Rockwood K, Stolee P, McDowell I
Division of Geriatric Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
J Am Geriatr Soc. 1996 May;44(5):578-82. doi: 10.1111/j.1532-5415.1996.tb01446.x.
To test a model of frailty by examining factors associated with institutionalization of older people in Canada; to assess whether diagnostic data provided information about risk beyond that provided by data on functional capacity and demographic variables.
Cross-sectional study of 1258 institutional subjects and 9113 community-dwelling older adults from the Canadian Study of Health and Aging.
Multiple logistic regression analysis showed that female gender, being unmarried, absence of a caregiver, presence of cognitive impairment (including all types of dementia), functional impairment, diabetes mellitus, stroke, and Parkinson's disease were independently associated with being in a long-term care facility.
Frailty appears to be a multidimensional construct, and not simply a synonym for dependence in Activities of Daily Living. Studies of health outcomes in older people should include diagnostic data as well as demographic information and data on functional capacity.
通过研究与加拿大老年人机构化相关的因素来测试一种衰弱模型；评估诊断数据是否能提供超出功能能力和人口统计学变量数据所提供的风险信息。
对来自加拿大健康与老龄化研究的1258名机构受试者和9113名社区居住老年人进行横断面研究。
多因素logistic回归分析显示，女性、未婚、无照料者、存在认知障碍（包括所有类型的痴呆）、功能障碍、糖尿病、中风和帕金森病与入住长期护理机构独立相关。
衰弱似乎是一个多维度的概念，而不仅仅是日常生活活动依赖的同义词。对老年人健康结局的研究应包括诊断数据以及人口统计学信息和功能能力数据。
