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Hartford Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000909","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005485","name":"American College of Cardiology Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005485","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      To determine the prognostic value of slow gait in predicting outcomes 1 year after acute myocardial infarction (\n                      <jats:styled-content style=\"fixed-case\">AMI<\/jats:styled-content>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Observational cohort with longitudinal follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Twenty\u2010four U.S. hospitals participating in the Translational Research Investigating Underlying disparities in recovery from acute Myocardial infarction: Patients' Health status Registry.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>\n                      Older adults (\u226565) with in\u2010home gait assessment 1 month after\n                      <jats:styled-content style=\"fixed-case\">AMI<\/jats:styled-content>\n                      (N = 338).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Baseline characteristics and 1\u2010year mortality or hospital readmission adjusted using Cox proportional hazards regression in older adults with slow (&lt;0.8 m\/s) versus preserved (\u22650.8 m\/s) gait speed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Slow gait was present in 181 participants (53.6%). Those with slow gait were older, more likely to be female and nonwhite, and had a higher prevalence of heart failure and diabetes mellitus. They were also more likely to die or be readmitted to the hospital within 1 year than those with preserved gait (35.4% vs 18.5%, log\u2010rank\n                      <jats:italic>P<\/jats:italic>\n                      = .006). This association remained significant after adjusting for age, sex, and race (slow vs preserved gait hazard ratio (\n                      <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\n                      ) = 1.76, 95% confidence interval (\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      )=1.08\u20132.87,\n                      <jats:italic>P<\/jats:italic>\n                      = .02) but was no longer significant after adding clinical factors (\n                      <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\n                      = 1.23, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      =0.74\u20132.04,\n                      <jats:italic>P<\/jats:italic>\n                      = .43).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Slow gait, a marker of frailty, is common 1 month after\n                      <jats:styled-content style=\"fixed-case\">AMI<\/jats:styled-content>\n                      in older adults and is associated with nearly twice the risk of dying or hospital readmission at 1 year. Understanding its prognostic importance independent of comorbidities and whether routine testing of gait speed can improve care requires further investigation.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.14016","type":"journal-article","created":{"date-parts":[[2016,3,1]],"date-time":"2016-03-01T08:52:56Z","timestamp":1456822376000},"page":"596-601","source":"Crossref","is-referenced-by-count":44,"title":["Slow Gait Speed and Risk of Mortality or Hospital Readmission After Myocardial Infarction in the Translational Research Investigating Underlying Disparities in Recovery from Acute Myocardial Infarction: Patients' Health Status Registry"],"prefix":"10.1111","volume":"64","author":[{"given":"John A.","family":"Dodson","sequence":"first","affiliation":[{"name":"Leon H. 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