原创力文档association between frequency domain heart rate variability and unplanned readmission to hospital in geriatric patients协会之间的频域心率变异性和计划外重返医院的老年病人.pdfVIP
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association between frequency domain heart rate variability and unplanned readmission to hospital in geriatric patients协会之间的频域心率变异性和计划外重返医院的老年病人
Chiang et al. BMC Public Health 2011, 11:137
/1471-2458/11/137
RESEARCH ARTICLE Open Access
Association between Frequency Domain Heart
Rate Variability and Unplanned Readmission to
Hospital in Geriatric Patients
1,2 3,4 5 6*
Jui-Kun Chiang , Chin-Hua Fu , Terry BJ Kuo , Malcolm Koo
Abstract
Background: An accurate prediction of unplanned readmission (UR) after discharge from hospital can facilitate
physician’s decision making processes for providing better quality of care in geriatric patients. The objective of this
study was to explore the association of cardiac autonomic functions as measured by frequency domain heart rate
variability (HRV) and 14-day UR in geriatric patients.
Methods: Patients admitted to the geriatric ward of a regional hospital in Chiayi county in Taiwan were followed
prospectively from July 2006 to June 2007. Those with invasive tubes and those who were heavy smokers, heavy
alcohol drinkers, on medications that might influence HRV, or previously admitted to the hospital within 30 days
were excluded. Cardiac autonomic functions were evaluated by frequency domain indices of HRV. Multiple logistic
regression was used to assess the association between UR and HRV indices adjusted for age and length of
hospitalization.
Results: A total of 78 patients met the inclusion criteria and 15 of them were readmitted within 14 days after
discharge. The risk of UR was significantly higher in patients with lower levels of total power (OR = 1.39; 95% CI = 1.04-
2.00), low frequency power (LF) (OR = 1.22; 95% CI = 1.03-1.49), high frequency power (HF) (OR = 1.27; 95% CI = 1.02-
1.64), and lower ratios of low frequency power to high frequency power (LF/HF ratio) (OR = 1.96; 95% CI = 1.07-3.84).
Conclusion: This is the first stud
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