CAJ | 학술논문

目的探讨衰弱指数在北京地区老年人健康评估中的应用及其对预后的预测. 方法采用分层、分段、随机、整群的抽样调查方法,抽取北京宣武区(目前归为西城区)城区居民、大兴区、怀柔区≥60岁老年入作为调查对象,采用2004年调查样本为基线调查数据,共调查城乡老年人1808例,分别于2007年、2009年以及2012年进行随访,并应用衰弱指数比较不同性别、地区及年龄老年人的健康状况和死亡率. 结果男性872例,衰弱指数平均值0.156±0.097;女性936例,FI平均值0.164±0.100.无论男性、女性、城市、农村老年人衰弱指数与年龄均呈正相关,均随增龄衰弱指数数值增加(r=0.314、0.395、0.405、0.319,P=0.004、0.000、0.000、0.000);相同衰弱指数组老年人死亡率男性高于女性、农村高于城市、高龄老年人高于低龄老年人. 结论衰弱指数对于评估老年人健康及预测预后有较好的适用性和评估意义.
목적 탐토쇠약지수재북경지구노년인건강평고중적응용급기대예후적예측. 방법 채용분층、분단、수궤、정군적추양조사방법,추취북경선무구(목전귀위서성구)성구거민、대흥구、부유구≥60세노년입작위조사대상,채용2004년조사양본위기선조사수거,공조사성향노년인1808례,분별우2007년、2009년이급2012년진행수방,병응용쇠약지수비교불동성별、지구급년령노년인적건강상황화사망솔. 결과 남성872례,쇠약지수평균치0.156±0.097;녀성936례,FI평균치0.164±0.100.무론남성、녀성、성시、농촌노년인쇠약지수여년령균정정상관,균수증령쇠약지수수치증가(r=0.314、0.395、0.405、0.319,P=0.004、0.000、0.000、0.000);상동쇠약지수조노년인사망솔남성고우녀성、농촌고우성시、고령노년인고우저령노년인. 결론 쇠약지수대우평고노년인건강급예측예후유교호적괄용성화평고의의.
Objective To explore the application of related parameters of frailty index,and use this method to evaluate the prognosis of respondents.Methods Evaluations based on the utilization of frailty index was performed in a cohort of 1808 elderly people aged 60 years and above who dwelled in Beijing urban and rural area.And the baseline of this survey started in 2004,and the follow-up procedure was performed at the end of third,fifth and eighth years.The mortality of all individuals was collected and analyzed.Results Along with the increasing age,higher frailly index was expected(r=0.314、0.395、0.405、0.319,P=0.004、0.000、0.000、0.000).Among the same level of frailty index,males,rural dwellers,and elderly people showed a higher death rate than females,urban dwellers and comparatively young individuals.Conclusions The frailty index may be a significant tool for evaluation of prognosis among elderly people.