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慢性肾脏病住院患者短身体机能测试的早期评估可预测长期住院情况。

Early Evaluation of the Short Physical Performance Battery in Hospitalized Patients with Chronic Kidney Disease Predicts Long-Term Hospitalization.

作者信息

Amari Takashi, Kubo Eiji, Kuramochi Yota, Onoda Shota, Fukuda Kyosuke, Yokoyama Emi, Kimura Masami, Arai Tomoyuki

机构信息

Department of Physical Therapy, Saitama Medical University, Kaswakado, Moroyamacho, Saitama 350-0496, Japan.

Department of Nephrology, Sakura Memorial Hospital, Mizutani Higashi, Fujimi-Shi, Saitama 354-0013, Japan.

出版信息

Diseases. 2025 Mar 19;13(3):88. doi: 10.3390/diseases13030088.

DOI:10.3390/diseases13030088
PMID:40136628
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11941071/
Abstract

BACKGROUND

The relationship between hospitalization duration and physical function in patients with chronic kidney disease (CKD) has not been thoroughly investigated. This study aimed to determine whether assessment of physical function one week after hospitalization can predict the length of stay in patients with CKD.

METHODS

A retrospective study was conducted on hospitalized patients with CKD who underwent rehabilitation between March 2019 and March 2020. Physical function was evaluated using the Short Physical Performance Battery (SPPB), grip strength, and Barthel Index and analyzed alongside clinical data.

RESULTS

The mean age of the participants was 73.4 ± 11.9 years, with 92% having stage G4 or G5 CKD. Multivariate analysis revealed that the SPPB (β = -0.33, < 0.01) at one week after admission was significantly associated with the length of hospital stay (R = 0.11, < 0.02). Notably, in the subgroup of patients who were transferred to other facilities, the SPPB alone showed a strong association with the length of stay (β = -0.66, < 0.03, R = 0.23, < 0.05).

CONCLUSIONS

The SPPB score in the early stages of hospitalization for patients with CKD was found to be a significant predictor of the length of stay, even after considering the eGFR and the Charlson Comorbidity Index. These findings may contribute to optimizing inpatient management and rehabilitation strategies for patients with CKD.

摘要

背景

慢性肾脏病（CKD）患者的住院时长与身体功能之间的关系尚未得到充分研究。本研究旨在确定住院一周后对身体功能的评估是否能够预测CKD患者的住院时间。

方法

对2019年3月至2020年3月期间接受康复治疗的住院CKD患者进行了一项回顾性研究。使用简短体能状况量表（SPPB）、握力和巴氏指数评估身体功能，并与临床数据一起进行分析。

结果

参与者的平均年龄为73.4±11.9岁，92%的患者患有G4或G5期CKD。多变量分析显示，入院一周后的SPPB（β=-0.33，P<0.01）与住院时长显著相关（R=0.11，P<0.02）。值得注意的是，在转至其他机构的患者亚组中，仅SPPB就与住院时长有很强的相关性（β=-0.66，P<0.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f9a/11941071/01972a5a53a3/diseases-13-00088-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f9a/11941071/e39fc9788fda/diseases-13-00088-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f9a/11941071/90db262f9f4e/diseases-13-00088-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f9a/11941071/90c3217a8cfa/diseases-13-00088-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f9a/11941071/01972a5a53a3/diseases-13-00088-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f9a/11941071/e39fc9788fda/diseases-13-00088-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f9a/11941071/90db262f9f4e/diseases-13-00088-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f9a/11941071/90c3217a8cfa/diseases-13-00088-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f9a/11941071/01972a5a53a3/diseases-13-00088-g004.jpg

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