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Volume 5, Issue 2 (Suppl) J Tradi Med Clin Natur
ISSN: JTMCN, an open access journal
Page 44
Notes:
Traditional Medicine 2016
September 14-16, 2016
conferenceseries.com
September 14-16, 2016 Amsterdam, Netherlands
6th International Conference and Exhibition on
Traditional & Alternative Medicine
An old and new assessment of frailty and heart failure in the elderly: The correlation between kampo-
scores, “the timed ‘up and go’ test”, and indices with echocardiography
Kazunari Ozaki1 , Mitsuru Kageyama2,3 , Yoshio Nakamura1,3 and Hiromi Rakugi3
1Itami City Hospital, Japan
2Kageyama Clinic, Japan
3Osaka City University Graduation School of Medicine, Japan
Background: There is, obviously, a growing interest in the concept of “frailty” in various areas of medicine. Gait speed is a key
component of evaluating frailty. The Timed “Up and Go” Test (TUG) is a commonly used measure of functional mobility in the
elderly. Meanwhile, optimal design of noninvasive evaluations for diastolic heart failure (HF) remains limited due to the deficiency
of simple clinical criteria. Furthermore, numerical scoring systems to evaluate patients’ physical conditions have been induced in
Kampo-medicine (Japanese Traditional Medicine). Suitai (water stagnation)-score and Qi (vital energy)-deficiency (QD)-score are
one of so-called Kampo-scores.
Objectives: This study aimed to examine the correlation between the TUG, Kampo-scores, and the indices with echocardiography in
hemodialysis outpatients with chronic HF.
Methods: We studied 46 outpatients at the hemodyalysis unit with simultaneous Kampo-scores, the TUG, cardiographical indices
with Doppler. The TUG score is the seconds it takes to complete the assignment (a patient stands, walks 3 m, turns, and returns and
sits down). We estimated the Kampo -scores with questionnaire and physical examination. We also measured and compared Kampo-
scores, the TUG and echo-cardiographical indices by linear regression.
Results: Some of the Kampo-scores (Suitai-score and QD-score) had positive correlation to the TUG [r=0.68, p<0.003, r=0.65,
p<0.04,]. E/e’ had positive correlation to the TUG [r=0.70, p<0.00001]. Suitai-score had positive correlation to E/e’ [r=0.75, p<0.001].
Conclusions: Our data suggest that Kampo-scores, which are simple, non-invasive and cost-effective clinical assessments, especially
Suitai-score and QD-score, can be used to define clinical evaluation of frailty in hemodialysis outpatients with chronic HF.
Biography
Kazunari Ozaki is an expertise in Kampo-medicine (Japanese Traditional Medicine) and practices as a Geriatrician-in-Chief at Itami City Hospital, Japan. He was
a Cardiologist in the Division of Geriatric Medicine and Hypertension (to date, Department of Geriatric and General Medicine), Osaka University Medical Hospital
and has also completed his PhD from Osaka University Graduate School of Medicine. He is a fellow of the Japan Society for Oriental Medicine, and a fellow of the
Japan Liason of Oriental Medicine. He has been serving as an Editorial Board Member of the Journal of Kampo, Acupuncture and Integrative Medicine (KAIM).
Kazunari Ozaki et al., J Tradi Med Clin Natur 2016, 5:2 (Suppl)