PMID- 33846721
OWN - NLM
STAT- MEDLINE
DCOM- 20220602
LR  - 20220626
IS  - 2047-4881 (Electronic)
IS  - 2047-4873 (Linking)
VI  - 29
IP  - 7
DP  - 2022 May 25
TI  - Functional capacity assessment and Minimal Clinically Important Difference in 
      post-acute cardiac patients: the role of Short Physical Performance Battery.
PG  - 1008-1014
LID - 10.1093/eurjpc/zwab044 [doi]
AB  - BACKGROUND: The Short Physical Performance Battery (SPPB) test is a 
      well-established tool to assess physical performance, and to identify frail 
      patients. Assessment of the SPPB in a specific population of elder patients in 
      cardiac rehabilitation phase after a cardiac event is missing. AIM: The aim of 
      this study was to correlate SPPB and the cardiac rehabilitation outcome in a 
      group of elder patients after a cardiac event and to identify the Minimal 
      Clinically Important Difference (MCID) of the SPPB. METHODS: Consecutive (n = 
      392) patients aged >/=75 years, in the rehabilitation phase after cardiac surgery 
      (70.1%), congestive heart failure (7.4%), or acute coronary syndrome (22.5%), 
      were enrolled. SPPB was performed twice: on admission and discharge. The MCID was 
      assessed with the 'anchor method', and the Patient Global Impression of Change 
      was employed as the anchor. RESULTS: On admission, SPPB classified 56, 117, 116, 
      and 94 patients as severe, moderate, mild, or minimal/no limitations, 
      respectively. Patients with the lower SPPB had the longer length of stay, and the 
      higher complications rate. At receiver operating characteristic analysis, an SPPB 
      improvement >1 was identified as the MCID (area-under-curve 0.77, 95% CI 
      0.67-0.85). Overall, 285 patients (74.2%) had a 'clinically significant' 
      improvement in SPPB, with a rate of improvement higher in patients with 
      severe/moderate limitations (83.0%) and lower in those with mild (78.9%) or 
      minimal/no limitations (53.6%). CONCLUSION: A lower SPPB score is associated with 
      a higher complications rate in the post-acute phase. An improvement >1 point of 
      SPPB was identified as the MCID; this reference value could serve as the goal for 
      rehabilitation interventions.
CI  - Published on behalf of the European Society of Cardiology. All rights reserved. (c) 
      The Author(s) 2021. For permissions, please email: journals.permissions@oup.com.
FAU - Rinaldo, Linda
AU  - Rinaldo L
AD  - Cardiological Department, Maugeri Clinical and Scientific Institutes, IRCCS, 
      Scientific Institute of Veruno, Veruno (NO), Italy.
FAU - Caligari, Marco
AU  - Caligari M
AD  - Cardiological Department, Maugeri Clinical and Scientific Institutes, IRCCS, 
      Scientific Institute of Veruno, Veruno (NO), Italy.
FAU - Acquati, Claudia
AU  - Acquati C
AD  - Cardiological Department, Maugeri Clinical and Scientific Institutes, IRCCS, 
      Scientific Institute of Veruno, Veruno (NO), Italy.
FAU - Nicolazzi, Sabrina
AU  - Nicolazzi S
AD  - Cardiological Department, Maugeri Clinical and Scientific Institutes, IRCCS, 
      Scientific Institute of Veruno, Veruno (NO), Italy.
FAU - Paracchini, Giulio
AU  - Paracchini G
AD  - Cardiological Department, Maugeri Clinical and Scientific Institutes, IRCCS, 
      Scientific Institute of Veruno, Veruno (NO), Italy.
FAU - Sardano, Daniela
AU  - Sardano D
AD  - Cardiological Department, Maugeri Clinical and Scientific Institutes, IRCCS, 
      Scientific Institute of Veruno, Veruno (NO), Italy.
FAU - Giordano, Andrea
AU  - Giordano A
AD  - Bioengineering Department, Maugeri Clinical and Scientific Institutes, IRCCS, 
      Scientific Institute of Veruno, Veruno (NO), Italy.
FAU - Marcassa, Claudio
AU  - Marcassa C
AD  - Cardiological Department, Maugeri Clinical and Scientific Institutes, IRCCS, 
      Scientific Institute of Veruno, Veruno (NO), Italy.
FAU - Corra, Ugo
AU  - Corra U
AUID- ORCID: 0000-0002-9229-3298
AD  - Cardiological Department, Maugeri Clinical and Scientific Institutes, IRCCS, 
      Scientific Institute of Veruno, Veruno (NO), Italy.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Eur J Prev Cardiol
JT  - European journal of preventive cardiology
JID - 101564430
SB  - IM
CIN - Eur J Prev Cardiol. 2022 May 25;29(7):1005-1007. PMID: 33846736
MH  - Aged
MH  - *Cardiac Rehabilitation
MH  - Humans
MH  - *Minimal Clinically Important Difference
MH  - Patient Discharge
MH  - Physical Functional Performance
MH  - ROC Curve
OTO - NOTNLM
OT  - Cardiac rehabilitation
OT  - Disability
OT  - Minimal Clinically Important Difference
OT  - Short Physical Performance Battery
EDAT- 2021/04/14 06:00
MHDA- 2022/06/03 06:00
CRDT- 2021/04/13 06:30
PHST- 2021/01/05 00:00 [received]
PHST- 2021/02/16 00:00 [revised]
PHST- 2021/03/11 00:00 [accepted]
PHST- 2021/04/14 06:00 [pubmed]
PHST- 2022/06/03 06:00 [medline]
PHST- 2021/04/13 06:30 [entrez]
AID - 6224215 [pii]
AID - 10.1093/eurjpc/zwab044 [doi]
PST - ppublish
SO  - Eur J Prev Cardiol. 2022 May 25;29(7):1008-1014. doi: 10.1093/eurjpc/zwab044.