Are the Kihon Checklist and the Kaigo-Yobo Checklist Compatible With the Frailty Index?
Are the Kihon Checklist and the Kaigo-Yobo Checklist Compatible With the Frailty Index?
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DOI：
10.1016/j.jamda.2018.05.012
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发表时间：
2018-09-01
影响因子：
7.6
通讯作者：
Shinkai, Shoji
中科院分区：
文献类型：
--
作者：
Kojima, Gotaro;Taniguchi, Yu;Shinkai, Shoji
目的：探讨Kihon检查表（KCL）和Kaigo Yobo检查表（KYCL）与虚弱指数（FI）在预测长期护理保险（LTCI）认证风险和/或3年以上死亡率方面的可比性。设计：前瞻性队列研究。设置和参与者：1023名来自草津老龄化与健康纵向研究的日本社区居住老年人。测量：在基线时使用KCL、KYCL和32-缺陷和68-缺陷FI量化虚弱状态。使用斯皮尔曼等级相关系数检查测量的关系。考克斯回归模型根据KCL、KYCL和FI检查了新的LTCI或死亡率认证的风险。采用受试者工作特征曲线下面积（AUC）、C统计量、净再分类改善（NRI）和综合辨别力改善（IDI）将KCL和KYCL的预测能力与FI进行比较。KCL和KYCL与32-FI（r分别为0.60和0.36）和68-FI（r分别为0.88和0.61）显著相关。在随访期间，92名参与者（9%）被新认证为LTCI或死亡。完全校正的考克斯模型显示，KCL、KYCL、32-FI和68-FI均与风险升高显著相关[风险比（HR）= 1.03，95%CI = 1.01-1.04，P
Objectives: To explore comparability of Kihon Checklist (KCL) and Kaigo-Yobo Checklist (KYCL) to Frailty Index (FI) in predicting risks of long-term care insurance (LTCI) certification and/or mortality over 3 years.Design: Prospective cohort study.Setting and Participants: 1023 Japanese community-dwelling older adults from the Kusatsu Longitudinal Study of Aging and Health.Measures: Frailty status was quantified at baseline using KCL, KYCL, and 32-deficit and 68-deficit FI. Relationships of the measures were examined using Spearman rank correlation coefficients. Cox regression models examined the risk of new certification of LTCI or mortality according to KCL, KYCL, and FI. Predictive abilities of KCL and KYCL were compared with FI using area under the receiver operating characteristic curve (AUC), C statistics, net reclassification improvement (NRI), and integrated discrimination improvement (IDI).Results: Mean age was 74.7 years and 57.6% were women. KCL and KYCL were significantly correlated to 32-FI (r = 0.60 and 0.36, respectively) and to 68-FI (r = 0.88 and 0.61, respectively). During the follow-up period, 92 participants (9%) were newly certified for LTCI or died. Fully adjusted Cox models showed that higher KCL, KYCL, 32-FI, and 68-FI were all significantly associated with elevated risks [hazard ratio (HR) = 1.03, 95% CI = 1.01-1.04, P