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Physical functional performance and prognosis in patients with heart failure: a systematic review and meta-analysis
- Source :
- BMC Cardiovascular Disorders, Vol 20, Iss 1, Pp 1-23 (2020), BMC Cardiovascular Disorders
- Publication Year :
- 2020
- Publisher :
- BioMed Central, Springer Nature, 2020.
-
Abstract
- Background Patients with Heart Failure (HF) show impaired functional capacities which have been related to their prognosis. Moreover, physical functional performance in functional tests has also been related to the prognosis in patients with HF. Thus, it would be useful to investigate how physical functional performance in functional tests could determine the prognosis in patients with HF, because HF is the leading cause of hospital admissions for people older than 65 years old. This systematic review and meta-analysis aims to summarise and synthesise the evidence published about the relationship between physical functional performance and prognosis in patients with HF, as well as assess the risk of bias of included studies and the level of evidence per outcome. Methods Major electronic databases, such as PubMed, AMED, CINAHL, EMBASE, PEDro, Web of Science, were searched from inception to March 2020 for observational longitudinal cohort studies (prospective or retrospective) examining the relationship between physical functional performance and prognosis in patients with HF. Results 44 observational longitudinal cohort studies with a total of 22,598 patients with HF were included. 26 included studies reported a low risk of bias, and 17 included studies showed a moderate risk of bias. Patients with poor physical functional performance in the Six Minute Walking Test (6MWT), in the Short Physical Performance Battery (SPPB) and in the Gait Speed Test showed worse prognosis in terms of larger risk of hospitalisation or mortality than patients with good physical functional performance. However, there was a lack of homogeneity regarding which cut-off points should be used to stratify patients with poor physical functional performance from patients with good physical functional performance. Conclusion The review includes a large number of studies which show a strong relationship between physical functional performance and prognosis in patients with HF. Most of the included studies reported a low risk of bias, and GRADE criteria showed a low and a moderate level of evidence per outcome.
- Subjects :
- Male
lcsh:Diseases of the circulatory (Cardiovascular) system
Hospitalización
Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Health Care Evaluation Mechanisms::Statistics as Topic::Probability::Risk::Risk Assessment [Medical Subject Headings]
Walking
030204 cardiovascular system & hematology
Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings]
0302 clinical medicine
Risk Factors
Physical functional performance
Hospitalisation
Medicine
030212 general & internal medicine
Phenomena and Processes::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Musculoskeletal Physiological Processes::Movement::Motor Activity::Exercise::Walking [Medical Subject Headings]
Persons::Persons::Age Groups::Adult::Aged [Medical Subject Headings]
Aged, 80 and over
Insuficiencia cardíaca
Pronóstico
Middle Aged
Prognosis
Cardiac surgery
Hospitalization
Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Patient Care::Hospitalization [Medical Subject Headings]
Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Research Design::Sensitivity and Specificity::Predictive Value of Tests [Medical Subject Headings]
Meta-analysis
Female
Gait Analysis
Cardiology and Cardiovascular Medicine
Research Article
medicine.medical_specialty
Check Tags::Male [Medical Subject Headings]
Walk Test
Functional tests
Heart failure
CINAHL
Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Health Care Evaluation Mechanisms::Statistics as Topic::Probability::Risk::Risk Factors [Medical Subject Headings]
Risk Assessment
03 medical and health sciences
Predictive Value of Tests
Humans
In patient
Mortality
Aged
Angiology
Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Techniques, Cardiovascular::Heart Function Tests::Exercise Test [Medical Subject Headings]
business.industry
Diseases::Cardiovascular Diseases::Heart Diseases::Heart Failure [Medical Subject Headings]
Persons::Persons::Age Groups::Adult::Middle Aged [Medical Subject Headings]
Evidence-based medicine
medicine.disease
Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Physical Examination::Gait [Medical Subject Headings]
Functional Status
Check Tags::Female [Medical Subject Headings]
lcsh:RC666-701
Persons::Persons::Age Groups::Adult::Aged::Aged, 80 and over [Medical Subject Headings]
Mortalidad
Physical therapy
Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Prognosis [Medical Subject Headings]
Observational study
business
Rendimiento físico funcional
Subjects
Details
- Language :
- English
- ISSN :
- 14712261
- Database :
- OpenAIRE
- Journal :
- BMC Cardiovascular Disorders, Vol 20, Iss 1, Pp 1-23 (2020), BMC Cardiovascular Disorders
- Accession number :
- edsair.doi.dedup.....956184b983e3609db47dadd0af8d9ae0