**4.2 Early detection of high-risk patients in need of care**

One of the main roles of our locomotive-frailty outpatient clinic is the easy and early detection of patients at particularly high risk of worsening to the need for care and the provision of appropriate preventive caregiving measures. In our previous study of risk factors for worsening to the need for long-term care in 233 patients (mean age 78 ± 6 years) who had visited our locomotive-frailty outpatient clinic [35], we found an association between scores on the Short Physical Performance Battery (SPPB), which is used in AWGS 2019 [36], and whether a person was certified as requiring long-term care 1 year later. Specifically, an SPPB cutoff score of nine points or less was associated with an increased risk of new or worsened long-term care need certification after 1 year (area under the receiver operating characteristic curve 0.74, sensitivity 65%, specificity 75%) (**Table 1**).
