根据老年人综合护理背景下的筛查工具，与内在能力下降相关的情况的出现频率。
Frequency of Conditions Associated with Declines in Intrinsic Capacity According to a Screening Tool in the Context of Integrated Care for Older People.
机构信息
Emmanuel González-Bautista. Gerontopole of Toulouse, Institute of Ageing, Toulouse University Hospital (CHU Toulouse), 37 Allée Jules Guesde, 31000 Toulouse, France. Mobile 06 22 10 14 96
出版信息
J Frailty Aging. 2021;10(2):94-102. doi: 10.14283/jfa.2020.42.
BACKGROUND
The screening tool of the Integrated Care for Older People (ICOPE Step 1), designed to detect declines in the domains of intrinsic capacity, has been incipiently investigated in older adult populations.
OBJECTIVES
To retrospectively estimate the frequency of priority conditions associated with declines in intrinsic capacity according to an adaptation of the screening tool ICOPE Step 1 among participants of the Multidomain Alzheimer Preventive Trial (MAPT).
DESIGN
A cross-sectional retrospective analysis from the baseline assessment of the MAPT.
SETTING
The data was gathered during a preventive consultation for cardiovascular risk factors in memory clinics in France.
PARTICIPANTS
Seven hundred fifty-nine older adults aged 70-89 years with memory complaints, allocated to the multidomain groups of the MAPT study.
MEASUREMENTS
Five domains of intrinsic capacity (cognition, locomotion, nutrition, sensorial, and psychological) were assessed using a screening tool similar to the ICOPE Step 1 (MAPT Step 1). The frequency of six conditions associated with declines in intrinsic capacity (cognitive decline, limited mobility, malnutrition, visual impairment, hearing loss, and depressive symptoms) was obtained for older adults with memory complaints participating in the MAPT study.
RESULTS
Overall, 89.3% of the participants had one or more conditions associated with declines in intrinsic capacity. The overall frequency of each condition was: 52.2% for cognitive decline, 20.2% for limited mobility, 6.6% for malnutrition, 18.1% for visual impairment, 56.2% for hearing loss, and 39% for depressive symptoms.
CONCLUSION
After being screened with an adaptation of the ICOPE step 1 (MAPT step 1) tool, 9/10 older adults had one or more conditions associated with declines in intrinsic capacity. The relative frequency differs across conditions and could probably be lower in a population without memory complaints. The frequency of screened conditions associated with declines in IC highlights how relevant it is to develop function-centered care modalities to promote healthy aging.
背景
旨在检测内在能力领域下降的综合老年人护理筛选工具（ICOPE 步骤 1），已在老年人群体中进行了初步研究。
目的
根据 ICOPE 步骤 1 筛查工具的改编，回顾性估计与内在能力下降相关的优先条件的频率，该改编适用于多领域阿尔茨海默病预防试验（MAPT）的参与者。
设计
从 MAPT 的基线评估进行的横断面回顾性分析。
地点
数据来自法国记忆诊所进行的心血管危险因素预防咨询。
参与者
759 名年龄在 70-89 岁、有记忆主诉的老年人，被分配到 MAPT 研究的多领域组。
测量
使用类似于 ICOPE 步骤 1（MAPT 步骤 1）的筛查工具评估内在能力的五个领域（认知、运动、营养、感觉和心理）。对于有记忆主诉参加 MAPT 研究的老年人，获得了与内在能力下降相关的六种情况（认知下降、活动受限、营养不良、视力障碍、听力损失和抑郁症状）的频率。
结果
总体而言，89.3%的参与者有一个或多个与内在能力下降相关的情况。每种情况的总体频率为：认知下降 52.2%、活动受限 20.2%、营养不良 6.6%、视力障碍 18.1%、听力损失 56.2%、抑郁症状 39%。
结论
使用 ICOPE 步骤 1（MAPT 步骤 1）工具改编进行筛选后，9/10 的老年人有一个或多个与内在能力下降相关的情况。相对频率因情况而异，在没有记忆主诉的人群中可能较低。与内在能力下降相关的筛查情况的频率强调了开发以功能为中心的护理模式来促进健康老龄化的重要性。
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