Veterans' Successful Aging for Frail Elders (VSAFE) Program, Miami VA Healthcare System Geriatric Research Education and Clinical Center (GRECC), Bruce W. Carter Miami VAMC, 1201 NW 16th Street, Miami, FL, 33125, USA.
University of Miami Miller School of Medicine, Miami, FL, USA.
Aging Clin Exp Res. 2018 Oct;30(10):1241-1245. doi: 10.1007/s40520-018-0910-4. Epub 2018 Feb 21.
Frailty is a state of vulnerability to stressors which results in higher morbidity, mortality and healthcare utilization. The FRAIL scale is used as a validated screening for frailty. The Care Assessment Need (CAN) score is automatically generated from electronic health record data using a statistical model that includes data elements similar to the deficit accumulation model for frailty and predicts risk for hospitalization and/or mortality.
To determine the correlation of the CAN score with the FRAIL scale.
A cross-sectional study of 503 community-dwelling older adults. We compared the FRAIL scale with the CAN score.
The CAN score was significantly different between robust, prefrail and frail. Post hoc analysis revealed significant increases in scores from robust to prefrail and frail groups, in that order. The CAN score and FRAIL scale showed a correlation.
The CAN score show a moderate positive association with the FRAIL scale.
衰弱是一种对压力源敏感的脆弱状态,会导致更高的发病率、死亡率和医疗保健利用率。FRAIL 量表被用作衰弱的有效筛查工具。护理评估需求(CAN)评分是使用统计模型从电子健康记录数据中自动生成的,该模型包含类似于衰弱的缺陷积累模型的数据元素,并预测住院和/或死亡的风险。
确定 CAN 评分与 FRAIL 量表的相关性。
对 503 名居住在社区的老年人进行横断面研究。我们比较了 FRAIL 量表和 CAN 评分。
CAN 评分在健壮、虚弱前期和虚弱之间有显著差异。事后分析显示,分数从健壮到虚弱前期和虚弱组依次显著增加。CAN 评分和 FRAIL 量表呈正相关。
CAN 评分与 FRAIL 量表呈中度正相关。