Clinical application of Elderly Frailty Assessment Scale of Integrative Medicine

QIAO Lin-lin; YAN Xiao-guang; HUANG Fei; WANG Bao; FAN Ting; GAO Yan; CHEN Xue-nan; WANG Xiao-gang; ZHANG Dan-jing; LI Ye; LI Yi

doi:10.16025/j.1674-1307.2018.03.004

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Clinical application of Elderly Frailty Assessment Scale of Integrative Medicine

更新时间：2023-04-10

- Clinical application of Elderly Frailty Assessment Scale of Integrative Medicine
- Beijing Journal of Traditional Chinese Medicine Vol. 37, Issue 3, Pages: 206-208(2018)
- 作者机构：
  
  1. 北京医院中医科国家老年医学中心
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2018.03.004
  CLC：
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QIAO Lin-lin, YAN Xiao-guang, HUANG Fei, et al. Clinical application of Elderly Frailty Assessment Scale of Integrative Medicine. [J]. Beijing Journal of Traditional Chinese Medicine 37(3):206-208(2018)
DOI：

QIAO Lin-lin, YAN Xiao-guang, HUANG Fei, et al. Clinical application of Elderly Frailty Assessment Scale of Integrative Medicine. [J]. Beijing Journal of Traditional Chinese Medicine 37(3):206-208(2018) DOI： 10.16025/j.1674-1307.2018.03.004.

摘要

目的采用《中西医结合老年衰弱评估量表》评估老年住院患者的衰弱状况,探讨适合中国老年人特点的衰弱评估方法。方法收集填写108例老年住院患者的临床资料,根据《中西医结合老年衰弱评估量表》计算中西医结合衰弱积分（中西医FI）,根据《FI-CGA量表》计算衰弱积分（综合FI）,根据《CFS-09表》计算衰弱分级。比较3种评估方法的相关性,进一步比较不同性别、年龄、住院天数、住院费用患者的衰弱状况。结果本研究纳入的老年患者中西医FI平均值为（0.28±0.15）分、综合FI的平均值为（0.23±0.08）分、衰弱分级平均值为（3.44±1.01）分;男女性别中西医FI、综合FI、衰弱分级比较差异无统计学意义（P>0.05）;随年龄增长、住院天数增加、住院费用增加,中西医FI、综合FI、衰弱分级均明显增加,差异均有统计学意义（P<0.05）;经相关性分析,中西医FI与综合FI、衰弱分级均呈正相关（P<0.05）,综合FI与衰弱分级呈正相关（P<0.05）。结论《中西医结合老年衰弱评估量表》评估结果符合临床实际,基本反映了本组住院老年患者的衰弱状态。

Abstract

Objective To establish frailty assessment method suitable to Chinese elderly with Elderly Frailty Assessment Scale of Integrative Medicine to evaluate the frail state of elderly inpatients. Methods The frail status of 108 elderly inpatients was evaluated by using geriatric assessment of Integrative Medicine（ FI-TCM）,comprehensive geriatric assessment（ FI-CGA）,and clinical frailty scale（ CFS-09）. Frailty index was calculated. The correlation between FI-TCM value,FI-CGA value and CFS-09 level of the inpatients was compared,as well as the frailty state of inpatients with different sex,age,hospitalization days and costs. Results The mean value of FI-TCM was 0. 28 ± 0. 15,FI-CGA was 0. 23 ± 0. 08,and the average level of CFS-09 was 3. 44 ± 1. 01. The difference of FI-TCM,FI-CGA and CFS-09 of male and female had no statistical significance（ P > 0. 05）. The FI-TCM value,FI-CGA value,and CFS level increased with age,hospitalization days,hospitalization costs; the differences had statistical significance（ P < 0. 05）. There was a positive correlation between FI-TCM value,FI-CGA value,and CFS-09 level（ P < 0. 05）,and a positive correlation between FI-TCM value and CFS-09 level. Conclusion Elderly Frailty Assessment Scale of Integrative Medicine is an effective model for the quantitative evaluation of the frail state of elderly inpatients,and can be used for the clinical practice of geriatric medicine.

关键词

中西医结合老年衰弱评估量表衰弱指数临床应用

Keywords

integrative medicinefrail elderlyassessmentscalefrailty indexclinical practice

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