Association between Short Physical Performance Battery and Hospital-acquired Disability in Older Cardiac Surgery Patients

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  • 高齢心臓外科手術患者におけるShort Physical Performance Batteryと入院関連能力低下との関連

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Abstract

<p>Objective: The purpose of this study was to examine the association between the Short Physical Performance Battery (SPPB) and Hospital-acquired disability (HAD) in older patients who underwent cardiac surgery.</p><p>Methods: This study included 117 patients aged ≥65 (73.5±5.4) years who underwent cardiac surgery. The development of HAD was defined as a score of ≤5 on any one of the subitems of the Functional independence measure (FIM) at the time of hospital discharge compared to the preoperative level, and the association with SPPB was investigated.</p><p>Results: The incidence of HAD was 20.5%. Preoperative SPPB was an independent predictor of HAD, as were the number of days of walking independently postoperatively, with a cutoff value of 10 points. Furthermore, each SPPB domain was correlated with FIM subitems in the HAD group.</p><p>Conclusion: The preoperative SPPB in older patients who underwent cardiac surgery is a factor associated with the development of HAD, suggesting that it may be used as a tool to screen FIM subitems that are predicted to decline postoperatively.</p>

Journal

  • Physical Therapy Japan

    Physical Therapy Japan 49 (6), 389-398, 2022-12-20

    Japanese Society of Physical Therapy

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