Relationship of early intensive- or coronary care unit admission and post-discharge performance of activities of daily living in patients with acute decompensated heart failure

Abstract Background The management of acute decompensated heart failure (ADHF) often requires intensive care. However, the effects early care unit (ICU)/coronary (CCU) admission on activities daily living (ADL) in ADHF patients have not been precisely evaluated. Thus, we assessed whether ICU entry can improve post-discharge ADL performance these patients. Methods and results (New York Heart Association I–III) admitted emergency between April 1, 2014, December 31, 2018, were selected from Diagnosis Procedure Combination database divided into ICU/CCU (ICU) general ward (GW) groups according to hospitalization type day 1. propensity score was calculated create matched cohorts where treatment assignment (ICU/CCU admission) is independent measured baseline confounding factors including at admission. primary outcome post-ADL defined Barthel index (BI) discharge. Secondary outcomes included length stay (LOS) total cost (expense). Overall, 12,231 eligible, matching created 2,985 pairs. After matching, significantly higher group (GW 71.5±35.3 vs. 78.2±31.2, P<0.001, difference mean 6.7 (95% CI 5.1–8.4) points). LOS shorter expenses group. Subanalyses showed that with low (BI<60) mainly benefited entry. Conclusions Early beneficially associated might serve as a useful criterion for Funding Acknowledgement Type funding sources: None.