Physical Function Does Not Predict Care Assessment Need Score in Older Veterans

J Appl Gerontol. 2019 Mar;38(3):412-423. doi: 10.1177/0733464817690677. Epub 2017 Jan 29.

Abstract

Objective: The Veterans Health Administration's Care Assessment Need (CAN) score is a statistical model, aimed to predict high-risk patients. We were interested in determining if a relationship existed between physical function and CAN scores. Method: Seventy-four older (71 ± 1 years) male Veterans underwent assessment of CAN score and subjective (Short Form-36 [SF-36]) and objective (self-selected walking speed, four square step test, short physical performance battery) assessment of physical function. Results: Approximately 25% of participants self-reported limitations performing lower intensity activities, while 70% to 90% reported limitations with more strenuous activities. When compared with cut points indicative of functional limitations, 35% to 65% of participants had limitations for each of the objective measures. Any measure of subjective or objective physical function did not predict CAN score. Conclusion: These data indicate that the addition of a physical function assessment may complement the CAN score in the identification of high-risk patients.

Keywords: SPPB; Veteran; activities of daily living; aging; disability; gait speed; mobility function; subjective physical function.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Activities of Daily Living
  • Aged
  • Baltimore
  • Disability Evaluation*
  • Exercise
  • Geriatric Assessment
  • Humans
  • Logistic Models
  • Male
  • Mobility Limitation*
  • Postural Balance*
  • Risk Assessment
  • Self Report
  • Veterans / statistics & numerical data
  • Walking / physiology*