The Short Performance Physical Battery Is Associated with One-Year Emergency Department Visits and Hospitalization

Les outils cliniques employes dans les etablissements de soins peuvent fournir des informations pronostiques importantes aux professionnels de la sante. Dans cette etude observationnelle prospective d'un an, nous avons examine l'association entre les scores au Short Performance Physical Battery (SPPB), d'une part, et les consultations a l'urgence et les hospitalisations au cours de l'etude, d'autre part. Au total, 191 patients ayant ete nouvellement referes a une clinique geriatrique externe de Hamilton (Ontario) ont ete contactes, et parmi eux, 120 pris part a l'etude. Le SPPB et d'autres evaluations ont ete realises dans le cadre de consultations de routine. Les dossiers medicaux electroniques ont ete examines pour determiner le nombre de consultations a l'urgence et d'hospitalisations dans l'annee qui a suivi l'evaluation de base. Des analyses de regression logistique ont ete utilisees pour identifier des predicteurs des consultations a l'urgence et des hospitalisations. Le score moyen au SPPB dans la cohorte etudiee (moyenne d'age = 80,6 ans, ecart-type = 6,3 ans ; 53 % de femmes) etait de 6,3 (ecart-type = 3,2). Au cours de cette periode d'un an, le score au SPPB etait associe au nombre de consultations a l'urgence [RR = 0,90 (0,78-1,03)] et d'hospitalisations [RR = 0,84 (0,72-0,97)], apres ajustement pour l'age, le sexe et les comorbidites. Tools applied at the point of care can provide valuable prognostic information for practitioners. In this one-year, prospective observational study, we examined the association of the short performance physical battery (SPPB) and one-year emergency department (ED) visits and hospitalizations. Overall, 191 new referrals attending an outpatient geriatric clinic in Hamilton, Ontario, were approached, and 120 were enrolled. SPPB and other assessments were completed during the routine clinical visit. ED visits and hospitalizations within one year of the baseline assessment were abstracted from electronic medical records. Logistic regression analyses were used to determine ED visits and hospitalization predictors. The mean SPPB score in the study cohort (mean age 80.6, SD 6.3 years; 53% female) was 6.3 (SD 3.2). SPPB score was associated with a one-year ED visit (OR = 0.90 [0.78-1.03]) and hospitalization (OR = 0.84 [0.72-0.97]) after adjusting for age, sex, and co-morbidities.