Measuring Frailty in Health Care Databases for Clinical Care and Research

被引：53

作者：

Kim, Dae Hyun ^{[1
,2
,3
,4
]}

机构：

[1] Hebrew Senior Life, Hinda & Arthur Marcus Inst Aging Res, Boston, MA 02131 USA

[2] Beth Israel Deaconess Med Ctr, Dept Med, Div Gerontol, Boston, MA 02215 USA

[3] Brigham & Womens Hosp, Dept Med, Div Pharmacoepidemiol & Pharmacoecon, 75 Francis St, Boston, MA 02115 USA

[4] Harvard Med Sch, Boston, MA 02115 USA

来源：

ANNALS OF GERIATRIC MEDICINE AND RESEARCH | 2020年 / 24卷 / 02期

关键词：

Frailty; Healthcare administrative claims; Electronic health records; OLDER-ADULTS; CLAIMS DATA; NONCARDIAC SURGERY; FUNCTIONAL STATUS; CANCER-TREATMENT; BLOOD-PRESSURE; OUTCOMES; ASSOCIATION; PREVALENCE; MORTALITY;

D O I：

10.4235/agmr.20.0002

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Considering the increasing burden and serious consequences of frailty in aging populations, there is increasing interest in measuring frailty in health care databases for clinical care and research. This review synthesizes the latest research on the development and application of 21 frailty measures for health care databases. Frailty measures varied widely in terms of target population (16 ambulatory, 1 long-term care, and 4 inpatient), data source (16 claims-based and 5 electronic health records [EHR]-based measures), assessment period (6 months to 36 months), data types (diagnosis codes required for 17 measures, health service codes for 7 measures, pharmacy data for 4 measures, and other information for 9 measures), and outcomes for validation (clinical frailty for 7 measures, disability for 7 measures, and mortality for 16 measures). These frailty measures may be useful to facilitate frailty screening in clinical care and quantify frailty for large database research in which clinical assessment is not feasible.

引用

页码：62 / 74

页数：13

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