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Titre : | Physical Function and Frailty for Predicting Adverse Outcomes in Older Primary Care Patients (2020) |
Auteurs : | Sachi O'Hoski ; Jonathan F. Bean ; Jinhui Ma |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 101, n° 4, 2020) |
Article en page(s) : | p. 592-598 |
Note générale : |
https://doi.org/10.1016/j.apmr.2019.11.013
|
Langues: | Anglais |
Descripteurs : |
HE Vinci Chutes accidentelles ; Fragilité ; Hospitalisation ; Réadaptation ; Soins de santé primaires ; Sujet âgé |
Résumé : |
Objective
To explore the predictive ability of the Short Physical Performance Battery (SPPB), Late Life Function and Disability Instrument-Function component (LLFDI-function) and frailty phenotype, for falls, hospitalizations, emergency department (ED) visits, and low self-rated health (SRH) over 1 and 2 years in older adults. Design Secondary analysis of data from a longitudinal study, the Boston Rehabilitative Impairment Study of the Elderly. Setting Primary care. Participants Adults 65 years and older at risk for disability who completed ≥1 follow-up call (N=391). Interventions None. Main Outcome Measures We computed separate logistic regression models using the SPPB, LLFDI-function, and frailty phenotype as independent variables and falls, hospitalizations, ED visits, and SRH over 1 and 2 years as dependent variables. Receiver operating characteristic curves were constructed and the areas under the curves calculated. Results Participants had a mean age of 76.5±7.1 years. The SPPB, LLFDI-function, and frailty phenotype all predicted hospitalizations and low SRH over a 1- and 2-year timeframe (odds ratio [OR] min-max, 1.35-1.51 and 1.67-3.07, respectively). Over 2 years, the SPPB predicted ED visits (OR, 1.28), and the LLFDI-function predicted falls (OR, 1.31). The LLFDI-function predicted low SRH better than the frailty phenotype over 1 year. There were no differences between the measures for any of the other outcomes. Conclusions The SPPB, LLFDI-function, and frailty phenotype had similar accuracy for predicting falls, hospitalizations, ED visits, and low SRH over 1 and 2 years among older primary care patients at risk for disability. As a result, when considering the optimal screening tool for older adults, the choice between a measure of function and frailty may ultimately depend on clinical preference and context. |
Disponible en ligne : | Non |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999319314674 |