在国家卫生维护组织中开发和验证电子脆弱指数
Fabienne Hershkowitz Sikron1, Rony Schenker2, Yishay Koom1
1Meuhedet Health Maintenance Organization (HMO), Tel-Aviv, Israel.
Aging
|October 24, 2024
概括
使用常规电子健康数据开发和验证了一种电子脆弱性指数 (EFI). EFI准确预测老年人死亡率或住院风险,显示较高脆弱度的风险增加.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
背景情况:
- 虚弱是老年人健康和功能衰退的重要危险因素.
- 识别和量化脆弱性对于老年人群的积极健康管理至关重要.
研究的目的:
- 开发和验证电子虚弱指数 (EFI) 使用例行收集的电子健康数据.
- 评估EFI对老年人不良健康结果的预测准确度.
主要方法:
- 对120,986名65岁以上的健康维护组织 (HMO) 成员进行了回顾性队列研究.
- 开发了一个累积脆弱指数,包括36个医疗,功能和社会缺陷.
- 使用多变量层次式考克斯回归来估计死亡率或住院的一年危险比率.
主要成果:
- 平均EFI得分与社会保障护理福利有正相关.
- 在对共变量进行调整后,轻度,中度和严重的虚弱与死亡或住院风险分别增加了2.07,3.35和4.4倍.
- 开发的EFI在预测一年内全因死亡率或住院治疗方面表现出有效性.
结论:
- 电子虚弱指数是预测老年人死亡率或住院治疗的有效工具.
- EFI的结果显示与国家社会保障的独立测量结果趋同.
- 常规的电子健康数据可以有效地利用,以创建强大的脆弱性评估工具.
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