A new physical-cognitive scale for assessment of frailty in Chinese Han elderly
A new physical-cognitive scale for assessment of frailty in Chinese Han elderly
复制标题
评估中国汉族老年人衰弱的新身体认知量表
DOI：
10.1080/01616412.2019.1609164
复制
发表时间：
2019-04-28
影响因子：
1.9
通讯作者：
Li, Shu-Juan
中科院分区：
文献类型：
--
作者：
Li, Yan-Xun;Jiang, Xiao-Yan;Li, Shu-Juan
目的：目的：建立一个用于评估虚弱的躯体-认知量表，并与传统Fried标准进行比较。方法：对1757名70-84岁的老年人进行分析。报告三种或三种以上Fried表型的参与者被分组为虚弱患者（FP），而其他人则为非虚弱（NF）。长谷川痴呆量表（HDS-R）评分≥ 21.5分者为非认知功能障碍组（NCI）。通过结合认知和虚弱标准，表现出三个或三个以上的积极成分的六个参与者被归类为物理认知虚弱组（Pc-F），而其他人则被归类为非Pc-F（Pc-NF）。结果：在所有参与者中，46.7%（820人）为男性，53.3%（937人）为女性。平均年龄为75.33 ± 3.90岁。10.1%（178/1757）被评估为FP患者。CI患病率为53.2%，体弱组CI（77.0%）明显高于非体弱组（50.5%）。根据新的Pc-F量表，1579名NF参与者中有163名被确定为Pc-F，Pc-F的患病率达到19.4%（341/1757）。在Pc-F组中，女性、高龄、糖尿病、脑卒中、CHD、CKD、代谢综合征和高hs-CRP患者较多。在Pc-F组中，CI患者比无CI的患者表现出更高的疲惫、低活动、虚弱和缓慢的发生率。结论：我们的研究揭示了一个显着更糟糕的状态在虚弱的参与者CI比没有。我们的新量表显示虚弱和并发症之间的相关性比经典表型更强。
Objective: To develop a physical- cognitive scale for assessment of frailty and compare the clinical features between the new scale and the conventional Fried criteria. Methods: 1757 individuals aged 70-84 were analyzed. Participants reporting three or more Fried phenotypes were grouped as frail patients (FP) whereas others as non-frail (NF). A score of Hasegawa's dementia scale (HDS-R) higher than 21.5 were classified as non-cognitive impairment group (NCI) group. By combining the cognitive and frailty criteria, participants manifesting three or more positive components out of the six were categorized into the Physical-cognitive frailty group (Pc-F) while others into non- Pc-F (Pc-NF). Results: Of all the participants, 46.7% (820) were males and 53.3% (937) were females. The mean age was 75.33 +/- 3.90. 10.1% (178/1757) were evaluated as FP patients. The prevalence of CI was 53.2%; CI was much higher in the frail group (77.0%) than in the non-frail group (50.5%). Based on the new Pc-F scale, 163 out of 1579 NF participants were identified as Pc-F, and the prevalence of Pc-F reached 19.4% (341/1757). In the Pc-F group, there are more females, patients of advanced age, diabetes, stroke, CHD, CKD, metabolic syndrome, and high hs-CRP. Within the Pc-F group, patients with CI showed a higher incidence of exhaustion, low activity, weakness, and slowness than those without CI. Conclusions: Our study revealed a significantly worse status in frail participants with CI than without. Our new scale shows a stronger correlation between frailty and complications than the classic phenotype.