基于索赔的脆弱性代理措施的纵向变化与脆性表现型的同时变化相比
Emilie D Duchesneau1, Dae Hyun Kim2,3, Til Stürmer4,5
1Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
概括
测量脆弱过渡是一个挑战. 基于索赔的代理人法罗特脆弱性指数显示,在三年内,老年人的脆弱性表型恶化反映了增加.
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
背景情况:
- 脆弱是一种动态的,与衰老相关的综合征,很难衡量.
- 福罗特脆弱性指数是使用医疗保险索赔数据验证的脆弱性代理.
- 评估基于索赔的脆弱性测量与临床脆弱性表型的一致性对于准确的监测至关重要.
研究的目的:
- 评估法罗特脆弱性指数的3年变化是否与脆弱性表型的同时变化保持一致.
- 为了确定医疗保险索赔数据在跟踪临床上有意义的脆弱性进展中的有用性.
主要方法:
- 利用了国家健康和衰老趋势研究 (NHATS) 的纵向数据,与医疗保险索赔 (2010-2018) 相关联.
- 包括2011年和2015年NHATS队列的老年人 (66岁以上) 与持续的医疗保险入学.
- 分析了三年来基于索赔的脆弱性与脆弱性表型的同时过渡的年度变化.
主要成果:
- 在基线时,根据表型,参与者被分类为强壮 (32%),易受挫折 (48%),或易受挫折 (19%).
- 脆弱性表型从强壮变为脆弱的个体显示,基于索赔的脆弱性显著增加 (0.09至0.25).
- 从虚弱前到虚弱的恶化也与基于索赔的虚弱性增加 (0.14到0.26) 相对应,尽管表型的改善没有显示相应的下降.
结论:
- 三年来脆弱现象型的恶化同时反映在法罗特脆弱指数的增加中.
- 医疗保险索赔数据,通过福罗脆弱指数,可以潜在地识别老年人脆弱的临床显著恶化.
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