Williams M E, Gaylord S A, Gerritty M S
Program on Aging, University of North Carolina School of Medicine, Chapel Hill 27599.
J Am Geriatr Soc. 1994 Jan;42(1):21-7. doi: 10.1111/j.1532-5415.1994.tb06068.x.
To determine the usefulness of timed manual performance measurements (TMP) as predictors of health outcomes, hospitalization, and mortality in a large, heterogeneous sample of elderly people living in the community.
Prospective cohort study.
Central North Carolina.
1,286 community-dwelling older people.
Demographic background, health problems, number of prescribed medications, perceived health, quality of life, and the TMP, a 27-item test that has been shown to predict functional dependency and need of health-care services in older people.
During the 2-year follow-up period, 127 people died and 200 were hospitalized. Scores for those who were able to complete the original TMP, as well as scores for two shorter versions of the TMP, predicted mortality and, to a lesser extent, hospitalization within 2 years. For both original and shorter versions of the TMP, relative risk of death was approximately 2.5 times greater for those in the poorest performance quartile, as compared with the best performing quartile, when adjusted for age, gender, race, and number of prescribed medications. TMP tests and an index of IADL were independent predictors of death.
TMP scores may be useful in the clinical setting as a vital sign of functioning, providing a means of targeting those individuals at increased risk of mortality.
在居住于社区的大量异质性老年人样本中，确定定时手动操作测量（TMP）作为健康结局、住院治疗和死亡率预测指标的效用。
前瞻性队列研究。
北卡罗来纳州中部。
1286名社区居住的老年人。
人口统计学背景、健康问题、处方药数量、自我感知健康状况、生活质量以及TMP，这是一项包含27个项目的测试，已被证明可预测老年人的功能依赖和医疗服务需求。
在2年的随访期内，127人死亡，200人住院。能够完成原始TMP的人群的得分，以及TMP两个较短版本的得分，均可预测2年内的死亡率，在较小程度上也可预测住院率。对于原始版和较短版的TMP，在对年龄、性别、种族和处方药数量进行调整后，表现最差的四分位数人群的死亡相对风险约为表现最佳的四分位数人群的2.5倍。TMP测试和日常生活活动能力指数是死亡的独立预测指标。
TMP得分在临床环境中可能作为功能的一项重要指标有用，为确定那些死亡风险增加的个体提供一种方法。
