Predictive Value of Frailty Scores for Healthy Life Expectancy in Community-Dwelling Older Japanese Adults
Predictive Value of Frailty Scores for Healthy Life Expectancy in Community-Dwelling Older Japanese Adults
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DOI：
10.1016/j.jamda.2015.08.001
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发表时间：
2015-11-01
影响因子：
7.6
通讯作者：
Arai, Hidenori
中科院分区：
文献类型：
--
作者：
Yamada, Minoru;Arai, Hidenori
目的：脆弱是日本等人口老龄化国家面临的诸多严重问题之一。这项研究的目的是检验新开发的脆弱自我报告问卷的高分是否与社区居住的日本老年人在新的长期护理保险(LTCI)服务要求下被认证为需要护理的成年人有关。设计：前瞻性队列研究。背景和参与者：我们分析了前瞻性研究中的老年人(65岁及以上)的队列数据。我们对5852名老年人进行了2年的跟踪调查，分析了基线时较高的脆弱性得分与新的LTCI服务要求证书之间的关系。结果：结果：在2年的时间里获得了新的LTCI服务认证。测量：我们制定了5项脆弱筛查指数，包括营养/收缩、身体机能、身体活动、健忘和情绪/疲惫。结果：使用我们的脆弱筛查指数，脆弱和易感的患病率分别为12.5%和54.1%。在两年的随访期内，2.3%的人死亡，8.5%的人新获得需要LTCI服务的认证。多因素分析表明，体弱老年人(调整后的危险比：8.4[95%可信区间5.0~14.2])和虚弱的老年人(调整后的危险比：22.7[95%可信区间13.3~38.8])需要长期脑缺血服务的风险显著高于健康的老年人。结论：新开发的5个项目的脆弱自报告问卷可以预测日本老年人的残疾。(C)2015年AMDA--急性后和长期护理医学学会。
Objective: Frailty is one of many serious problems in countries with aging populations, such as Japan. The aim of this study was to examine whether higher scores on the newly developed self-report questionnaire for frailty are associated with adults being certified as needing care under the new long-term care insurance (LTCI) service requirement, over 2 years in community-dwelling older Japanese adults.Design: A prospective cohort study.Setting and Participants: We analyzed the cohort data for older adults (65 years and older) from a prospective study. We followed 5852 older individuals for 2 years and analyzed the association between higher frailty scores at baseline and new LTCI service requirement certifications.Outcome: The outcome was new certifications for LTCI services in a 2-year period.Measurements: We developed the 5-item frailty screening index, which included nutrition/shrinking, physical function, physical activity, forgetfulness, and emotions/exhaustion.Results: The prevalence values for frailty and prefrailty using our frailty screening index were 12.5% and 54.1%, respectively. During the 2-year follow-up period, 2.3% died and 8.5% individuals became newly certified as needing LTCI services. Prefrail older adults (adjusted hazard ratio: 8.4 [95% CI 5.0-14.2]) and frail older adults (adjusted hazard ratio: 22.7 [95% CI 13.3-38.8]) had a significantly higher risk of needing LTCI services than robust older adults as determined by multivariate analyses.Conclusion: The newly developed 5-item self-report questionnaire for frailty can predict disability in older Japanese adults. (C) 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine.