陆军军医大学学报2026，Vol.48Issue(12)：1775-1781,7.DOI:10.16016/j.2097-0927.202512112
多维度衰弱评分预测老年住院患者并发症风险与不良临床结局:一项回顾性队列研究
Multidimensional frailty score predicts the risk of in-hospital complications and adverse clinical outcomes in elderly hospitalized patients:a retrospective cohort study
摘要
Abstract
Objective To investigate the predictive efficacy of multidimensional frailty assessment scoring for in-hospital complications(IHC)risk and clinical outcomes in elderly inpatients.Methods A retrospective analysis was conducted on 136 elderly patients aged≥65 years who were hospitalized in Department of Geriatrics of First Affiliated Hospital of Army Medical University from May 2022 to September 2022.Demographic characteristics and clinical outcome indicators(critical illness,IHC,length of hospital stay,and discharge outcomes)were extracted from the medical record system.Nine frailty factors,in aspects of social,psychological,and physiological dimensions were identified from medical records within 72 h after admission,and each positive factor scored as 1 point.The multidimensional frailty score was calculated as a total score for all 9 factors.IBM SPSS statistics 23.0 was used for data analysis to evaluate the predictive value of the multidimensional frailty score for critical illness during hospitalization.This study was approved by the Ethics Committee of the First Affiliated Hospital of Army Medical University[approval number(B)KY2025245].Results ① IHC occurred in 36 patients(26.5%)during hospitalization;Those developing IHC had a higher proportion of critical illness on admission,longer hospital stays,and higher multidimensional frailty scores.② The AUC values of the multidimensional frailty score in predicting IHC and critical illness during hospitalization were 0.712(95%CI:0.614 to 0.810)and 0.738(95%CI:0.644 to 0.832),respectively,with optimal cutoff values of 2 and 3 points.③ The patients with higher multidimensional frailty scores had an increased risk for in-hospital IHC(β=0.487,OR=1.628,P<0.001)and critical illness on admission(β=0.557,OR=1.746,P<0.001);④ Conversely,those with elevated frailty scores showed reduced probability of favorable discharge(β=-0.602,OR=0.547,P=0.040).Conclusion Multidimensional frailty assessment is simple to perform and demonstrates good predictive value for the risk of IHC and critical illness on admission in elderly patients,and can be used for rapid assessment of newly admitted patients.关键词
住院并发症/临床结局/住院时间/多维度衰弱/心理衰弱Key words
in-hospital complications/clinical outcomes/length of hospital stay/multidimensional frailty/psychological frailty分类
医药卫生引用本文复制引用
吕慈,王文友,郭道远,全阳,何屹,王笑梅..多维度衰弱评分预测老年住院患者并发症风险与不良临床结局:一项回顾性队列研究[J].陆军军医大学学报,2026,48(12):1775-1781,7.基金项目
重庆市科技与民生项目(cstc2018jscx-msyb0580) Supported by the Project of Science and Technology Innovation and People's Livelihood Security of Chongqing(cstc2018jscx-msyb0580). （cstc2018jscx-msyb0580）
