Table 2.
Adjusted and unadjusted differences (reference = HFrEF) in baseline physical function, quality of life, depression, and cognition in patients ≥60 years hospitalized with ADHF by heart failure phenotype.
Unadjusted Analysis | Adjusted Analysis | ||||||
---|---|---|---|---|---|---|---|
HFpEF (n=185) | HFrEF (n=164) | P-value | HFpEF (n=185) | HFrEF (n=164) | Group Difference (95% CI) | P-value | |
SPPB Score | 5.7±2.7 | 6.5±2.7 | 0.007 | 5.8±0.2 | 6.4±0.2 | −0.6 (−1.2, −0.1) | 0.024 |
Balance Score | 2.5±2.4 | 2.7±2.5 | 0.29 | 2.5±0.1 | 2.7±0.1 | −0.2 (−0.4, 0.1) | 0.24 |
4-meter Walk Score | 2.1±1.1 | 2.5±1.0 | 0.001 | 2.2±0.1 | 2.4±0.1 | −0.3 (−0.5, 0.0) | 0.016 |
Chair Rise Score | 1.0±1.1 | 2.3±1.2 | 0.035 | 1.0±0.1 | 1.3±0.1 | −0.2 (−0.5, 0.0) | 0.10 |
6 Minute Walk Distance (m) | 174±103 | 214±105 | <0.001 | 179±7 | 209±8 | −30 (−52, −8) | 0.007 |
Gait Speed (m/s) | 0.57±0.22 | 0.64±0.22 | 0.002 | 0.58±0.02 | 0.63±0.02 | −0.05 (−0.10, −0.01) | 0.026 |
Modified Fried Frailty Criteria* | 2.5±1.1 | 2.2±1.0 | 0.009 | 2.4±0.1 | 2.2±0.1 | 0.2 (0.0, 0.5) | 0.05 |
KCCQ Overall | 37±20 | 45±21 | <0.001 | 38±2 | 45±2 | −7 (−12, −3) | 0.002 |
KCCQ Clinical | 37±21 | 45±21 | <0.001 | 37±2 | 45±2 | −8 (−12, −3) | 0.001 |
EuroQol Visual Analogue Scale | 56±21 | 61±23 | 0.037 | 56±2 | 61±2 | −4 (−9, 0) | 0.07 |
Cognition (MoCA Score) | 22.1±4.1 | 21.6±4.7 | 0.27 | 22.1±0.3 | 21.6±0.3 | 0.5 (−0.4, 1.4) | 0.27 |
Depression (GDS-15 Score) | 5.3±3.5 | 4.0±3.0 | <0.001 | 5.3±0.2 | 4.0±0.3 | 1.3 (0.5, 2.0) | <0.001 |
Unadjusted values shown as mean±SD or frequency (%). Adjusted values shown as LSmean±SE adjusted for sex, race, and BMI and total number of comorbidities. KCCQ scores range 0–100, with higher score meaning better health status. MoCA score ranges 0–30 with higher score meaning better cognitive function. GDS-15 score ranges 0–15 with higher score meaning worse depressive symptoms.
Abbreviations: KCCQ: Kansas City Cardiomyopathy Questionnaire; PCS: physical composite score; MCS: mental composite score; MoCA: Montreal Cognitive Assessment.
Adjusted for sex, race, and BMI only.