Identifying Frailty Gait speed alone & with chair stands, & tandem balance test. Predicts 12-mo rates of hospitalization, ↓ health, and ↓ function.
{"Image DocumentName": "Identifying FrailtyGait speed alone & with chair stands, & tandem balance test. Predicts 12-mo rates of hospitalization, \u2193 health, and \u2193 function.", "Image ImageDescription": "Proposed: vital signs to screen older adults. Studenski (2003): To assess the ability of gait speed alone and a three-item lower extremity performance battery to predict 12-month rates of hospitalization, decline in health, and decline in function in primary care settings serving. Both performance measures predicted decline in function and health status in both health systems. MEASUREMENTS: Lower extremity performance Established Population for Epidemiologic Studies of the Elderly (EPESE) battery including gait speed, chair stands, and tandem balance tests; demographics; health care use; health status; functional status; probability of repeated admission scale (Pra); and primary physician\u2019s hospitalization. Gait speed and a physical performance battery are brief, quantitative estimates of future risk for hospitalization and decline in health and function in clinical populations of older adults. Physical performance measures might serve as easily accessible vital signs to screen older adults in clinical settings (2003) OBJECTIVES: To assess the ability of gait speed alone. and a three-item lower extremity performance battery to. and decline in function in primary care settings serving. predict 12-month rates of hospitalization, decline in health, older adults. DESIGN: Prospective cohort study. Primary care programs of a Medicare health. SETTING: maintenance organization (HMO) and Veterans Affairs. (VA) system. PARTICIPANTS: 65 and older. Four hundred eighty-seven persons aged. MEASUREMENTS: Lower extremity performance Established. Population for Epidemiologic Studies of the Elderly. tandem balance tests; demographics; health care use; (EPESE) battery including gait speed, chair stands, and. health status; functional status; probability of repeated admission. scale (Pra); and primary physician\u2019s hospitalization. risk estimate. Veterans had poorer health and higher use than HMO members. Gait speed alone and the EPESE battery predicted hospitalization; 41% (21/51) of slow walkers (gait speed 0.6 m/s) were hospitalized at least once, compared with 26% (70/266) of intermediate walkers (0.6\u20131.0 m/s) and 11% (15/136) of fast walkers ( 1.0 m/s) ( p .0001). The relationship was stronger in the HMO than in the VA. Both performance measures remained independent predictors after accounting for Pra. The EPESE battery was superior to gait speed when both Pra and primary physician\u2019s risk estimate were included. Both performance measures predicted decline in function and health status in both health systems. Performance measures, alone or in combination with self-report measures, were more able to predict outcomes than self-report alone. RESULTS: CONCLUSION: Gait speed and a physical performance battery are brief, quantitative estimates of future risk for. hospitalization and decline in health and function in clinical. populations of older adults. Physical performance measures. might serve as easily accessible vital signs to screen. J Am Geriatr Soc 51:314\u2013 older adults in clinical settings. 322, Key words: geriatric assessment; risk assessment; locomotion; health maintenance organizations; hospitalization; lder. activities of daily living. Medicare HMO & VA, 2003.", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}