Lower limb function as predictor of falls and loss of mobility with social repercussions one year after discharge among elderly inpatients

Quadri, Pierluigi; Tettamanti, Mauro; Bernasconi, Sonia; Trento, Flavio; Loew, François

doi:10.1007/bf03324578

Cited by 43 publications

(34 citation statements)

References 57 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Select correlates of SPPB could explain it. For instance, SPPB has been accreditated for predicting falls, 32 and falls, in turn, mark a dramatic decline of personal independence through a variety of mechanisms. 33 Furthermore, SPPB can reveal slowing of the walk, which is the hallmark of highly disabling conditions, such as Parkinson disease, deconditioning, arthritis, and other medical co-morbidities (e.g., hypothyroidism), and predicts further decline in functioning.…”

Section: Discussionmentioning

confidence: 99%

Prognostic Significance of the Short Physical Performance Battery in Older Patients Discharged from Acute Care Hospitals

Corsonello

Lattanzio

Pedone

et al. 2012

Rejuvenation Research

View full text Add to dashboard Cite

We investigated the prognostic role of the Short Physical Performance Battery (SPPB) in elderly patients discharged from the acute care hospital. Our series consisted of 506 patients aged 70 years or more enrolled in a multicenter collaborative observational study. We considered three main outcomes: 1-year survival after discharge, functional decline, and hospitalization during follow-up. Independent predictors/correlates of the outcomes were investigated by Cox regression or logistic regression analysis when appropriate. The diagnostic accuracy of SPPB in relation to study outcomes was investigated by receiver operating characteristic (ROC) curve. SPPB score was associated with reduced mortality (hazard ratio [HR] = 0.86, 95% confidence interval [CI] 0.78-0.95). When the analysis was adjusted for functional status at discharge, such an association was still near significant only for SPPB values > 8 (HR = 0.51; 95% CI 0.30-1.05). An SPPB score < 5 could identify patients who died during follow-up with fair sensitivity (0.66), specificity (0.62), and area under the ROC curve (0.66). SPPB also qualified as independent correlate of functional decline (odds ratio [OR] = 0.82; 95% CI 0.70-0.96), but not of rehospitalization or combined end-point death or rehospitalization. An SPPB score < 5 could identify patients experiencing functional decline during follow-up with lower sensitivity (0.60), but higher specificity (0.69), and area under the ROC curve (0.69) with respect to mortality. In conclusion, SPPB can be considered a valid instrument to identify patients at major risk of functional decline and death after discharge from acute care hospital. However, it could more efficiently target patients at risk of functional decline than those at risk of death.

show abstract

Section: Discussionmentioning

confidence: 99%

Prognostic Significance of the Short Physical Performance Battery in Older Patients Discharged from Acute Care Hospitals

Corsonello

Lattanzio

Pedone

et al. 2012

Rejuvenation Research

View full text Add to dashboard Cite

show abstract

“…For instance, SPPB has been shown to be highly predictive of falls, 46 which, in turn mark a dramatic decline of personal independence through a variety of mechanisms. 47 Furthermore, SPPB can reveal slowing of walking, which is the hallmark of highly disabling conditions, such as Parkinson disease, deconditioning, arthritis, and other medical co-morbidities (e.g., hypothyroidism), and predicts further decline in functioning.…”

Section: Discussionmentioning

confidence: 99%

Relationship Between Renal Function and Physical Performance in Elderly Hospitalized Patients

Lattanzio

Corsonello

Abbatecola

et al. 2012

Rejuvenation Research

View full text Add to dashboard Cite

Chronic kidney disease (CKD) is increasingly recognized as a cause of worsening physical functioning in older patients. The Short Physical Performance Battery (SPPB) is highly reliable in older populations, but no data on older hospitalized patients with different degrees of kidney function are available. We aimed at testing the association between estimated glomerular filtration rate (eGFR) and SPPB, either global score (range 0-12) or its individual components (muscle strength, balance, and walking speed, each ranging from 0 to 4), in a sample of older hospitalized patients. Our series consisted of 486 patients aged 65 or more consecutively enrolled in 11 acute care medical wards participating to a multicenter observational study. eGFR was obtained by the Chronic Kidney Disease Epidemiological Collaboration (CKD-EPI) equation. Physical performance was objectively measured by the SPPB. The relationship between eGFR and SPPB was investigated by multiple linear regression analysis. Physically impaired patients (SPPB total score < 5) were older, had lower serum albumin and MiniMental State Examination (MMSE) scores as well as higher overall co-morbidity, prevalence of stroke, cancer, and anemia compared to those with intermediate (SPPB = 5-8) and good physical performance (SPPB = 9-12). Fully adjusted multivariate models showed that eGFR (modeled as 10 mL/min per 1.73 m 2 intervals) was independently associated with the SPPB total score (B = 0.49; 95% confidence interval [CI] = 0.18-0.66; p = 0.003), balance (B = 0.30; 95% CI = 0.10-0.49; p = 0.005), and muscle strength (B = 0.06; 95% CI = 0.01-0.10; p = 0.043), but not with walking speed (B = -0.04; 95% CI = -0.09-0.11; p = 0.107). In conclusion, reduced renal function is associated with poorer physical performance in older hospitalized patients. SPPB is worthy of testing to monitor changes in physical performance in elderly CKD patients.

show abstract

“…This test was performed only after the elderly person demonstrated their ability to stand without using their arms. Previous studies have shown that the SPPB can predict disability, institutionalization, falls, and mortality among older adults [13141516]. A score ranging from 0 to 4 (0, inability to complete the task; 4, highest level of function) was given for each task in the SPPB, with the sum of these three tests (0–12) reflecting the complete measurement of physical function [13].…”

Section: Methodsmentioning

confidence: 99%

The Association Between Fall History and Physical Performance Tests in the Community-Dwelling Elderly: A Cross-Sectional Analysis

et al. 2017

View full text Add to dashboard Cite

ObjectiveTo evaluate the association between baseline characteristics, three physical performance tests and fall history in a sample of the elderly from Korean population.MethodsA total of 307 participants (mean age, 76.70±4.85 years) were categorized into one of two groups, i.e., fallers and non-fallers. Fifty-two participants who had reported falling unexpectedly at least once in the previous 12 months were assigned to the fallers group. Physical performance tests included Short Physical Performance Battery (SPPB), Berg Balance Scale (BBS), Timed Up and Go test. The differences between the two study groups were compared and we analyzed the correlations between fall histories and physical performance tests.ResultsSPPB demonstrated a significant association with fall history. Although the BBS total scores did not show statistical significance, two dynamic balance test items of BBS (B12 and B13) showed a significant association among fallers.ConclusionThis study suggests that SPPB and two dynamic balance test items of the BBS can be used in screening for risk of falls in an ambulatory elderly population.

show abstract

Lower limb function as predictor of falls and loss of mobility with social repercussions one year after discharge among elderly inpatients

Abstract: Lower limb mobility tests performed in an acute care hospital setting are predictive of future falls, inability to leave home, and/or need for nursing home care.

Cited by 43 publications

References 57 publications

Prognostic Significance of the Short Physical Performance Battery in Older Patients Discharged from Acute Care Hospitals

Prognostic Significance of the Short Physical Performance Battery in Older Patients Discharged from Acute Care Hospitals

Relationship Between Renal Function and Physical Performance in Elderly Hospitalized Patients

The Association Between Fall History and Physical Performance Tests in the Community-Dwelling Elderly: A Cross-Sectional Analysis

Contact Info

Product

Resources

About