衰弱指数模型在老年人综合评估中的初步应用

目的 探讨基于老年人综合评估的衰弱指数模型(FI-CGA)在中国老年人群中的适用性,及其评估老年人的衰弱状况。方法 对118例参加体检的老年人进行综合评估,并计算衰弱指数;同时采用临床衰弱量表(CFS)-09的9级分级法进行衰弱测评,比较两种衰弱评估方法的相关性。结果 118例老年人FI-CGA均值为0.19±0.07,平均CFS分级为3.11±1.46;5例老年女性FI-CGA均值为0.20±0.02、CFS分级均值为3.40±0.55;113例老年男性FI-CGA均值为0.19±0.07、CFS分级均值为3.10±1.48,女性高于男性,但差异均无统计学意义(t=0.270、0.452,P=0.788、0.652)。随着年龄增加老年人FI-CGA值和CFS衰弱分级均增加(F=10.437、5.651,P=0.000、0.001);且FI-CGA值与CFS衰弱分级水平呈正相关(r=0.615,P=0.000)。结论 FI-CGA可为中国老年患者准确定量评估病情,应在老年医学临床中推广应用。

Application of frailty index for comprehensive geriatric assessment in the elderly in China

Objective To discuss the suitability of frailty index for comprehensive geriatric assessment (FI-CGA) in the elderly in China, and evaluate the application of FI-CGA in China. Methods A comprehensive geriatric assessment was conducted among 118 old adults receiving health examination, and frailty index was calculated. Clinical frailty scale (CFS) was also used to evaluate the frail status of the old adults. The correlation between FI-CGA value and CFS level of the old adults was analyzed. Results The mean value of FI-CGA was 0.19±0.07, and the average level of CFS was 3.11±1.46. Women had higher mean value of FI-CGA and higher CFS level than men (FI-CGA=0.20±0.02 for women, 0.19±0.07 for men; CFS=3.40±0.55 for women, 3.10±1.48 for men), but the differences had no significance (t=0.270, 0.452, P=0.788, 0.652). The FI-CGA value and CFS level increased with age (F=10.437, 5.651, P=0.000, 0.001); and there was a positive correlation between FI-CGA value and CFS level (r=0.615, P=0.000). Conclusion FI-CGA is an effective model for the quantitative evaluation of the frail status of the elderly, and can be used in the clinical practice of geriatric medicine.