Clinical InvestigationLower Extremity Performance Measures Predict Long-Term Prognosis in Older Patients Hospitalized for Heart Failure
Section snippets
Study Design and Participants
This study was conducted with a prospective cohort design in the Unit of Gerontology and Geriatric Medicine, University of Florence, and Azienda Ospedaliero-Universitaria Careggi (Florence, Italy), and in the Section of Internal Medicine and Geriatrics, University of Ferrara (Italy). All patients aged 65+ years, admitted to hospital in the 2 participating academic institutions for decompensation of a preexisting HF, between July 2005 and June 2006, were considered eligible. The diagnosis of HF
Results
Of 190 patients initially screened, after exclusion of those who died in-hospital and those with incomplete data, the final study sample included 157 subjects, 119 from Florence and 38 from Ferrara. Their baseline characteristics are reported in Table 1, Table 2 in the whole sample and by study site. Overall, participants were very old (mean age of 80 years, range 65 to 101 years) and in poor health status, both from cardiologic and geriatric standpoint. In particular, more than half of the
Discussion
As this study shows, physical performance, assessed at hospital discharge with such a simple test as SPPB, is an independent predictor of long-term survival in old subjects after hospitalization for decompensated HF. Survival decreased along with SPPB score after controlling for traditional cardiologic variables (such as NYHA class, LVEF, and prescription of βB and ACEI-ARB) and independent of comorbidity.
Previous studies showed that SPPB, originally developed and tested in population-based
Acknowledgments
We wish to thank Mrs. Rossella Del Bianco for her valuable secretarial support to this study.
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2022, International Journal of CardiologyCitation Excerpt :The SPPB score (range 0 to 12) is the sum of the individual test scores, with higher scores indicating better performance. The SPPB score is reliable [16] and is extensively used to evaluate physical performance in patients with HF [6–8]. We assessed the SPPB scores at the time of discharge from the hospital.
Physical Functioning in Heart Failure With Preserved Ejection Fraction
2021, Journal of Cardiac FailureCitation Excerpt :Given the multiple determinants of PF, there is not one measure alone that can be used as a surrogate to comprehensively describe PF.12 Yet, PF measures capture the multisystem and integrated effect of aging and disease, and associated physiologic decline and comorbidities, as seen in HFpEF.13 A description and key points regarding PF metrics commonly used in HFpEF are presented in Table 1 and Table 2, respectively.
Conflict of interest: none.