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Journal of nephrology
Mar, 2025;38 (2): 665-674.

Effectiveness of rehabilitation in hospitalized hemodialysis patients as compared with rehabilitation in hospitalized patients not on hemodialysis: a retrospective cohort study.

Ren Takahashi, Hiroki Yabe, Hideaki Ishikawa, Takashi Hibino, Akio Suzumura, Tetsuya Yamada
Author Information
  1. Ren Takahashi: Department of Rehabilitation, Kaikoukai Josai Hospital, Nagoya, Aichi, Japan. 16RP24@g.seirei.ac.jp. ORCID
  2. Hiroki Yabe: Department of Physical Therapy, Seirei Christopher University, School of Rehabilitation, Hamamatsu, Shizuoka, Japan.
  3. Hideaki Ishikawa: Department of Internal Medicine, Kaikoukai Josai Hospital, Nagoya, Aichi, Japan.
  4. Takashi Hibino: Department of Rehabilitation, Kaikoukai Josai Hospital, Nagoya, Aichi, Japan.
  5. Akio Suzumura: Department of Neurology, Kaikoukai Josai Hospital, Nagoya, Aichi, Japan.
  6. Tetsuya Yamada: Dialysis Division, Kaikoukai Healthcare Group, Nagoya, Aichi, Japan.
PMID: 39847209 DOI: 10.1007/s40620-024-02192-3

Abstract

BACKGROUND: The effectiveness of rehabilitation aimed at improving the activities of daily living and physical functions may differ between hospitalized patients undergoing hemodialysis (HD) and not undergoing HD (non-HD). The aim of the present study was to compare the outcomes of rehabilitation between hospitalized HD and non-HD patients.
METHODS: This was a retrospective cohort study of inpatients who underwent rehabilitation. We measured the rehabilitation time (min/day), length of hospital stay (days), and the Barthel index (BI). In addition, at the time of admission and discharge, grip strength, isometric knee extension strength, 10 m walking speed, timed up and go test, and short physical performance battery were examined. The outcomes were then compared between the HD and non-HD groups.
RESULTS: This study was made up of 902 patients (non-HD group: 765, HD group: 137). Our analysis revealed a lower rehabilitation time [43.3 (0.6) vs. 38.8 (1.2) min/day] and longer hospital stay [48.5 (0.5) vs. 58.1 (2.3) days] in the HD group as compared with the non-HD group (p < 0.05). In addition, the 10 m walking speed [0.75 (0.02) vs. 0.66 (0.03) m/s], timed up and go test [20.8 (0.7) vs. 24.3 (1.0) sec], and short physical performance battery [6.3 (0.6) vs. 4.7 (0.6) points] at discharge were also significantly lower in the HD group as compared with the non-HD group (p < 0.05).
CONCLUSION: Rehabilitation efforts for HD patients need to be improved by securing more time for inpatient rehabilitation and promoting mobility function improvement for these patients.

Keywords

Hemodialysis Hospitalization Mobility Rehabilitation

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MeSH Term

Humans
Retrospective Studies
Male
Renal Dialysis
Female
Middle Aged
Aged
Length of Stay
Activities of Daily Living
Hospitalization
Treatment Outcome
Time Factors
Inpatients
Recovery of Function
Journal Article Comparative Study
Article has an altmetric score of 2

Word Cloud

Created with Highcharts 10.0.00rehabilitationHDpatientsnon-HDvshospitalizedstudytimecompared3groupphysical61undergoinghemodialysisoutcomesretrospectivecohorthospitalstayadditiondischargestrength10 mwalkingspeedtimedgotestshortperformancebatterygroup:lower825p < 0057RehabilitationBACKGROUND:effectivenessaimedimprovingactivitiesdailylivingfunctionsmaydifferaimpresentcompareMETHODS:inpatientsunderwentmeasuredmin/daylengthdaysBarthelindexBIadmissiongripisometrickneeextensionexaminedgroupsRESULTS:made902765137analysisrevealed[4338min/day]longer[4858days][075026603m/s][2024sec][64points]alsosignificantlyCONCLUSION:effortsneedimprovedsecuringinpatientpromotingmobilityfunctionimprovementEffectivenesspatients nothemodialysis:HemodialysisHospitalizationMobility

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