Association between the 25-question Geriatric Locomotive Function Scale score and the incidence of certified need of care in the long-term care insurance system: The TOEI study
Association between the 25-question Geriatric Locomotive Function Scale score and the incidence of certified need of care in the long-term care insurance system: The TOEI study
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DOI：
10.1016/j.jos.2020.05.004
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发表时间：
2021-07-05
影响因子：
1.7
通讯作者：
Matsuyama, Yukihiro
中科院分区：
文献类型：
--
作者：
Niwa, Haruo;Ojima, Toshiyuki;Matsuyama, Yukihiro
背景：老年运动功能量表是一种用于识别老年人运动综合征风险的筛查工具。我们的目的是在一项前瞻性纵向观察性研究（TOEI研究）中阐明老年运动功能量表评分与长期护理保险系统中经认证的护理需求发生率的相关性。研究方法：参加者是来自山区的50岁以上的人，他们在都营接受了国民健康保险的体检。参与者完成老年运动功能量表问卷、体能测试和X光片。主要终点是在长期护理保险系统中证明需要护理的发生率。第二个终点是以下事件之一的发生率：经证明需要护理或死亡。结果：我们招募了681名受试者（271名男性和410名女性）。平均年龄为72.9岁（范围：50-92岁）。在平均4.9年的随访期间，经证明需要护理的发生率和两种事件中的任何一种分别为104和130。按老年运动功能量表分组，即第0组（评分0-6）、第1组（评分7-15）和第2组（评分16-），证明需要护理的累积发生率分别为7.5%、14%和35%。按组列出的两种事件中任一种的累积发生率分别为11%、18%和39%。对于主要和次要终点，老年运动功能量表评分较高与生存率（每个终点均未达到）之间存在显著相关性。结论：较高的老年运动功能量表评分与长期护理保险系统中经认证的护理需求以及上述两种事件之一的发生率较高相关。该量表可能有助于预测老年患者的预后。(c)2020年日本骨科协会。Elsevier B. V.出版，保留所有权利。
Background: The Geriatric Locomotive Function Scale is a screening tool to identify the risk of locomotive syndrome in the elderly. We aimed to clarify the association of Geriatric Locomotive Function Scale scores with the incidence of certified need of care in the long-term care insurance system in a pro-spective longitudinal observational study (the TOEI Study). Methods: Participants were individuals aged >50 years from a mountainous area who had undergone medical check-ups by the National Health Insurance in Toei. The Geriatric Locomotive Function Scale questionnaire, physical performance tests, and radiographs were completed by participants. The primary endpoint was the incidence of certified need of care in the long-term care insurance system. The sec-ondary endpoint was the incidence of either one of the following events: certified need of care or death. Results: We enrolled 681 subjects (271 men and 410 women). The mean age was 72.9 (range, 50-92) years. The incidences of certified need of care and either one of the two events were 104 and 130, respectively, during the average 4.9-year follow-up. The cumulative incidence rates of certified need of care by groups of the Geriatric Locomotive Function Scale, namely, Group 0 (score 0-6), Group 1 (score 7-15), and Group 2 (score 16-) were 7.5%, 14%, and 35%, respectively. The cumulative incidence rates of either one of the two events by group were 11%, 18%, and 39%, respectively. There was a significant association between higher Geriatric Locomotive Function Scale scores and survival rates (not achieved at each endpoint) for the primary and secondary endpoints. Conclusions: Higher Geriatric Locomotive Function Scale score was associated with greater incidence of certified need of care in the long-term care insurance system as well as either one of the two afore-mentioned events. This scale might enable prediction of prognosis among elderly patients. (c) 2020 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.