Activities of daily living among elderly persons with severe aortic stenosis

Purpose: To determine the level of limitations in activities of daily living (ADL) and instrumental ADL, and identify related factors to instrumental ADL among elderly persons with severe aortic stenosis (AS). Materials and methods: We prospectively enrolled 112 consecutive elderly persons (mean age, 84.6 +/- 4.4 y) with severe AS. We assessed ADL and instrumental ADL using the Barthel index (BI) and the Frenchay activities index (FAI), respectively. Cardiac, physical, cognitive and kidney functions, nutritional status, medical histories, and comorbidities were assessed. A multiple logistic analysis was developed to explore related factors to the FAI. Results: The medians (ranges) of BI and FAI were 100 (15-100) and 21 (0-38), respectively. The multiple logistic analysis revealed that a history of heart failure (s beta = -0.189), a history of cerebrovascular disease (s beta = -0.233), the short physical performance battery score <= 8 (s beta = -0.272), the mini-mental state examination score <= 23 (s beta = -0.168) were significantly related to the FAI (p < 0.05). Conclusions: Physical frailty, a history of heart failure, cerebrovascular disease, and cognitive decline were independently related to declined instrumental ADL.

Automated summary

The study aimed to determine the level of limitations in activities of daily living and instrumental activities of daily living among elderly individuals with severe aortic stenosis. The results indicated that a history of heart failure, cerebrovascular disease, physical function, and cognitive decline were significantly related to declines in instrumental activities of daily living.