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Predicting Persistent Reduced Physical Performance in Adults 65+ in Emergency Departments: A Temporal Validation: A Temporal Validation

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Název: Predicting Persistent Reduced Physical Performance in Adults 65+ in Emergency Departments: A Temporal Validation: A Temporal Validation
Autoři: Inge H. Bruun, Thomas Maribo, Christian B. Mogensen, Berit Schiøttz-Christensen, Birgitte Nørgaard
Zdroj: Bruun, I H, Maribo, T, Mogensen, C B, Schiøttz-Christensen, B & Nørgaard, B 2025, 'Predicting Persistent Reduced Physical Performance in Adults 65+ in Emergency Departments : A Temporal Validation', Journal of geriatric physical therapy (2001), vol. 48, no. 1, pp. 14-23. https://doi.org/10.1519/JPT.0000000000000439
Informace o vydavateli: Ovid Technologies (Wolters Kluwer Health), 2024.
Rok vydání: 2024
Témata: Male, Aged, 80 and over, Emergency Service, Physical Functional Performance, Hospital, 03 medical and health sciences, 0302 clinical medicine, Geriatric Assessment/methods, 80 and over, Humans, Female, Emergency Service, Hospital, Geriatric Assessment, Aged
Popis: Background and Purpose: Targeted interventions to maintain physical performance in older adults are important. We aimed to validate an existing 4-item prediction model and, if necessary, develop a new model for early identification of adults aged 65+ with persistent reduced physical performance. Methods: A temporal validation study on adults aged 65+ admitted to the emergency department for medical reasons and who performed ≤8 repetitions in the 30-second chair-stand test (30s-CST) within the first 48 hours of admission. The primary outcome was the number of 30s-CST repetitions (≤8 or >8) performed at the older adults’ homes 3 to 4 weeks after admission. Physical performance and self-reported data were analyzed using univariate and multivariate logistic regressions. The optimal model was chosen based on the area under the curve. Results and Discussion: The validation of a previously developed 4-item prediction model indicated that the model did not consistently apply to other populations of older adults. To develop a new model aimed at identifying acutely hospitalized older adults with persistent reduced physical performance, we combined 2 samples comprising 132 older adults with a 30s-CST score > 8 and 250 adults with a 30s-CST score ≤ 8 when measured 3 to 4 weeks after admission. The new model included 5 variables: age >80, female, self-reported difficulties in climbing a flight of stairs, less good/poor self-rated health, and a 30s-CST score ≤ 5. The model had an area under the curve of 84%. The model is expected to improve the identification of older adults with persistent reduced physical performance compared to health professionals’ subjective assessments and/or adults’ self-reported information. Conclusions: The initial 4-item prediction did not consistently apply to other populations of older adults. Consequently, 2 samples were combined and a 5-item model was developed. Since the model involves only 5 items, it is easy to implement and provides health professionals an opportunity for targeted intervention on older adults during and after acute hospitalization. A validation study for the 5-item model is necessary.
Druh dokumentu: Article
Jazyk: English
ISSN: 2152-0895
1539-8412
DOI: 10.1519/jpt.0000000000000439
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/39714061
https://portal.findresearcher.sdu.dk/da/publications/a7a537bf-92d3-437e-8cd2-f6a0a6f4b26d
https://doi.org/10.1519/JPT.0000000000000439
http://www.scopus.com/inward/record.url?scp=85214187623&partnerID=8YFLogxK
https://pure.au.dk/portal/en/publications/eccbfbe2-c217-4ea6-9164-1f061d0914fa
https://doi.org/10.1519/JPT.0000000000000439
Přístupové číslo: edsair.doi.dedup.....9de0133b2f6afb5c9af57589a73cc50d
Databáze: OpenAIRE
Popis
Abstrakt:Background and Purpose: Targeted interventions to maintain physical performance in older adults are important. We aimed to validate an existing 4-item prediction model and, if necessary, develop a new model for early identification of adults aged 65+ with persistent reduced physical performance. Methods: A temporal validation study on adults aged 65+ admitted to the emergency department for medical reasons and who performed ≤8 repetitions in the 30-second chair-stand test (30s-CST) within the first 48 hours of admission. The primary outcome was the number of 30s-CST repetitions (≤8 or >8) performed at the older adults’ homes 3 to 4 weeks after admission. Physical performance and self-reported data were analyzed using univariate and multivariate logistic regressions. The optimal model was chosen based on the area under the curve. Results and Discussion: The validation of a previously developed 4-item prediction model indicated that the model did not consistently apply to other populations of older adults. To develop a new model aimed at identifying acutely hospitalized older adults with persistent reduced physical performance, we combined 2 samples comprising 132 older adults with a 30s-CST score > 8 and 250 adults with a 30s-CST score ≤ 8 when measured 3 to 4 weeks after admission. The new model included 5 variables: age >80, female, self-reported difficulties in climbing a flight of stairs, less good/poor self-rated health, and a 30s-CST score ≤ 5. The model had an area under the curve of 84%. The model is expected to improve the identification of older adults with persistent reduced physical performance compared to health professionals’ subjective assessments and/or adults’ self-reported information. Conclusions: The initial 4-item prediction did not consistently apply to other populations of older adults. Consequently, 2 samples were combined and a 5-item model was developed. Since the model involves only 5 items, it is easy to implement and provides health professionals an opportunity for targeted intervention on older adults during and after acute hospitalization. A validation study for the 5-item model is necessary.
ISSN:21520895
15398412
DOI:10.1519/jpt.0000000000000439