Prevalence and Incidence of Frailty in Community-Dwelling Older People: Beijing Longitudinal Study of Aging II
Prevalence and Incidence of Frailty in Community-Dwelling Older People: Beijing Longitudinal Study of Aging II
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DOI：
10.1111/jgs.14135
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发表时间：
2016-06-01
影响因子：
6.3
通讯作者：
Chan, Pin
中科院分区：
文献类型：
--
作者：
Zheng, Zheng;Guan, Shauchen;Chan, Pin
目的：评估中国老年人衰弱的患病率和发病率，并评估衰弱对不良结局的影响。
设计：前瞻性队列研究的二次分析。
地点：中国北京的社区。
参与者：55岁及以上的个体（N = 10039）。
测量：采用罗克伍德的累积缺陷法，从34个项目中得出衰弱指数（FI）。FI为0.25或更高表明衰弱。临床结局通过以下任何不良事件的复合变量进行评估：跌倒、住院、日常生活活动能力残疾和死亡。
结果：衰弱的总体粗患病率为12.3%（95%置信区间（CI）= 11.7 - 13.0%），标准化患病率为9.1%（95%CI = 8.6 - 9.7%）。粗发病率为13.0%（95%CI = 12.2 - 13.9%），标准化发病率为10.8%（95%CI = 10.0 - 11.6%）。患病率和发病率随年龄增长显著增加（趋势P值）
OBJECTIVES: To estimate the prevalence and incidence of frailty and evaluate the effect of frailty on adverse outcomes in Chinese elderly adults.DESIGN: Secondary analysis of prospective cohort study.SETTING: Community in Beijing, China.PARTICIPANTS: Individuals aged 55 and older (N = 10,039).MEASUREMENTS: A Frailty Index (FI) was derived from 34 items using Rockwood's cumulative deficits method. A FI of 0.25 or greater indicated frailty. The clinical outcome was evaluated using a composite variable of any of the following adverse events: falls, hospitalization, activity of daily living disability, and death.RESULTS: The overall crude prevalence of frailty was 12.3% (95% confidence interval (CI) = 11.7-13.0%), and the standardized prevalence was 9.1% (95% CI = 8.6-9.7%). The crude incidence was 13.0% (95% CI = 12.2-13.9%), and the standardized incidence 10.8% (95% CI = 10.0-11.6%). Prevalence and incidence were significantly greater with age (P for trend