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ORIGINAL ARTICLE
Year : 2019  |  Volume : 15  |  Issue : 3  |  Page : 122-128

A pilot study on Short Physical Performance Battery in Geriatric Heart Failure: Prediction of adverse events at six months?


Government Medical College and Hospital Sector 32, Chandigarh (UT), 160030, India

Correspondence Address:
Sarabmeet Singh Lehl
Department of General Medicine, Level 4, Block D, Government Medical College and Hospital, Sector 32, Chandigarh (UT) 160030
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.35262/jiag.v15i3.122-128

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Aims: To evaluate the outcomes of heart failure in the elderly (60 years or older) by Short Physical Performance Battery scores at six months of discharge. Methods: One hundred elderly patients with heart failure were evaluated at discharge, at 3 and 6 months after discharge by Short Physical Performance Battery. Results: Of the 100 patients discharged from hospital, mean age was 65.13 ± 6.3 years, 65 percent were males, Heart failure with reduced ejection fraction was present in 77%, and 26 (26%) had died by six months. Readmissions were mainly due to acute decompensated heart failure or Chronic Obstructive Pulmonary Disease exacerbations. There was a good correlation between Short Physical Performance Battery and Ejection fraction. The Short Physical Performance Battery scores were low at discharge but improved over six months in those who were alive. All those who died at six months had a baseline Short Physical Performance Battery score of 6 or less. Conclusion: The Short Physical Performance Battery can identify heart failure patients at discharge who have a high risk of short term mortality. A multi-disciplinary intervention may be useful in improving outcomes.


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