Relationship between the Kihon Checklist and the clinical parameters in patients who participated in cardiac rehabilitation
Relationship between the Kihon Checklist and the clinical parameters in patients who participated in cardiac rehabilitation
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DOI：
10.1111/ggi.13617
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发表时间：
2019-04-01
影响因子：
3.3
通讯作者：
Daida, Hiroyuki
中科院分区：
文献类型：
--
作者：
Kunimoto, Mitsuhiro;Shimada, Kazunori;Daida, Hiroyuki
目的Kihon检查表是评估老年人脆弱程度的一种有用的筛查工具。然而，Kihon检查表在心脏康复患者中的临床意义仍不清楚。本研究旨在评估参与心脏康复的患者的Kihon检查表与临床参数的关系。方法收集2015年11月至2017年10月在日本东京骏田大学医院接受心脏康复治疗的患者845例(男性584例，平均年龄71岁)。根据Kihon Checklist评分将患者分为非脆弱组(287例)、脆弱组(270例)和脆弱组(288例)。对302例患者进行心肺运动试验。结果虚弱组年龄较大，心力衰竭病史发生率高于非虚弱组，但两组间左室射血分数无显著差异。脆弱组和脆弱前期组的营养指数、躯干和四肢肌肉质量、瘦体重和握力显著低于非脆弱组。在心肺运动试验中，3组患者的峰值摄氧量均呈递减趋势(非脆弱组17.2+/-3.6，脆弱组16.0+/-3.4，脆弱组14.4+/-3.5mL/kg/min，P<0.01)。多元回归分析显示，Kihon Checklist评分与最大摄氧量显著相关(r=-0.34，P<；0.0001)。结论Kihon量表与身体虚弱和运动耐量有关，可作为心脏康复患者的临床评估方法。Geriatr Gerontol Int 2019；19：287-292。
Aim The Kihon Checklist is a useful screening tool for assessing frailty in older individuals. However, the clinical significance of the Kihon Checklist in cardiac rehabilitation patients remains unclear. The present study aimed to evaluate the relationship between the Kihon Checklist and the clinical parameters in patients who participated in cardiac rehabilitation. Methods We enrolled 845 consecutive patients (584 men, mean age 71 years) who participated in cardiac rehabilitation at Juntendo University Hospital, Tokyo, Japan, between November 2015 and October 2017. The patients were divided into non-frailty (n = 287), pre-frailty (n = 270) and frailty (n = 288) groups according to their Kihon Checklist scores. Cardiopulmonary exercise testing was carried out in 302 patients. Results The frailty group was older and had a higher prevalence of history of heart failure than the non-frailty group, although left ventricular ejection fraction did not differ significantly between groups. Nutritional index, trunk and limb muscle mass, lean body weight, and grip strength were significantly lower in the frailty and pre-frailty groups than those in the non-frailty group. In the cardiopulmonary exercise test, a stepwise significant decrease in peak oxygen uptake was observed across the three groups (non-frailty 17.2 +/- 3.6, pre-frailty 16.0 +/- 3.4, frailty 14.4 +/- 3.5 mL/kg/min, P < 0.01). Multivariate regression analyses showed that the Kihon Checklist score was significantly and independently associated with peak oxygen uptake (r = -0.34, P < 0.0001). Conclusions The Kihon Checklist, which was associated with frailty and exercise tolerance, could be used as a clinical assessment method for patients who participated in cardiac rehabilitation. Geriatr Gerontol Int 2019; 19: 287-292.