Translational Research Informatics Center, Foundation for Biomedical Research and Innovation, Kobe, Japan.
Biostatistics Center, Graduate School of Medicine, Kurume University, Fukuoka, Japan.
Geriatr Gerontol Int. 2019 Jul;19(7):598-603. doi: 10.1111/ggi.13677. Epub 2019 Apr 29.
The present population-based study investigated the predictive ability of the Kihon Checklist (a self-reported frailty questionnaire) and the cognitive domain therein for incident long-term care need certification. This is the first large population-based study to investigate an association between the Kihon Checklist and the outcome measure, long-term care need certification.
The study population consisted of community-dwelling citizens aged >65 years who responded to the Kihon Checklist in Kobe City. The Kihon Checklist is a simple 26-item questionnaire to identify frail citizens, including three items (Q18-20) on subjective cognitive function (the cognitive domain).
A total of 182 099 citizens were included for statistical analysis. The overall incidence of long-term care need certification was 1.6%, 3.5% and 5.4% at 1, 2 and 3 years. Associations were found between the Kihon Checklist questions and long-term care need certification. Furthermore, each unfavorable answer on the cognitive domain was associated with the risk for long-term care need (HR 1.493 for Q18, 1.285 for Q19, 1.321 for Q20, all P < 0.0001), independent of age, sex and other items on the Kihon Checklist. Also, after 3 years, as the number of unfavorable answers to the cognitive domain increased from 0 to 1, 2 and 3, the incidence of long-term care need certification progressively increased from 3.5% to 6.4%, 12.6% and 29.6%.
The Kihon Checklist, especially the cognitive domain therein, appears to be predictive of long-term care need in community-dwelling citizens, suggesting the potential utility of the questionnaire for early detection of high-risk individuals. Geriatr Gerontol Int 2019; 19: 598-603.
本基于人群的研究旨在探讨健康问卷（一种自我报告的衰弱问卷）及其认知域对长期护理需求认证的预测能力。这是第一项大规模基于人群的研究，旨在调查健康问卷与长期护理需求认证这一结局指标之间的关联。
研究人群为居住在神户市的年龄>65 岁并回答健康问卷的社区居民。健康问卷是一种简单的 26 项问卷，用于识别虚弱的公民，包括主观认知功能的三个项目（Q18-20）（认知域）。
共有 182099 名公民进行了统计分析。长期护理需求认证的总体发生率为 1.6%、3.5%和 5.4%，分别为 1、2 和 3 年。健康问卷的问题与长期护理需求认证之间存在关联。此外，认知域的每个不利答案都与长期护理需求的风险相关（Q18 的 HR 为 1.493，Q19 的 HR 为 1.285，Q20 的 HR 为 1.321，均 P<0.0001），独立于年龄、性别和健康问卷的其他项目。此外，3 年后，随着认知域不利答案数从 0 增加到 1、2 和 3，长期护理需求认证的发生率从 3.5%逐渐增加到 6.4%、12.6%和 29.6%。
健康问卷，特别是其中的认知域，似乎可以预测社区居民的长期护理需求，提示该问卷可能有助于早期发现高危人群。老年医学与老年病学国际 2019；19：598-603。
