基于索赔的虚弱指数及其与常用的临床虚弱指标的关系
Stephanie Denise M Sison1,2, Sandra M Shi1, Gahee Oh1
1Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts, USA.
概括
基于索赔的脆弱性指数 (CFI) 与临床脆弱性指标相关,有助于解释这种医疗保险数据工具. 这项研究将CFI与老年人常见的临床评估联系起来.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 生物统计学 生物统计学
背景情况:
- 基于索赔的脆弱性指数 (CFI) 是一种有效的工具,用于识别Medicare数据中的脆弱性.
- 目前尚不清楚CFI和临床脆弱性测量措施之间的关系.
研究的目的:
- 探索基于索赔的脆弱指数 (CFI) 和常用的临床脆弱措施之间的关系.
- 与临床评估相比,评估CFI在识别脆弱性的有用性.
主要方法:
- 利用了2015年国家健康和衰老趋势研究 (NHATS) 的数据,与医疗保险索赔相关联.
- 计算了9个常见的临床脆弱性指标和3963名社区老年人的CFI.
- 使用 equipercentile 方法将 CFI 评分与临床脆弱性测量结果联系起来,并计算出 C-统计数据.
主要成果:
- 0.25的CFI与各种临床脆弱性测量得分相对应.
- 对于CFI识别脆弱性的C-统计总体上很高 (≥0.70),除了CFS和VES-13.
- 识别脆弱性的最佳CFI切割点在0.212到0.242之间,具有良好的灵敏度和特异性.
结论:
- 该研究表明,CFI与已确立的临床脆弱性指标之间存在显著的关系.
- 调查结果表明,CFI可以成为评估老年人脆弱性的宝贵工具.
- 更好地了解CFI的实用性可以改善其在临床实践和研究中的应用.
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