Physical function and frailty for predicting adverse outcomes in older primary care patients
Archives of Physical Medicine and Rehabilitation Feb 02, 2020
O’Hoski S, Bean JF, Ma J et al. - In this study, 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 were examined. A sum of 391 adults (65 years and older) at risk for disability who completed ≥ 1 follow-up call (N = 391) were recruited. They estimated separate logistic regression models applying 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. The areas under the curves estimated and receiver operating characteristic curves were constructed. Among older primary care patients at risk for disability, the SPPB, LLFDI-function, and frailty phenotype had similar accuracy for predicting falls, hospitalizations, ED visits, and low SRH over 1 and 2 years. The selection between a measure of function and frailty may finally depend on clinical preference and context when considering the optimal screening tool for older adults.
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