关于不同健康指标对社区老年人全因死亡风险的预测价值的研究。

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY Geriatric Nursing Pub Date : 2024-11-16 DOI:10.1016/j.gerinurse.2024.10.084

Meng Zhang, Mengya Liu, Wenjing Guo, Yuqing Chang, Siyi Zhao, Li Zhang

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引用次数: 0

摘要

目的：内在能力（IC）、自评健康（SRH）和手握力（HGS）从不同方面反映了健康状况。本研究旨在探讨IC、SRH、SRH结合HGS与中国社区老年人全因死亡率之间的关系：本研究使用了中国健康与退休纵向研究（CHARLS）2011 年（基线）、2013 年、2015 年、2018 年和 2020 年的数据。我们采用问卷调查的方式对IC、SRH和HGS进行了评估。我们评估了IC、SRH和SRH合并HGS的基线水平。我们使用 COX 比例危险模型研究了基线 IC、SRH 和 SRH 合并 HGS 与全因死亡率之间的关系。我们使用接收器操作特征曲线（ROC）比较了IC、SRH和SRH合并HGS对中国社区老年人全因死亡率的预测效果：基线研究（2011 年）共有 4095 名参与者。多因素 Cox 回归分析结果显示，与自称健康状况良好且手部握力正常者、自称健康状况一般且手部握力较低者相比，老年人因各种原因死亡的风险要高得多[HR = 3.959，95 % CI (2.892-5.421)]，自称健康状况不好但手部握力正常的人[HR = 3.150，95 % CI (2.392-4.148)]，以及自称健康状况不好但手部握力较低的人[HR = 4.189，95 % CI (3.123-5.618)]。这项研究的对象是居住在社区的老年人。IC和SRH联合HGS预测任何原因死亡的ROC曲线下面积（AUC）分别为0.726 [95 % CI (0.708-0.744)] 和0.704 [95 % CI (0.683-0.725)]：结合 SRH 和 HGS 可以更准确地预测全因死亡风险，从而改善老年人的健康管理。

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A study of the predictive value of different health indicators on the risk of all-cause mortality in older adults living in communities

Objectives

Intrinsic capacity(IC), self-rated health (SRH), and hand grip strength (HGS) reflect the health status from different aspects. This study aimed to investigate the relationship between IC, SRH, SRH combined with HGS and all-cause mortality among Chinese older adults living in communities.

Methods

This study used data from the 2011 (baseline), 2013, 2015, 2018, and 2020 waves of the China Health and Retirement Longitudinal Study (CHARLS). We evaluated IC, SRH, and HGS using questionnaires. We assessed baseline levels of IC, SRH, and SRH combined HGS. Using the COX proportional hazards model, we investigated the associations between baseline IC, SRH, and SRH combined HGS and all-cause mortality. We used receiver operating characteristic curves (ROC) curves to compare the predictive effects of IC, SRH, and SRH combined HGS on all-cause mortality among Chinese older adults living in communities.

Results

At baseline (2011), the study included a total of 4095 participants. The multifactorial Cox regression analysis results showed that older adults had a much higher risk of death from any cause compared to those who said they were in good health and had a normal hand grip strength, those who said they were in fair health and had a low hand grip strength [HR = 3.959, 95 % CI (2.892–5.421)], those who said they were in bad health and had a normal hand grip strength [HR = 3.150, 95 % CI (2.392–4.148)], and those who said they were in bad health and had a low hand grip strength [HR = 4.189, 95 % CI (3.123–5.618)]. The study looked at older adults who lived in the community. The area under the ROC curves (AUC) for IC and SRH combined HGS to predict death from any cause was 0.726 [95 % CI (0.708–0.744)] and 0.704 [95 % CI (0.683–0.725)], respectively.

Conclusion

Combining SRH and HGS improves older adults' health management by more accurately predicting the risk of all-cause mortality.

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.