全球脆弱性评估利用情况 - - 一项系统性审查
Samantha Gaston1, Elle Billman2, Lichy Han3
1Stanford University School of Medicine, 300 Pasteur Drive, Dept Of Anesthesia H3580, Stanford, California 94305-2200.
The Journal of frailty & aging
|October 3, 2025
概括
脆弱性评估 (FA) 主要关注身体和功能健康,忽视认知,精神和社会领域. 本次审查强调需要更全面的脆弱性评估工具,以捕捉其多维性质.
科学领域:
- 老年学是指老年学的学科.
- 老年医学 老年医学
- 公共卫生 公共卫生
背景情况:
- 专家指南主张进行身体,功能,认知,社会和心理健康领域的脆弱性评估 (FA).
- 本系统性审查分析了2015-2022年老年人群 (65岁以上) 的全球FA.
- 这项研究旨在描述目前在脆弱性评估中使用的参数.
研究的目的:
- 系统地审查和描述用于老年人的全球脆弱性评估 (FA) 中使用的参数.
- 确定当前脆弱性工具中最常被评估的领域.
- 评估现有的FA与多维脆弱性定义的对齐.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 选了3,859篇文章,其中202篇用于最终分析.
- 在39个国家的291个已识别的FA中,编码了4995个FA参数,分为45个与健康相关的类别.
主要成果:
- 脆弱性评估 (FA) 的平均值为每种仪器17.36个参数.
- 身体和功能健康占所有评估参数的22.32%.
- 认知,精神和社会健康领域的代表性不足,分别仅占参数的6.09%,6.35%和5.01%.
结论:
- 目前的脆弱性评估 (FA) 大大强调身体和功能方面.
- 在解决FA的认知,心理和社会健康领域方面存在很大的差距.
- 改进FA至关重要,以确保在不同的临床环境中对脆弱性的整体和多维评估.
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