Association between Short Physical Performance Battery and Hospital-acquired Disability in Older Cardiac Surgery Patients

Abstract

Objective: The purpose of this study was to examine the association between the Short Physical Performance Battery (SPPB) and Hospital-acquired disability (HAD) in older patients who underwent cardiac surgery.

Methods: This study included 117 patients aged ≥65 (73.5±5.4) years who underwent cardiac surgery. The development of HAD was defined as a score of ≤5 on any one of the subitems of the Functional independence measure (FIM) at the time of hospital discharge compared to the preoperative level, and the association with SPPB was investigated.

Results: The incidence of HAD was 20.5%. Preoperative SPPB was an independent predictor of HAD, as were the number of days of walking independently postoperatively, with a cutoff value of 10 points. Furthermore, each SPPB domain was correlated with FIM subitems in the HAD group.

Conclusion: The preoperative SPPB in older patients who underwent cardiac surgery is a factor associated with the development of HAD, suggesting that it may be used as a tool to screen FIM subitems that are predicted to decline postoperatively.