Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, Texas, TX 77555-0460, USA.
Aging Clin Exp Res. 2009 Dec;21(6):445-52. doi: 10.1007/BF03327444.
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.
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.
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.
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.
本研究的目的是确定是否可以在住院老年患者人群中收集短期身体表现电池（SPPB）信息，并评估 SPPB 评分与社会人口统计学特征和临床指标之间的关联。
采用横断面设计，纳入 90 名年龄在 65 岁或以上的入住急性老年护理病房的成年人。患者信息在住院后 24 小时内收集。使用社区中老年人的既定标准和基于急性疾病住院老年人的修订标准对 SPPB 进行评分。
平均年龄为 75.3（SD 7.1）岁；61%为女性。SPPB 可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 评分标准更能均匀分布老年患者的整体表现范围。在多变量回归分析中，使用基于医院的评分标准时，年龄增加（p=0.007）、住院时间（p=0.02）、合并症（p=0.04）和认知能力（p=0.02）与 SPPB 呈显著负相关。仅年龄（p=0.02）与使用社区评分标准时的 SPPB 显著相关。
本研究表明 SPPB 可以在住院老年患者中可靠地收集。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人群。
