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Abstract
Background: A decline in activities of daily living (ADL) in elderly patients with coronary artery disease accounts for a relatively high prevalence and is associated with adverse clinical outcomes. This study aims to: (1) determine the prevalence of older patients with coronary artery disease who have been impaired in activities of daily living using the Katz scale. (2) Investigate its association between impairment in activities of daily living and in - hospital complications, in - hospital mortality, and re - hospitalization at 90 days of discharge.
Methods: A cross - sectional and longitudinalstudy was conducted onall patients 60 years of age or older with coronary artery disease diagnosed by invasive coronary angiography at Thong Nhat Hospital, Ho Chi Minh City from March to October 2022.
Results: There were 253 patients included in the study. The median age was 72 years, and the majority of the subjects were male (60.87%). At the time of admission, the prevalence of previous ADL impairment was 47.4%. The most common impaired activity was transferring (40.32%), followed by bathing (31.22%), toileting (23.72%), dressing (20.95%), eating (7.51%), and continence (6.32%). In - hospitalization complications includedacute kidney injury and pneumonia with a prevalence of 13.3% and 9.2%, respectively. In - hospital mortality was 1.7%. During 90daysof follow - up, 56 of the participants were readmitted to hospitals (26.7% in participants with ADL impairment, 20% in those without ADL impairment). ADL impairment significantly increased the risk of rehospitalization at 90 days after discharge (HR 1.74, 995% CI: 1.02 - 2.97; p = 0.039).
Conclusions: The prevalence of ADL impairment was high in elderly patients with coronary artery disease. The ADL impairment inADL increasedtherate of in - hospital complications andre - admission at 90 days of discharge.
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| Published | 20-01-2023 | |
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| Issue | No. 84 (2023) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.84.16 | |
| Keywords | Hoạt động chức năng cơ bản, người cao tuổi, bệnh động mạch vành Elderly patient, coronary artery disease, impairment in activities of daily living |
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