Short Physical Performance Battery in hospitalized older adults
Short Physical Performance Battery in hospitalized older adults
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DOI：
10.1007/bf03327444
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发表时间：
2009-12-01
影响因子：
4
通讯作者：
Ostir, Glenn V.
中科院分区：
文献类型：
--
作者：
Fisher, Steve;Ottenbacher, Kenneth J.;Ostir, Glenn V.
背景和目的：本研究的目的是确定是否可以在住院的老年患者群体中收集短期体力表现评估 (SPPB) 信息。并评估 SPPB 评分与社会人口学特征和临床指标之间的关联。方法：采用横断面设计，纳入 90 名入住老年人急症护理科的 65 岁或以上成年人。住院24小时内收集患者信息。 SPPB 使用社区老年人的既定标准进行评分，并根据因急性疾病住院的老年人修订标准。结果：平均年龄为 75.3 (SD 7.1) 岁：61% 为女性。 SPPB 可以安全可靠地用于住院老年患者。没有发生伤害或不良事件。与社区 SPPB 评分标准相比，医院 SPPB 评分标准更好地分布了老年患者的总体表现范围。在多元回归分析中。年龄增加 (p=0.007)、住院时间延长 (p=0.02)、合并症 (p=0.04)。当使用基于医院的评分标准进行评分时，SPPB 与认知（p=0.02）显着呈负相关。当使用基于社区的评分标准时，只有年龄 (p=0.02) 与 SPPB 显着相关。结论：本研究表明，可以可靠地收集住院老年患者的 SPPB。该研究进一步表明，基于医院的 SPPB 评分标准可能更适合老年患者群体。 （老化临床实验研究 2009；21：445-452）（C）2009，Editrice Kurtis
Background and aims: The objectives of this study were to determine if Short Physical Performance Battery (SPPB) information could be collected in a hospitalized older patient population. and to assess associations between SPPB scores and sociodemographic characteristics and clinical measures. Methods: A cross sectional design was used that included 90 adults aged 65 years or older admitted to an Acute Care for Elders unit. Patient information was collected within 24 hours of hospitalization. SPPB was scored using established criteria in older persons living in the community and revised criteria based on older persons hospitalized with acute illness. Results: The mean age was 75.3 (SD 7.1) years: 61% were women. The SPPB can be safely and reliably administered to hospitalized elderly patients. No injuries or adverse events occurred. Hospital SPPB scoring criteria better distributed the overall range of performance for older patients than community SPPB scoring criteria. In multivariate regression analyses. increasing age (p=0.007), length of stay (p=0.02), comorbidities (p=0.04). and cognition (p=0.02) were significantly and inversely associated with SPPB when scored using hospital based scoring criteria. Only age (p=0.02) was significantly associated with SPPB when using community based scoring criteria. Conclusions: This study showed that a SPPB can be reliably collected in hospitalized older patients. The study further suggests that hospital based SPPB scoring criteria may be more appropriate for an older patient population. (Aging Clin Exp Res 2009; 21: 445-452) (C) 2009, Editrice Kurtis