国际护理科学（英文）2023，Vol.10Issue(1)：38-45,8.
老年人功能评估简表对死亡率和住院率的预测效能研究
Predictive validity of the Short Functional Geriatric Evaluation for mortality,hospitalization and institutionalization in older adults:A retrospective cohort survey
Giuseppe Liotta 1Grazia Lorusso 1Olga Madaro 1Valeria Formosa 1Susanna Gentili 1Fabio Riccardi 1Stefano Orlando 1Paola Scarcella 1Leonardo Palombi1
作者信息
摘要
Abstract
Objectives:Bio-psycho-social frailty is related to increased risk of death and utilization of health services.This paper reports the predictive validity of a 10-min multidimensional questionnaire on the risk of death,hospitalization and institutionalization.Methods:A retrospective cohort study was performed based on data from the"Long Live the Elderly!"program,involving 8,561 community-dwelling Italian people＞75,followed for an average of 516.6 days(Median=448,P25-P75:309-692).Mortality,hospitalization,and institutionalization rates according to frailty levels assessed by the Short Functional Geriatric Evaluation(SFGE)have been calculated.Results:Compared with the robust,the pre-frail,frail,and very frail faced a statistically significant in-crease in the risk of mortality(RR=1.40,2.78 and 5.41),hospitalization(OR=1.31,1.67,and 2.08)and institutionalization(OR=3.63,9.52,and 10.62).Similar results were obtained in the sub-sample of those with only socio-economic issues.Frailty predicted mortality with an area under the ROC curve of 0.70(95％CI 0.68-0.72)with sensitivity and specificity of 83.2％and 40.4％.Analyses of single determinants of these negative outcomes showed a multivariable pattern of determinants for all the events.Conclusions:The SFGE predicts death,hospitalization and institutionalization by stratifying older people according to the levels of frailty.The short administration time,the socio-economic variables and the characteristics of personnel administering the questionnaire make it suitable for being used in public health as a screening tool for a large population,to put frailty at the core of the care for community-dwelling older adults.The difficulty in capturing the complexity of the frailty is witnessed by the moderate sensitivity and specificity of the questionnaire.关键词
老年人/衰弱/老年医学评估/意大利/问卷调查Key words
Aged/Frailty/Geriatric assessment/Italy/Surveys and questionnaires引用本文复制引用
Giuseppe Liotta,Grazia Lorusso,Olga Madaro,Valeria Formosa,Susanna Gentili,Fabio Riccardi,Stefano Orlando,Paola Scarcella,Leonardo Palombi..老年人功能评估简表对死亡率和住院率的预测效能研究[J].国际护理科学（英文）,2023,10(1):38-45,8.
