Relationships between each category of 25-item frailty risk assessment (Kihon Checklist) and newly certified older adults under Long-Term Care Insurance: A 24-month follow-up study in a rural community in Japan
Relationships between each category of 25-item frailty risk assessment (Kihon Checklist) and newly certified older adults under Long-Term Care Insurance: A 24-month follow-up study in a rural community in Japan
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DOI：
10.1111/ggi.12360
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发表时间：
2015-07-01
影响因子：
3.3
通讯作者：
Matsubayashi, Kozo
中科院分区：
文献类型：
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作者：
Fukutomi, Eriko;Okumiya, Kiyohito;Matsubayashi, Kozo
目的：有25个项目的Kihon Checklist （KCL）是官方的自我管理问卷工具，用于筛查身体虚弱的老年人，包括7个类别：体力、营养状况、口腔功能、足不出户、认知功能、抑郁风险和1-20个项目中的9分以上。本研究的目的是评估日本长期照护保险（LTCI）在24个月内，各类别的KCL与新认证病例之间的关系。方法研究对象为883名65岁以上社区居民，均未通过LTCI认证，填写问卷，问卷内容包括KCL、基本/高级日常生活活动（ADL）、生活质量（QOL）和抑郁症状。根据每个KCL类别的官方标准，参与者被分为风险组或非风险组。结果是24个月内LTCI新确诊病例的发生率。采用Cox回归风险模型分析风险组与非风险组的差异。结果无危险组基本/晚期ADL和生活质量评分较高，无危险组老年抑郁量表评分低于KCL标准危险组。在男性中，在调整年龄和其他KCL类别后，体力类别的风险组中新确诊病例的发生率更高。结论男性体力类别是LTCI新确诊病例发生率的唯一显著预测因子。LTCI下KCL认知功能评估项目有待进一步研究完善。Geriatr Gerontol Int 2015；15: 864 - 871。
AimThe 25-item Kihon Checklist (KCL) is the official self-administered questionnaire tool to screen frail older adults, consisting of seven categories: physical strength, nutritional status, oral function, houseboundness, cognitive function, depression risk and a score of more than 9 out of 1-20 items. The aim of the present study was to evaluate the relationships between each category of the KCL and newly certified cases under the Long-Term Care Insurance (LTCI) in Japan during 24 months.MethodThe study population consisted of 883 community-dwelling adults aged 65 years or older uncertified by LTCI completing a questionnaire, which included the KCL and scales of basic/advanced activities of daily living (ADL), quality of life (QOL), and depressive symptoms. The participants were categorized into the risk or non-risk group depending on the official criteria of each KCL category. The outcome was the incidence of newly certified cases by LTCI during 24 months. The difference between the risk and non-risk group was analyzed by Cox regression hazard models.ResultsScores in basic/advanced ADL and QOL were higher, and the score in the geriatric depression scale was lower in the non-risk than the risk group in KCL criteria. In men, the incidence of newly certified cases was higher in the risk group of the physical strength category after adjusting for age and the other categories of the KCL.ConclusionThe physical strength category in men was the only significant predictor of the incidence of newly certified cases by LTCI. Further studies are required to improve the assessment item of cognitive function in KCL under LTCI. Geriatr Gerontol Int 2015; 15: 864-871.