative to the stage 0 HF group for the improvement efficiency of FIM for motor function were -0.36 (lower confidence limit: -0.77; upper confidence limit: 0.08), -0.78 (lower confidence limit: -1.35; upper confidence limit: -0.22), and -0.58 (lower confidence limit: -1.17; upper confidence limit: -0.02), respectively. Improvement efficiency values of FIM for cognitive function were -0.82 (lower confidence limit: -1.96; upper confidence limit: 0.45), -1.35 (lower confidence limit: -3.09; upper confidence limit: 0.22), and -1.12 (lower confidence limit: -2.86; upper confidence limit: 0.43), respectively. This study showed that ACC/AHA stage B and C HF had negative impacts on the improvement efficiency of physical function in patients with disabilities who underwent inpatient rehabilitation.