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May 10, 2021Journal of Cardiovascular Medicine

SPPB value at discharge predicted death even after adjusting for pertinent confounders (adjusted HR 0.91, 95% CI 0.84-0.99, P = 0.02).

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Why the study?

It was unknown whether frailty or reduced physical performance status has an impact on clinical outcomes after pacemaker implantation in aging patients.

Does reduced physical performance predict mortality in aging patients undergoing pacemaker implantation?

Population

119 patients aged more than 70 years admitted for pacemaker implantation

Comparison

Physical performance status assessed by SPPB and Handgrip Strength Test

Design

Prospective cohort study

Follow-up

Median of 46 months

Authors

CBCristina BallaGPGiulia PassariniBBBeatrice Bonsi

Discussion

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Overview

May support SPPB use for post-pacemaker risk stratification in older adults; leaves open whether performance-targeted interventions alter outcomes.

Structured PICO

Does reduced physical performance predict mortality in aging patients undergoing pacemaker implantation?

P
Population
119 patients aged >70 years with bradyarrhythmia admitted to the hospital for pacemaker implantation.
I
Intervention
Reduced physical performance (assessed via Short Physical Performance Battery [SPPB] score and Handgrip Strength Test at hospital discharge and 1 year).
C
Comparator
Higher physical performance (highest SPPB score).
O
Outcome
Overall mortalityhard clinical

In older patients undergoing pacemaker implantation for bradyarrhythmia, reduced physical performance at discharge independently predicts long-term mortality and 1-year death or rehospitalization.

Cite This Study

Balla et al. (2021) studied this question.

synapsesocial.com/papers/6a7e4cb6f6941e90164c4840https://doi.org/10.2459/jcm.0000000000001209
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Prognostic role of short physical performance battery in elderly hospitalized atrial fibrillation patients2025 · 3 citations
  2. 2Mortality and prognostic factors in pacemaker implantation in the extreme eldery2025
  3. 3Survival predictors after pacemaker implantation in a very elderly population2024
  4. 4Nutritional status and functional performanceof patients qualified for cardiac pacemaker implantation2025
  5. 5Predictors of long-term survival prior to permanent pacemaker implantation in octogenarians or older2018 · 14 citations