#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

The „Short Physical Per-formance Battery“ and its use for evaluation of geriatric frailty in clinical practice


Authors: E. Topinková;  M. Berková;  P. Mádlová;  J. Běláček
Authors‘ workplace: Geriatrická klinika 1. LF UK a VFN Praha 1;  Ústav biofyziky a informatiky 1. LF UK Praha 2
Published in: Geriatrie a Gerontologie 2013, 2, č. 1: 43-49
Category: Review Article

Overview

Aging is characterized by advancing decline of functional organ capacity; however these changes are asynchronous and individualized. That’s why seniors are very heterogeneous group regarding their health status and functional capacity. Clinical manifestation is increasing vulnerability and limited capacity to resist stressors caused by multi-organ deficits accumulation for which the term geriatric frailty is used. Despite generally accepted concept of frailty there is no universally accepted definition and assessment tool for diagnosis of frailty in clinical practice. Short Physical Performance Battery (SPPB) validated in our department represents the current useful tool to identify seniors at risk of frailty syndrome (so called „pre-frail“) as well for those with a fully developed frailty in a physical domain. The article summarizes the results of the first pilot study with SPPB in the Czech Republic and brings recommendations for its use. Performing SPPB could be recommended in geriatric patients without disability who may profit from targeted preventive interventions. Further, SPPB is recommended in older cancer patients and patients before elective surgeries to assess the need of modified treatment approach and the need of comprehensive geriatric assessment by a geriatrician.

Keywords:
Short Physical Performance Battery – frailty syndrome – older persons


Sources

1. Kulminski A, Yashin A, Arbeev K et al.: Cumulative index of health disorders as an indicator of aging–associated processes in the elderly: Results from analyses of the National Long Term Care Survey. Mech Ageing Dev 2007; 128: 250–258.

2. Kalvach Z, Holmerová I: Geriatrická křehkost – významný klinický fenomén. Med pro Praxi 2008; 5(2): 66–69.

3. Kalvach Z a kol.: Křehký pacient a primární péče. Praha 2011, Grada Publishing, 399 s.

4. Gill TM, Gahbauer EA, Allore HG et al.: Transitions between frailty states among community-living older persons. Arch Intern Med 2006; 166: 418–423.

5. Fried LP, Tangen CM, Walston J, et al.: Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 2001, 56: M146–156.

6. Syddall H, Roberts HC, Evandrou M et al.: Prevalence and correlates of frailty among community-dwelling older men and women: Findings from the Herffordshire Cohort Study. Age Ageing 2010; 39(2): 197–203.

7. Drey M, Pfeifer K, Sieber C et al.: The Fried frailty criteria as inclusion criteria for a randomized controlled trial: Personal experience and literature review. Gerontology 2011; 57: 11–18 (DOI: 10.1159/000313433.

8. Bergman H, Hogan D, Karunananthan S: Frailty: A clinically relevant concept? Can J Geriatrics 2008; 11: 124–128.

9. Rockwood K, Mitnitski A.: Frailty in relation to the accumulation of deficits. J Gerontol A Biol Sci Med Sci 2007; 62A: 722–727.

10. Rockwood K, Andrew M, Mitnitski A: A comparison of two approaches to measuring frailty in elderly people. J Gerontol A Biol Sci Med Sci 2007; 62A: 738–743.

11. Jones D, Song X, Mitnitski A et al.: Evaluation of a frailty index based on a comprehensive geriatric assessment in a population based study of elderly Canadians. Aging Clin Exp Res 2005; 17: 465–471.

12. Searle SD, Mitnitski A, Gahbauer EA et al.: A standard procedure for creating a frailty index. BMC Geriatr 2008; 8: 24.

13. Mitnitski A, Song X, Skoog I et al.: Relative fitness and frailty of elderly men and women in developed countries and their relationship with mortality. J Am Geriatr Soc 2005; 53: 2184–2189.

14. Ensrud KE, Ewing SK, Cawthon PM et al.: A comparison of frailty indexes for the prediction of falls, disability, fractures, and mortality in older men. J Am Geriatr Soc 2009; 57: 492–498.

15. Abellan van Kan G, Rolland Y, Bergman H et al.: The I.A.N.A Task Force on frailty assessment of older people in clinical practice. J Nutr Health Aging 2008; 12: 29–37.

16. Berrut G, Andrieu S, Araujo de Carvalho I et al.: Promoting access to innovation for old persons. IAGG workshop, JNHA in press.

17. Vellas B, Cestac P, Morley JE: Implementing frailty into clinical practice: we cannot wait. J Nutr Health Aging 2012; 16(7): 599–600.

18. Morley JE, Abbatecola AM, Argiles JM et al.: Sarcopenia with limited mobility: An international consensus. J Am Med Dir Assoc 2011; 12(6): 403–409.

19. Rodriguez-Manas L, Feart C, Mann G et al.: Searching for an operational definition of frailty: A delphi method based consensus statement. The frailty operative definition-consensus conference project. J Gerontol A Biol Sci Med Sci 2012; 68(1): 62–67.

20. Abellan van Kan G, Rolland Y, Andrieu S et al.: Gait speed at ususal pace as a predictor of adverse outcomes in community dwelling older people. An International Academy on Nutrition and Aging (IANA) Task Force. J Nutr Health Aging 2009; 13: 881–889.

21. Studenski S, Perera S, Patel K et al.: Gait speed and survival in older adults JAMA 2011; 305(1): 50–58.

22. Afilalo J, Eisenberg MJ, Morin JF et al: Gait speed as an incremental predictor of mortality and major morbidity in elderly patients undergoing cardiac surgery. J Am Coll Cardiol 2010, 56: 1668–1676.

23. Macháčová K, Bunc V, Vaňková H et al.: Zkušenosti s hodnocením tělesné zdatnosti seniorů metodou „Senior Fitness Test“. Čes ger rev 2007; 5(4): 248–253.

24. Chen PJ, Lin MH, Peng LN et al.: Predicting Cause-Specific Mortality of Older Men Living in the Veterans Home by Handgrip Strength and Walking Speed: A 3-Year, Prospective Cohort Study in Taiwan. J Am Med Dir Assoc 2012; 13(6): 517–21.

25. Guralnik JM, Simonsick EM, Ferrucci L et al.:A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994; 49(2): M85–94.

26. Berková M, Topinková E, Mádlová P a kol.: „Krátká baterie pro testování fyzické zdatnosti seniorů“ – pilotní studie a validizace testu u starších osob v České republice Vnitř Lék 2013, v tisku.

27. Jones D, Song X, Mitnitski A et al.: Evaluation of a frailty index based on a comprehensive geriatric assessment in a population based study of elderly Canadians. Aging Clin Exp Res 2005; 17: 465–471.

28. Topinková E: Geriatrie pro praxi, Galén, Praha 2010, dotisk, s. 5–12.

29. Topinková E, Neuwirth J: Funkční geriatrické vyšetření – komplexní pohled na starého člověka. Sanquis 2002, 20: 19.

30. SIOG Task Force on Comprehensive Geriatric Assessment (CGA) http://www.siog.org/index.php?option=com_content&view=article&id=151&Itemid=92.

31. Extermann M, Aapro M, Bernabei R et al.: Use of Comprehensive Geriatric Assessment in cancer patients. Recommendations from the Task Force on CGA of the International Society of Geriatric Oncology (SIOG). Crit Rev Oncol Hematol 2005; 55(3): 241–252.

32. Retornaz F, Monette J, Batist G et al.: Usefulness of frailty markers in the assessment of the health and functional status of older cancer patients referred for chemotherapy: a pilot study. J Gerontol Med Sci 2008; 63A: 518–522.

33. Hurria A, Togawa K, Mohile SG et al: Predicting chemotherapy toxicity in older adults with cancer: a prospective multicenter study.J Clin Oncol 2011; 29: 3457–3465.

34. Tan KY, Kawamura YJ, Tokomitsu A, Tang T: Assessment for frailty is useful for predicting morbidity in elderly patients undergoing colorectal cancer resection whose comorbidities are already optimized. Am J Surg 2012; 204(2): 139–43.

35. Hubbard RE, Andrew MK, Fallah N et al.: Comparison of the prognostic importance of diagnosed diabetes, co-morbidity and frailty in older people. Diabet Med 2010; 27: 603–606.

36. Krumholz HM, Chen J, Chen YT et al.: Predicting one-year mortality among elderly survivors of hospitalization for an acute myocardial infarction: results from the Cooperative Cardiovascular Project. J Am Coll Cardiol 2001, 38: 453–459.

37. Singh M, Rihal CS, Lennon RJ et al.: Influence of frailty and health status on outcomes in patients with coronary disease undergoing percutaneous revascularization. Circ Cardiovasc Qual Outcomes 2011, 4: 496–502.

38. Afilalo J, Mottillo S, Eisenberg MJ et al: Addition of frailty and disability to cardiac surgery risk scores identifies elderly patients at high risk of mortality or major morbidity. Circ Cardiovasc Qual Outcomes 2012, 5:222–228.

39. de Vries NM, Staal JB, van Ravensberg CD et al.: Outcome instruments to measure frailty: a systematic review. Ageing Res Rev 2011, 10: 104–114.

40. Kulminski AM, Ukraintseva SV, Kulminskaya IV et al.: Cumulative deficits better characterize susceptibility to death in elderly people than phenotypic frailty: Lessons from the Cardiovascular Health Study. J Am Geriatr Soc 2008; 56: 898–903.

Labels
Geriatrics General practitioner for adults Orthopaedic prosthetics
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#