Self-Reported Frailty and Health Care Utilization in Community-Dwelling Middle-Aged and Older Adults in the United States.
Self-Reported Frailty and Health Care Utilization in Community-Dwelling Middle-Aged and Older Adults in the United States.
复制标题
美国社区居住的中老年人自我报告的虚弱和医疗保健利用情况。
DOI：
10.1016/j.jamda.2022.12.007
复制
发表时间：
2023
影响因子：
7.6
通讯作者：
Kim,DaeHyun
中科院分区：
文献类型：
--
作者：
Yao,Aaron;Zhou,Shengyu;Cheng,Joyce;Kim,DaeHyun
虚弱是一种动态状态，是多个生理系统累积缺陷的结果，伴随着对应激事件的脆弱性增加。1人口老龄化大大增加了虚弱的患病率，特别是在最昂贵的患者中; 2然而，目前对虚弱的医疗保健反应主要是反应性和急性护理。一些人提出了社区环境中脆弱管理的初级保健方法。3虽然虚弱更常发生在老年人中，但它可以发生在人一生中的任何时候。1因此，及早发现弱点有利于扭转或控制弱点。然而，以前关于虚弱的研究主要在65岁及以上的人群中进行。众所周知，老年人的虚弱与急性、急性后护理和门诊部门的卫生保健负担独立相关。4在理解社区居住的中年人的虚弱和医疗保健利用之间的关联方面存在知识差距。除了少数例外，5，6大多数以前的脆弱性研究使用非代表性样本。通过一个具有全国代表性的样本，我们描述了美国虚弱的患病率，并评估了社区居住的中年和老年人虚弱与医疗保健利用之间的关联。并对这些结果进行讨论，为初级保健环境的政策制定和质量改进提供信息。
Frailty, a dynamic state, is a consequence of cumulative deficits in multiple physiological systems accompanied by an increased vulnerability to stressor events. 1 The aging of the population has increased the prevalence of frailty substantially, especially among the costliest patients; 2 however, the current healthcare response to frailty is mainly reactive and acute care-based. Some have proposed primary care approaches to frailty management in community settings. 3 Although frailty occurs more often in the older population, it can occur at any time in a person’s life. 1 Thus, identifying frailty earlier is advantageous for its reversal or control. However, previous studies on frailty have mainly been conducted in people aged 65 years and above. It is well known that frailty in older adults is independently associated with health care burden across acute, post-acute care, and outpatient sectors. 4 There is a knowledge gap in understanding the association between frailty and healthcare utilization in community-dwelling middle-aged adults. With a few exceptions, 5, 6 most prior studies of frailty used nonrepresentative samples. With a nationally representative sample, we describe the prevalence of frailty in the United States and evaluate the associations between frailty and healthcare utilization in community-dwelling middle-aged and older adults. And these results are discussed to inform policymaking and quality improvements in primary care settings.