亚太地区社区服务中的脆弱性识别工具的比较分析:系统性审查和元分析
Yi-Chen Wu1, Chia-Te Chen2, Shu-Fen Shen3
1College of Nursing and Health Sciences, Da-Yeh University, No.168, University Rd., Dacun, Changhua 515006, Taiwan.
The journal of nutrition, health & aging
|January 31, 2025
概括
FRAIL尺度是识别亚太地区社区脆弱性的最有效工具,患病率为19.7%. 这一系统性审查强调了该地区需要验证的脆弱性评估工具的需要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 诊断的准确性 诊断的准确性
背景情况:
- 脆弱性是老龄化人口的重大健康问题,特别是在亚太地区.
- 现有的脆弱性查和评估工具需要根据金级标准进行验证,例如脆弱性表型 (FP),脆弱性指数 (FI) 和综合老年评估 (CGA).
研究的目的:
- 将各种脆弱性查和评估工具的诊断准确性与已建立的黄金标准进行比较.
- 在社区环境中为亚太地区人口确定最有效的脆弱性识别工具.
主要方法:
- 诊断测试准确性研究的系统审查和元分析.
- 搜索包括到2024年8月20日的电子和手动数据库.
- 使用QUADAS-2进行质量评估,使用层次分析和优登指数进行最佳工具和切断界限的识别.
主要成果:
- 其中包括14项研究,评估了诸如FRAIL尺度,TUG,SOF指数,CFS,KCL和REFS等工具.
- 所有研究都有高偏差风险. 选工具的聚合灵敏度/特异性为0.63/0.89,评估工具的聚合灵敏度/特异性为0.79/0.85.
- FRAIL尺度 (截止值2) 显示了最佳的查性能 (尤登指数0.60),而CFS (35.03) 在评估工具中具有最高的诊断概率比率.
结论:
- 截止值为2的FRAIL尺度是亚太地区最强大的脆弱性识别工具.
- 在亚太地区,脆弱的综合流行率为19.7%,强调需要区域特定的验证工具.
- 建议进行进一步的研究,以开发和验证针对亚太地区人口量身定制的评估工具.
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