Pre-kidney transplant lower extremity impairment and transplant length of stay: a time-to-discharge analysis of a prospective cohort study

Autor: Anthony J. Nastasi, Tyler S. Bryant, Jimmy T. Le, Jennifer Schrack, Hao Ying, Christine E. Haugen, Marlís González Fernández, Dorry L. Segev, Mara A. McAdams-DeMarco
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: BMC Geriatrics, Vol 18, Iss 1, Pp 1-9 (2018)
Druh dokumentu: article
ISSN: 1471-2318
DOI: 10.1186/s12877-018-0940-y
Popis: Abstract Background Few objective tests can be performed at admission for kidney transplantation [KT] to discern risk of increased length of stay [LOS], which is important for patient counseling and is associated with increased costs and mortality. The short physical performance battery [SPPB] is an easily administered, potentially modifiable, 3-part test of lower extremity function. SPPB score is associated with longer hospital LOS in older adults, and may provide similar utility in KT recipients given that ESRD is a disease of accelerated aging. The aim of this study was to characterize the association between SPPB-derived lower extremity function and LOS. Methods The SPPB was administered at KT admission in a prospective cohort of 595 recipients (8/2009–6/2016). The independent association between SPPB impairment (score ≤ 10) and LOS was tested with an adjusted conventional generalized gamma parametric survival model. Results Impaired recipients experienced longer LOS (median: 10 vs. 8 days; P
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