Relación entre el Índice de Barthel, la edad y el tiempo de internación prolongado en ancianos ingresados por insuficiencia cardíaca
Keywords:
aged, Barthel Index, heart failure, length of stayAbstract
Introduction: Understanding the influence of the Barthel Index on length of stay in aged patients with heart failure will allow for individualized health care interventions. Objectives: To characterize the behavior of the Barthel Index according to age groups. To determine the relationship between the Barthel Index, age, and length of stay. Method: A prospective analytical study was conducted with elderly patients hospitalized for heart failure. The population was divided into two age groups: "under 80" and "80 or older," and was characterized according to functional status, activities of daily living, and length of stay. The Student t-test was used to assess the behavior of length of stay and the Barthel Index. The chi-square test and relative risk were calculated for dichotomous variables. Results: There were no differences in the behavior of length of stay (p: 0.35) or the Barthel Index (p: 0.83). 49.6% of the aged had some degree of dependency. Being 80 years of age or older was associated with and represents a risk for presenting difficulties in urination (p: 0.016, RR: 2.56 CI: 1.18-5.55). Moderate to severe dependence and having at least five affected functions were associated with and represent a risk of prolonged hospitalization: (p0.015, RR: 4.91 CI: 1.23-19.61) and (p: 0.008, RR: 4.27 CI: 1.38-13.27) respectively. Conclusions: In aged with heart failure there is a significant prevalence of some state of dependence and regardless of age, having at least five activities of daily living affected or having moderate to severe dependence represents a risk of prolonged hospitalization.
Downloads
References
1 Masip J, Frank Peacok W, Arrigo M, Rossello X, Platz E, Cullen L, et al. Acute Heart Failure in the 2021 ESC Heart Failure Guidelines: a scientifi statement from the Association for Acute CardioVascular Care (ACVC) of the European Society of Cardiology[Internet]. Eur Heart J Acute Cardiovasc Care. 2022; 11 :173–85. DOI: https://doi.org/10. 1093/ehjacc/zuab122
2 Baravalle Servín FG, Figueredo Thiel SJ, Rodríguez Caballero IF, Santiago Avalos D. Caracterización clínica de insuficiencia cardíaca en pacientes internados en el Instituto Nacional de Cardiología, Paraguay[Internet].Rev. Virtual Soc. Parag. Med. Int.2023; DOI: https://doi.org/10.18004/rvspmi/2312-3893/2023.10.02.43.
3 Mena González A, Puigserver Mena R. Epidemiología y diagnóstico de la insuficiencia cardíaca[Internet]. FMC.2022;volumen 29, Issue 6, Suplement 1, pages 2-15, ISSN 1134-272. DOI: https://doi.org/10.1016/j.fmc.2022.05.003.
4 Reinhardt Clark KA, Xin X, Parzynski CS, et al. Thirty-Day and 90-Day Episode of Care Spending Following Heart Failure Hospitalization Among Medicare Beneficiaries[Internet]. Circulation-Cardiovascular Quality and Outcome.2022;15(7)DOI: https://doi.org/10.1161circoutcomes.121.008069
5 Ocampo Chaparro JM, Reyes Ortiz CA. Efecto conjunto de deterioro cognitivo y condición sociofamiliar sobre el estado funcional en adultos mayores hospitalizados[Internet]. Revista Latinoamericana de Psicología.2021; 53:20-29. DOI: https://doi.org/10.14349/rlp.2021.v53.3
6 Katano S, Yano T, Ohori K, Kouzu H, Nagaoka R, Honma S, et al. Barthel Index score predicts mortality in elderly heart failure: a goal of comprehensive cardiac rehabilitation[Internet]. European Heart Journal.2021; DOI: https://doi.org/10.1093/eurheartj/ehab724.2809
7 Escobedo Romero R, Izquierdo Fernández MN. El Índice de Barthel como predictor de fragilidad en el anciano en urgencias[Internet]. Epub.2023[Acceso:30/03/25] ; 17( 1 ): 1666. Disponible en: http://scielo.isciii.es/scielo.phpscript=sci_arttext&pid=S1988-348X2023000100008&lng=es.
8 Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index [Internet]. Md Med J.1965[Acceso:30/03/25];13: 61-65. Disponible en: https://pubmed.ncbi.nlm.nih.gov/14258950/
9 Bo M, Fonte G, Pivaro F, Bonetto M. Prevalencia y factores asociados con la estancia hospitalaria prolongada en pacientes mayores hospitalizados[Internet]. Geriatrics & Gerontology International.2016;16 (3):314–321. DOI: https://doi.org/10.1111/GGI.12471
10 De Jaeger C.Fisiología del envejecimiento[Internet]. EMC-Kinesiterapia-Medicina Física.2018[Acceso: 05/04/2025];39(2):1-12. Disponible en : .https://www.sciencedirect.com/science/article/pii/S129329651889822X
11 Ojeda Méndez CA, Palomino Pacichana DS, Bejarano Barragán I, Ocampo Chaparro JM, Reyes Ortiz CA. Factores asociados con estancia hospitalaria prolongada en una unidad geriátrica de agudos[Internet]. Acta Medica Colombiana.2021;46(1): 7-13. DOI: https:/ doi.org/10.36104/amc.2021.1844
12 Durán Badillo T, Benítez Rodríguez VA, de la Luz Martínez Aguilar M, Gutiérrez Sánchez G, Herrera Herrera JL, Salazar Barajas M.Depresión, ansiedad, función cognitiva y dependencia funcional en adultos mayores hospitalizados[Internet]. Enfermería Global.2021;20(1):267 -284 DOI: https://doi.org/10.6018/eglobal.422641
13 Díaz Machado A, Tamargo Barbeito TO, Gutiérrez Rojas ÁR, Quesada Peña S. Factores clínicos que influyen en la estadía hospitalarian prolongada en salas de Medicina del Hospital Clínico Quirúrgico Hermanos Ameijeiras[Internet]. INFODIR.2024[Acceso:09/04/2025];Disponible en: https://revinfodir.sld.cu/index.php/infodir/article/view/1538
14 Lang PO, Heitz D, Meyer N, Dramé M, Jovenin N, Ankri J, et al. Indicateurs précoces de durée de séjour prolongée chez les sujets âgés: Étude pilote réalisée au CHRU de Strasbourg[Internet]. Presse Medicale.2007;36(3):389–398.DOI: https://doi.org/10.1016/J.LPM.2006.12.020
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Jorge Carlos Castillo Miranda, Ana Cristina Noa Rodríguez, Maylín Vargas Benitez, Emely García Además, Joalberto Delgado Prieto, Doniel Valdés Rodríguez, Bania Torrens Barquín
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
