{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T05:53:28Z","timestamp":1789624408096,"version":"build-2803163510"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2021,4,12]],"date-time":"2021-04-12T00:00:00Z","timestamp":1618185600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/501100009885","name":"Piedmont Region","doi-asserted-by":"publisher","award":["13-2022"],"award-info":[{"award-number":["13-2022"]}],"id":[{"id":"10.13039\/501100009885","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,5,25]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The Short Physical Performance Battery (SPPB) test is a well-established tool to assess physical performance, and to identify frail patients. Assessment of the SPPB in a specific population of elder patients in cardiac rehabilitation phase after a cardiac event is missing.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>The aim of this study was to correlate SPPB and the cardiac rehabilitation outcome in a group of elder patients after a cardiac event and to identify the Minimal Clinically Important Difference (MCID) of the SPPB.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Consecutive (n = 392) patients aged \u226575 years, in the rehabilitation phase after cardiac surgery (70.1%), congestive heart failure (7.4%), or acute coronary syndrome (22.5%), were enrolled. SPPB was performed twice: on admission and discharge. The MCID was assessed with the \u2018anchor method\u2019, and the Patient Global Impression of Change was employed as the anchor.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>On admission, SPPB classified 56, 117, 116, and 94 patients as severe, moderate, mild, or minimal\/no limitations, respectively. Patients with the lower SPPB had the longer length of stay, and the higher complications rate. At receiver operating characteristic analysis, an SPPB improvement &amp;gt;1 was identified as the MCID (area-under-curve 0.77, 95% CI 0.67\u20130.85). Overall, 285 patients (74.2%) had a \u2018clinically significant\u2019 improvement in SPPB, with a rate of improvement higher in patients with severe\/moderate limitations (83.0%) and lower in those with mild (78.9%) or minimal\/no limitations (53.6%).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>A lower SPPB score is associated with a higher complications rate in the post-acute phase. An improvement &amp;gt;1 point of SPPB was identified as the MCID; this reference value could serve as the goal for rehabilitation interventions.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurjpc\/zwab044","type":"journal-article","created":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T20:11:04Z","timestamp":1615493464000},"page":"1008-1014","source":"Crossref","is-referenced-by-count":52,"title":["Functional capacity assessment and Minimal Clinically Important Difference in post-acute cardiac patients: the role of Short Physical Performance Battery"],"prefix":"10.1093","volume":"29","author":[{"given":"Linda","family":"Rinaldo","sequence":"first","affiliation":[{"name":"Cardiological Department, Maugeri Clinical and Scientific Institutes, IRCCS, Scientific Institute of Veruno , Veruno (NO), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Caligari","sequence":"additional","affiliation":[{"name":"Cardiological Department, Maugeri Clinical and Scientific Institutes, IRCCS, Scientific Institute of Veruno , Veruno (NO), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Acquati","sequence":"additional","affiliation":[{"name":"Cardiological Department, Maugeri Clinical and Scientific Institutes, IRCCS, Scientific Institute of Veruno , Veruno (NO), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabrina","family":"Nicolazzi","sequence":"additional","affiliation":[{"name":"Cardiological Department, Maugeri Clinical and Scientific Institutes, IRCCS, Scientific Institute of Veruno , Veruno (NO), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulio","family":"Paracchini","sequence":"additional","affiliation":[{"name":"Cardiological Department, Maugeri Clinical and Scientific Institutes, IRCCS, Scientific Institute of Veruno , Veruno (NO), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Sardano","sequence":"additional","affiliation":[{"name":"Cardiological Department, Maugeri Clinical and Scientific Institutes, IRCCS, Scientific Institute of Veruno , Veruno (NO), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Giordano","sequence":"additional","affiliation":[{"name":"Bioengineering Department, Maugeri Clinical and Scientific Institutes, IRCCS, Scientific Institute of Veruno , Veruno (NO), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio","family":"Marcassa","sequence":"additional","affiliation":[{"name":"Cardiological Department, Maugeri Clinical and Scientific Institutes, IRCCS, Scientific Institute of Veruno , Veruno (NO), 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