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Variability in Physical Activity Assessed with Accelerometer Is an Independent Predictor of Mortality in CHF Patients
Authors:Michael Melin  Inger Hagerman  Adrian Gonon  Thomas Gustafsson  Eric Rullman
Affiliation:1Department of Cardiology, Karolinska Institutet, Karolinska University Hospital, Huddinge, Stockholm, Sweden;2Division of Clinical Physiology, Department Laboratory Medicine, Karolinska Institutet, Karolinska University Hospital, Huddinge, Stockholm, Sweden;University of Naples Federico II, ITALY
Abstract:AimsPatients with heart failure often display a distinct pattern of walking characterized by short step-length and frequent short pauses. In the current study we sought to explore if qualitative aspects of movement have any additive value to established factors to predict all-cause mortality in patients with advanced heart failure.ConclusionThe feature skewness, a measure of asymmetry in the intensity level of periods of high physical activity, was identified to be predictive of all-cause mortality independent of the established prognostic model–HFSS and peak VO2. The findings from the present study emphasize the use of accelerometer analysis in clinical practice to make more accurate prognoses in addition to extract features of physical activity relevant to functional classification.
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