TY - JOUR AU - Melo, Andrezza Tayonara Lins AU - Menezes, Karla Vanessa Rodrigues Soares AU - Auger, Claudine AU - Barbosa, Juliana Fernandes de Souza AU - Menezes, Weslley Rodrigues de Sousa AU - Guerra, Ricardo Oliveira PY - 2021/12/11 Y2 - 2024/03/29 TI - SPPB as a predictor of functional loss of hospitalized older adults JF - Fisioterapia em Movimento (Physical Therapy in Movement) JA - PTM VL - 35 IS - 1 SE - Original Article DO - 10.1590/fm.2022.35108 UR - https://periodicos.pucpr.br/fisio/article/view/28972 SP - AB - <p align="justify">Introduction: Immobility is associated with adverse outcomes such as loss of functional capacity and longer hospitalization. Objective: To assess intra-hospital mobility at admission as a predictor of loss of functional capacity during older adults´ hospitalization. Methods: A prospective cohort study was conducted, and personal and hospital related risk factors were assessed at admission and discharge. To determine whether Short Physical Performance Battery (SPPB) on admission could predict loss of functional capacity during hospitalization, a ROC curve was performed and area under the curve (AUC) was calculated. Binary logistic regression models were used to identify predictors of loss of functional capacity. Model 1 contained only SPPB. Model 2 SPPB was matched with age, sex, instrumental activity of daily living (IADL), cognition, depression and surgery. Data were entered into SPSS version 18.0. Results: 1,191 patients were included with a mean age of 70.02 (± 7.34). SPPB cutoff point of 6.5 (sensitivity 62%, specificity 54%) identified 593 (49.8%) patients at risk for functional loss. In logistic regression, SPPB alone showed prediction of functional loss (p &lt; 0.001, OR 1.8, 95% CI = 1.5–2.5) between admission and discharge. Model 1 explained between 22 to 32% of the variation in functional capacity. In Model 2, three variables contributed to the loss. SPPB 6.5 increased 1.8 times (95% CI = 1.3-2.4), being a woman increased 1.4 times (95% CI = 1.0-1.8) and not having surgery increased 2 times (95% CI = 1.4-2.8) the chance of having functional loss during hospitalization. Conclusion: SPPB is a good instrument to predict loss of functional capacity in hospitalized older adults.</p> ER -