Assessing long-term care risk in older individuals with possible cognitive decline: A large population-based study using the Kihon Checklist
Assessing long-term care risk in older individuals with possible cognitive decline: A large population-based study using the Kihon Checklist
复制标题
DOI：
10.1111/ggi.13677
复制
发表时间：
2019-07-01
影响因子：
3.3
通讯作者：
Nagai, Yoji
中科院分区：
文献类型：
--
作者：
Kojima, Shinsuke;Murotani, Kenta;Nagai, Yoji
目的 本次基于人群的研究调查了 Kihon 检查表（一份自我报告的虚弱问卷）的预测能力以及其中对事件长期护理需求认证的认知领域。这是第一项以大规模人群为基础的研究，旨在调查 Kihon 检查清单与结果衡量标准、长期护理需求认证之间的关联。方法 研究人群由年龄 > 65 岁、对神户市 Kihon 检查表做出回应的社区居民组成。 Kihon 检查表是一份包含 26 项的简单调查问卷，用于识别体弱公民，其中包括关于主观认知功能（认知领域）的三个项目 (Q18-20)。结果共纳入182 099名公民进行统计分析。 1 年、2 年和 3 年长期护理需求认证的总体发生率分别为 1.6%、3.5% 和 5.4%。 Kihon 检查表问题与长期护理需求认证之间存在关联。此外，认知领域的每个不利答案都与长期护理需求风险相关（Q18 的 HR 1.493、Q19 的 HR 1.285、Q20 的 1.321，所有 P < 0.0001），与 Kihon 检查表上的年龄、性别和其他项目无关。此外，3年后，随着认知领域的不利答案数量从0增加到1、2和3，长期护理需求认证的发生率逐渐从3.5%增加到6.4%、12.6%和29.6%。结论 Kihon 检查表，尤其是其中的认知领域，似乎可以预测社区居民的长期护理需求，表明该问卷对于早期发现高危个体的潜在效用。老年老年国际 2019; 19：598-603。
Aim The present population-based study investigated the predictive ability of the Kihon Checklist (a self-reported frailty questionnaire) and the cognitive domain therein for incident long-term care need certification. This is the first large population-based study to investigate an association between the Kihon Checklist and the outcome measure, long-term care need certification. Methods The study population consisted of community-dwelling citizens aged >65 years who responded to the Kihon Checklist in Kobe City. The Kihon Checklist is a simple 26-item questionnaire to identify frail citizens, including three items (Q18-20) on subjective cognitive function (the cognitive domain). Results A total of 182 099 citizens were included for statistical analysis. The overall incidence of long-term care need certification was 1.6%, 3.5% and 5.4% at 1, 2 and 3 years. Associations were found between the Kihon Checklist questions and long-term care need certification. Furthermore, each unfavorable answer on the cognitive domain was associated with the risk for long-term care need (HR 1.493 for Q18, 1.285 for Q19, 1.321 for Q20, all P < 0.0001), independent of age, sex and other items on the Kihon Checklist. Also, after 3 years, as the number of unfavorable answers to the cognitive domain increased from 0 to 1, 2 and 3, the incidence of long-term care need certification progressively increased from 3.5% to 6.4%, 12.6% and 29.6%. Conclusions The Kihon Checklist, especially the cognitive domain therein, appears to be predictive of long-term care need in community-dwelling citizens, suggesting the potential utility of the questionnaire for early detection of high-risk individuals. Geriatr Gerontol Int 2019; 19: 598-603.