ỨNG DỤNG NGHIỆM PHÁP HANDGRIP TRONG ĐÁNH GIÁ SỨC CƠ TRÊN BỆNH NHÂN CAO TUỔI MẮC SUY TIM MẠN ĐIỀU TRỊ NỘI TRÚ TẠI BỆNH VIỆN THỐNG NHẤT

Abstract

Objectives: Determine the rate of handgrip strength reduction in elderly patients with chronic heart failure hospitalized at Thong Nhat Hospital. Identify relationship between clinical and paraclinical characteristics (age, gender, body mass index, comorbidities, NYHA functional class, NT-proBNP) in elderly inpatients with chronic heart failure and the status of reduced handgrip strength. Methods: A descriptive cross-sectional study was conducted on 124 inpatients aged ≥ 60 with chronic heart failure at Thong Nhat Hospital from December 2022 to March 2023, measuring handgrip strength using the Camry Smedley electronic hand dynamometer. Results: The rate of reduced handgrip strength in elderly patients with chronic heart failure was 78%, with 50% in males and 47% in females. The reduction rates of the age groups were: 26% for 60–69 years old, 33% for 70–79 years old, and 38% for ≥ 80 years old. Factors related to reduced handgrip strength in elderly patients with chronic heart failure were: age – for every 1-year increase, the risk of reduced handgrip strength increased by 1,09 times (95% CI: 1,02–1,16; p = 0,013), body mass index – overweight patients had a 0,33 times lower risk of reduced handgrip strength compared to those with a normal BMI (95% CI: 0,12–0,92; p = 0.034), NYHA functional class – NYHA III patients had a 3,64 times higher risk of reduced handgrip strength compared to NYHA II patients (95% CI: 1,34–9,87; p = 0,011). Conclusion: The rate of reduced handgrip strength in elderly patients with chronic heart failure was 78%. Advanced age, body mass index, and NYHA functional class were relation factors associated with reduced handgrip strength in elderly patients with chronic heart failure