Association between the Level of Functionality and Hospital Readmission of Patients with Cardiovascular Disease
Abstract
Introduction: The assessment of functional capacity reflects the individual's ability to perform day-to-day activities that require aerobic metabolism. The Duke Activity Status Index (DASI) has prognostic value in the evaluation of patients with cardiovascular disease (CVD). Objective: to analyze the association between functionality, assessed by DASI and hospital readmission of people with CVD. Methods: A cross-sectional study was carried out with adults, of both sexes, diagnosed with CVD. Data collection was performed in four cardiology outpatient clinics. The following procedures were used: Anamnesis, International Physical Activity Questionnaire, determination of functional capacity through the application of the DASI. Results: The sample consisted of 160 participants, with a mean (SD) age of 64 (14) years, 61% female, 65% from public services. The main diagnoses were: 26% systemic arterial hypertension, 11% arrhythmia, 26% heart failure, 24% coronary artery disease and 13% others; 80% of individuals declared to be irregularly active or sedentary. The functionality assessed by DASI had a median of 19.2 points. Logistic regression analysis identified that lower levels of functionality (DASI<19.2), male gender and being a public service user, are factors independently associated with hospital readmission of patients with CVD. Conclusions: Low functional capacity was independently associated with hospital readmission.
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