Why the study?
The study investigated the correlation between preoperative Short Physical Performance Battery (SPPB) scores and 30-day postoperative pulmonary complications in elderly patients undergoing elective major abdominal surgery.
Does a high preoperative SPPB score predict a lower risk of 30-day postoperative pulmonary complications in elderly patients undergoing elective major abdominal surgery?
Population
645 patients aged 65 years and above scheduled for major abdominal surgery
Comparison
High SPPB score (scores of 10 or above) vs low SPPB score (scores below 10)
Design
Cohort study
Follow-up
30 days post-surgery
Key result
A preoperative SPPB score of 10 or higher was independently associated with a 37% lower risk of 30-day postoperative pulmonary complications (OR 0.63) compared to lower scores.
Authors
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May support preoperative SPPB use for PPC risk stratification in elderly abdominal surgery; hypothesis-generating and requires prospective validation.
Cohort (n=645)
No
Does a high preoperative SPPB score predict a lower risk of 30-day postoperative pulmonary complications in elderly patients undergoing elective major abdominal surgery?
Odds Ratio: 0.63 (95% CI 0.42–0.94)
Absolute Event Rate: 21.6% vs 32.7%
Absolute Risk Reduction: 11.1%
Number Needed to Treat: 9
p-value: p=0.025
Elevated preoperative SPPB scores (≥10) are independently associated with a decreased risk of 30-day postoperative pulmonary complications in elderly patients undergoing major abdominal surgery.
Zhang et al. (2025) conducted a cohort in Elective major abdominal surgery (n=645). High preoperative SPPB score (≥ 10) vs. Low preoperative SPPB score (< 10) was evaluated on 30-day postoperative pulmonary complications (PPCs) (OR 0.63, 95% CI 0.42-0.94, p=0.025). A preoperative SPPB score of 10 or higher was independently associated with a 37% lower risk of 30-day postoperative pulmonary complications (OR 0.63) compared to lower scores.