Is SPPB useful as a method for screening functional capacity in patients with advanced chronic kidney disease?
Is SPPB useful as a method for screening functional capacity in patients with advanced chronic kidney disease?
复制标题
SPPB 作为筛查晚期慢性肾病患者功能能力的方法有用吗？
DOI：
10.1016/j.nefroe.2019.01.010
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
G. Barril
中科院分区：
文献类型：
--
作者：
Á. Nogueira;G. Álvarez;F. Russo;B. San;J. Sánchez;G. Barril
简介和目的 CKD 的后果之一是功能能力的恶化，能够从疾病的不同阶段表现出来，直到肾脏替代治疗。本研究的目的是通过功能能力测试确定 CKD 患者的功能，同时评估 SPPB 作为筛查测试的有用性。材料和方法使用 SPPB、6MM、TUTG 和 STS 测试评估 CKD 患者的功能能力。还通过手动测力法找到了肌肉力量。结果在 121 名进行 CKD 查询的患者中，118 名患者提出了进行功能能力测试的最低功能，其中 71.2% 的患者能够进行 4 项测试，28.8% 只能进行 SPPB 测试。对于 SPPB 评分较低的患者，71.43% 的患者无法跟踪其余测试的评估，而其中 92.31% 得分较高，其余证据继续。按年龄范围进行区分，大多数年轻患者的局限性很小，发现年龄较大的患者的残疾率较高。 SPPB 中的良好分数意味着表现出良好的功能能力，并允许继续评估患者，通过其余测试和更多的肌肉力量获得更好的结果。良好的营养状态和身体成分意味着更好的功能。结论在确定肾病患者功能能力的最佳方法尚未达成共识的情况下，为了评估所有患者，建议使用SPPB测试作为筛查方法，并根据结果用作其余测试以更完整是否有必要进行研究。
Introduction and objectiveOne of the consequences of the CKD, is the deterioration of the functional capacity, being able to manifest from different stages of the disease, until renal replacement therapy.The objective of this study was to determine the functionality of patients with CKD through functional capacity test, valuing the usefulness of the SPPB as a screening test in parallel.Materials and methodsIt assessed the functional capacity of patients with CKD, using the test SPPB, 6MM, TUTG and STS. Also found the muscle strength with manual dynamometry.ResultsOf 121 patients who came to the CKD query, 118 presented a minimum functionality to perform tests of functional capacity, a 71.2% of the patients were able to perform 4 tests, a 28.8% only could make the SPPB test.To a 71.43% of patients who presented a low score in SPPB, not could follow assessed them with the rest of the test, while the 92.31% of which had a high score, continued with the rest of the evidence. To differentiate by age ranges, the majority of young patients have minimal limitations, finding higher rates of disability in older age ranges. A good score in SPPB meant to present good functional capacity and allowed to continue evaluating the patient, obtaining better results with the rest of test and more muscle strength. A good nutritional better status and body composition was a better functionality.ConclusionIn the absence of a consensus of what is the best method of determining the functional capacity of the kidney patient, and to assess all patients, propose to use the test SPPB as screening method, and depending on the result used as the rest of the test to more complete if it is necessary to study.
影响因子：
6.1
作者：
Kalantar-Zadeh, K;Kopple, JD;Block, G
通讯作者：
Block, G
影响因子：
13.6
作者：
Roshanravan, Baback;Robinson-Cohen, Cassianne;Seliger, Stephen
通讯作者：
Seliger, Stephen
DOI：
10.1093/geronj/49.2.m85
发表时间：
1994-03-01
期刊：
JOURNALS OF GERONTOLOGY
影响因子：
--
作者：
GURALNIK, JM;SIMONSICK, EM;WALLACE, RB
通讯作者：
WALLACE, RB