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Expert and rehabilitation profiles of persons examined due to valvular heart disease based on International Classification of Functioning Domains: a retrospective cross-sectional study

Year: 2026

Type: article

Abstract: BACKGROUND: In valvular heart defects, expert assessment must consider not only clinical severity but also how cardiovascular dysfunction affects self-care, mobility, and work. Traditional methods inadequately reflect daily activity and social participation, so applying International Classification of Functioning, Disability and Health (ICF) domains as a framework for functional profiling is promising. AIM: To study the structure of functional limitations in disabled persons with valvular heart defects and identify expert-rehabilitation profiles based on ICF domains. METHODS: A single-center retrospective cross-sectional study of medical and social expertise data from 2017–2024 was performed. First, the structure of limitations by categories and severity grades was analyzed. Second, in 557 examinees, associations between clinical-functional parameters and limitation grades were assessed, followed by ICF domain comparison and cluster analysis. RESULTS: Among 13,652 disabled persons, grade 1 limitations predominated: self-car (82.6%), mobility (75.9%), work (74.4%). Grade 2 limitations were most frequent for work (20.9%). Limitation severity correlated with chronic heart failure stage (χ²=462.2–890.8; p 0.001) and NYHA class (χ²=333.7–545.5; p 0.001). Grade 2 was associated with chronic heart failure IIB, atrial fibrillation, ischemic heart disease, the absence of surgical correction, a lower left ventricular ejection fraction, and a higher peak inspiratory pressure. Cluster analysis revealed three profiles differing in impairment severity and functional limitations. CONCLUSION: Functional limitations in valvular heart defects are multifactorial. ICF-based profiling enables a shift from isolated category descriptions to integrated profiles, facilitating structured assessment and rehabilitation planning.

Source: Physical and rehabilitation medicine medical rehabilitation

DOI: 10.36425/rehab714053

Authors: Svetlana V. Smotrina, Oleg S. Vasilyev, Sergey P. Zapariy, Vitaly A. Okhlopkov, Vladimir G. Deriushkin

Institution: Sechenov University

Language: English

Topic: Cardiac Valve Diseases and Treatments

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7216142997

FWCI:

Cites: 15

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Related to: 10