在使用日本索赔数据库的大规模回顾性队列研究中,后关闭接触和痴呆症发展之间的纵向关联使用了日本索赔数据库
Takashi Miyano1,2,3, Yudai Tamada2,4, Taro Kusama2,5
1Department of Medical and Robotic Engineering Design, Tokyo University of Science, Tokyo, Japan.
Scientific reports
|November 11, 2024
概括
通过艾希纳分类来评估的减少后关闭接触,与日本人口中痴呆症发病风险更高有关. 这一发现强调了牙健康对认知功能的重要性.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 牙科科学 牙科科学
背景情况:
- 认知衰退和痴呆症带来了重大的公共卫生挑战.
- 口腔健康,特别是闭口状态在痴呆风险中的作用是一个新兴的研究领域.
研究的目的:
- 调查使用艾克纳分类评估的后关闭接触与痴呆症风险之间的关联.
- 用大规模的医疗保险索赔数据分析日本人口中的这种关系.
主要方法:
- 对2016年4月至2022年3月期间的日本医疗保险索赔数据的分析.
- 将参与者分为艾希纳组 (A,B,C) 的分类,基于后关闭接触.
- 长度随访以确定痴呆症诊断 (ICD-10代码) 平均为35.6个月.
主要成果:
- 分析了931,309名参与者的队列,其中691人被诊断患有痴呆症.
- 艾希纳B组和C组 (减少密闭接触) 的个体患痴呆症的风险明显更高.
- 对痴呆症的调整后危险比为1.73 (95% CI: 1.31-2.28) 的艾希纳B和2.10 (95% CI: 1.35-3.26) 的艾希纳C.
结论:
- 减少后关闭接触与痴呆症发病风险增加有关.
- 艾希纳分类可以作为认知健康风险的指标.
- 由于研究的局限性,需要进一步的研究来确认老年人群中的概括性.
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