@article{ref1,
title="Physical function and frailty for predicting adverse outcomes in older primary care patients",
journal="Archives of physical medicine and rehabilitation",
year="2019",
author="O'Hoski, Sachi and Bean, Jonathan F. and Ma, Jinhui and So, Hon Yiu and Kuspinar, Ayse and Richardson, Julie and Wald, Joshua and Beauchamp, Marla K.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="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 room (ER) visits and low self-rated health (SRH) over 1 and 2 years in older adults. <br><br>DESIGN: Secondary analysis of data from a longitudinal study, the Boston Rehabilitative Impairment Study of the Elderly. SETTING: Primary care. PARTICIPANTS: 391 adults ≥65 years old at risk for disability who completed ≥1 follow-up call. 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, ER visits and SRH over 1 and 2 years as dependent variables. Receiver operating characteristic (ROC) curves were constructed and the areas under the curves (AUCs) calculated. <br><br>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 (OR min-max 1.35-1.51 and 1.67-3.07, respectively). Over 2 years, the SPPB predicted ER 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. <br><br>CONCLUSION: The SPPB, LLFDI-function and frailty phenotype had similar accuracy for predicting falls, hospitalizations, ER 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.<br><br>Copyright © 2019. Published by Elsevier Inc.<p /> <p>Language: en</p>",
language="en",
issn="0003-9993",
doi="10.1016/j.apmr.2019.11.013",
url="http://dx.doi.org/10.1016/j.apmr.2019.11.013"
}