Early Evaluation of the Short Physical Performance Battery in Hospitalized Patients with Chronic Kidney Disease Predicts Long-Term Hospitalization.

IF 3 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Diseases (Basel, Switzerland) Pub Date : 2025-03-19 DOI:10.3390/diseases13030088

Takashi Amari, Eiji Kubo, Yota Kuramochi, Shota Onoda, Kyosuke Fukuda, Emi Yokoyama, Masami Kimura, Tomoyuki Arai

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Abstract

Background: The relationship between hospitalization duration and physical function in patients with chronic kidney disease (CKD) has not been thoroughly investigated. This study aimed to determine whether assessment of physical function one week after hospitalization can predict the length of stay in patients with CKD.

Methods: A retrospective study was conducted on hospitalized patients with CKD who underwent rehabilitation between March 2019 and March 2020. Physical function was evaluated using the Short Physical Performance Battery (SPPB), grip strength, and Barthel Index and analyzed alongside clinical data.

Results: The mean age of the participants was 73.4 ± 11.9 years, with 92% having stage G4 or G5 CKD. Multivariate analysis revealed that the SPPB (β = -0.33, p < 0.01) at one week after admission was significantly associated with the length of hospital stay (R² = 0.11, p < 0.02). Notably, in the subgroup of patients who were transferred to other facilities, the SPPB alone showed a strong association with the length of stay (β = -0.66, p < 0.03, R² = 0.23, p < 0.05).

Conclusions: The SPPB score in the early stages of hospitalization for patients with CKD was found to be a significant predictor of the length of stay, even after considering the eGFR and the Charlson Comorbidity Index. These findings may contribute to optimizing inpatient management and rehabilitation strategies for patients with CKD.

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慢性肾病住院患者短期体能电池的早期评估可预测长期住院。

背景：慢性肾脏疾病（CKD）患者住院时间与身体功能之间的关系尚未深入研究。本研究旨在确定住院后一周身体功能评估是否可以预测CKD患者的住院时间。方法：回顾性研究2019年3月至2020年3月期间接受康复治疗的住院CKD患者。使用短物理性能电池（SPPB）、握力和Barthel指数评估身体功能，并结合临床数据进行分析。结果：参与者的平均年龄为73.4±11.9岁，其中92%为G4或G5期CKD。多因素分析显示，入院后1周SPPB （β = -0.33, p < 0.01）与住院时间显著相关（R2 = 0.11, p < 0.02）。值得注意的是，在转移到其他机构的患者亚组中，SPPB单独与住院时间有很强的相关性（β = -0.66, p < 0.03, R2 = 0.23, p < 0.05）。结论：即使在考虑了eGFR和Charlson合并症指数后，CKD患者住院早期的SPPB评分被发现是住院时间的重要预测因子。这些发现可能有助于优化CKD患者的住院管理和康复策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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