[对9年功能残疾风险的风险评估尺度的截止点]
Hideaki Matsuzaki1, Taishi Tsuji2, Tao Chen3
1Department of Rehabilitation Center, Fukuoka Mirai Hospital.
概括
风险评估尺度 (RAS) 的截止值为13/14,有效预测日本老年人的9年功能残疾风险. 这种尺度有助于早期识别和干预长期护理需求.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 功能障碍是人口老龄化的一个重大问题,影响生活质量和医疗保健系统.
- 准确的预测工具对于老年护理的及时干预和资源分配至关重要.
- 风险评估尺度 (RAS) 在短期残疾预测方面表现有前途,但其长期实用性需要进行调查.
研究的目的:
- 确定风险评估尺度 (RAS) 的最佳切断点,以预测功能残疾的9年风险.
- 评估RAS对日本老年人长期功能障碍发病率的预测有效性.
- 评估RAS分数与9年内需要支持或护理认证的风险之间的关联.
主要方法:
- 一项前性9年后续研究,涉及来自萨萨古里Genkimon研究的2,254名日本老年人.
- 风险评估尺度 (RAS) 在基线时被用于评估残疾风险.
- 功能障碍发生率 (需要支持/护理认证) 是主要结果,使用Cox比例危险模型和C-统计分析.
主要成果:
- 在RAS上13/14的截止点显示出良好的预测有效性 (C统计:0.774;灵敏度:0.726;特异性:0.712).
- 在RAS得分为14或更高的参与者具有显著更高的9年功能残疾风险 (调整HR:4.81;P<.001).
- 在中位数为8.75年的随访期间,近28.7%的参与者发展出功能障碍.
结论:
- 具有13/14截止值的RAS是评估日本老年人长期 (9年) 功能残疾风险的合适工具.
- 这一验证的切断点可以促进早期风险识别,使有针对性的预防策略和干预措施成为可能.
- RAS提供了一种有前途的方法,用于积极管理功能衰退和支持老龄化人口的需求.
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