以质量求发展，以服务铸品牌

护理学报 ›› 2022, Vol. 29 ›› Issue (24): 18-21.doi: 10.16460/j.issn1008-9969.2022.24.018

• 文献研究 • 上一篇    下一篇

医院衰弱风险评分在老年住院患者不良结局预测中的应用进展

毛欣楠, 徐林燕, 赵磊, 许丽娟   

  1. 丽水学院医学院,浙江 丽水 323000
  • 收稿日期:2022-05-07 出版日期:2022-12-25 发布日期:2023-01-13
  • 通讯作者: 徐林燕（1988-）,女,浙江绍兴人,硕士,讲师。
  • 作者简介:毛欣楠（2002-）,女,浙江宁波人,本科在读。
  • 基金资助:
    国家自然科学基金项目（71904073）; 浙江省教育厅项目（Y202044921）; 丽水市公益性技术应用研究计划项目（2022GYX62）

  • Received:2022-05-07 Online:2022-12-25 Published:2023-01-13

PDF (PC)

234

赞

摘要： 目的 对医院衰弱风险评分在老年住院患者不良结局预测进行综述,为改善老年住院患者预后,降低死亡率提供参考。方法 检索国内外关于医院衰弱风险的相关文献,从医院衰弱风险评分工具的开发、应用现状及对未来使用进行总结、展望。结果 医院衰弱风险评分可以评估老年住院患者衰弱的工具,更有效帮助医护人员预测老年住院患者的死亡率、住院延长率、术后不良事件及总住院费用等结局。结论 根据我国老年住院患者的具体情况,引进医院衰弱风险评分,结合临床基础数据,提高预测效能,降低患者不良事件的发生。

关键词: 医院衰弱风险评分, 衰弱, 预测, 不良结局

中图分类号: 

  • R473.59
[1] 薛梦婷,姜荣荣,徐桂华,等.老年人衰弱的研究进展[J].中国老年学杂志,2021,41(8):1761-1765.DOI:10.3969/j.issn.1005-9202.2021.08.056.
[2] 田鹏,杨宁,郝秋奎,等.中国老年衰弱患病率的系统评价[J].中国循证医学杂志,2019,(6):656-664.DOI:10.7507/1672-2531.201901056.
[3] 賀丹. 我国人口长期变动的趋势和挑战[J].人口与计划生育,2018(4):96.
[4] 贾淑利,董碧蓉.《亚太区老年衰弱管理临床实践指南》解读[J].中国康复医学杂志,2020,(5):609-612.DOI:10.3969/j.issn.1001-1242.2020.05.021.
[5] 欧阳敏,蹇在金.老年衰弱评估研究进展[J].中国实用内科杂志,2017,(4):317-321.DOI:10.19538/j.nk2017040110.
[6] Gilbert T, Neuburger J, Kraindler J, et al.Development and Validation of a Hospital Frailty Risk Score Focusing on Older People in Acute Care Settings Using Electronic Hospital Records:An Observational Study[J]. Lancet,2018,391(10132):1775-1782.DOI:10.1016/S0140-6736(18)30668-8.
[7] World Health Organization.(2004).ICD-10:International Statistical Classification of Diseases and Related Health Problems:Tenth Revision,2nd ed.World Health Organization[EB/OL].(2008-12-02)[2022-04-26].https://apps.who.int/iris/handle/10665/42980.
[8] Street A,Maynou L,Gilbert T,et al.The Use of Linked Routine Data to Optimise Calculation of the Hospital Frailty Risk Score on the Basis of Previous Hospital Admissions:A Retrospective Observational Cohort Study[J]. Lancet Healthy Longev,2021,2(3):e154-e162. DOI:10.1016/S2666-7568(21)00004-0.
[9] Martin FC, O'Halloran AM. Tools for Assessing Frailty in Older People:General Concepts[J].Adv Exp Med Biol,2020,1216:9-19.DOI:10.1007/978-3-030-33330-0_2.
[10] Aguayo GA,Donneau AF,Vaillant MT,et al.Agreement between 35 Published Frailty Scores in the General Population[J]. Am J Epidemiol,2017, 186(4):420-434.DOI:10.1093/aje/kwx061.
[11] Hägg S, Jylhävä J, Wang Y,et al.Age,Frailty,and Comorbidity as Prognostic Factors for Short-term Outcomes in Patients with Coronavirus Disease 2019 in Geriatric Care[J].J Am Med Dir Assoc,2020,21(11):1555-1559.DOI:10.1016/j.jamda.2020.08.014.
[12] Meyer M, Parik L,Leiss F,et al.Hospital Frailty Risk Score Predicts Adverse Events in Primary Total Hip and Knee Arthroplasty[J].J Arthroplasty,2020,35(12):3498-3504.DOI:10.1016/j.arth.2020.06.087.
[13] Nghiem S, Sajeewani D,Henderson K,et al.Development of Frailty Measurement Tools Using Administrative Health Data:A Systematic Review[J]. Arch Gerontol Geriatr,2020,89:104102.DOI:10.1016/j.archger.2020.104102.
[14] Eckart A,Hauser SI, Haubitz S, et al.Validation of the Hospital Frailty Risk Score in a Tertiary Care Hospital in Switzerland:Results of a Prospective, Observational Study[J].Bmj Open,2019,9(1):e026923.DOI:10.1136/bmjopen-2018-026923.
[15] Mcalister F, Van Walraven C.External Validation of the Hospital Frailty Risk Score and Comparison with the Hospital-patient One-year Mortality Risk Score to Predict Outcomes in Elderly Hospitalised Patients:A Retrospective Cohort Study[J].BMJ Qual Saf,2019,28(4):284-288.DOI:10.1136/bmjqs-2018-008661.
[16] Gunnarsdottir GM,Helgadottir S,Einarsson SG,et al.Validation of the Hospital Frailty Risk Score in Older Surgical Patients:A Population-based Retrospective Cohort Study[J].Acta Anaesthesiol Scand, 2021, 65(8):1033-1042.DOI:10.1111/aas.13837.
[17] Ramos-Rincon JM,Moreno-Perez O,Pinargote-Celorio H,et al.Clinical Frailty Score VS Hospital Frailty Risk Score for Predicting Mortality and Other Adverse Outcome in Hospitalised Patients with COVID-19:Spanish Case Series[J].Int J Clin Pract,2021,75(10):e14599.DOI:10.1111/ijcp.14599.
[18] Shebeshi DS, Dolja-Gore X,Byles J.Validation of Hospital Frailty Risk Score to Predict Hospital Use in Older People:Evidence from the Australian Longitudinal Study on Women's Health[J].Arch Gerontol Geriatr,2021,92:104282.DOI:10.1016/j.archger.2020.104282.
[19] Kwok CS,Zieroth S,Van Spall HGC,et al.The Hospital Frailty Risk Score and Its Association with In-hospital Mortality,Cost,Length of Stay and Discharge Location in Patients with Heart Failure Short Running Title:Frailty and Outcomes in Heart Failure[J]. Int J Cardiol,2020,300:184-190.DOI:10.1016/j.ijcard.2019.09.064.
[20] Gilbert T, Cordier Q,Polazzi S, et al.External Validation of the Hospital Frailty Risk Score in France[J]. Age ageing,2022,51(1):afab126.DOI:10.1093/ageing/afab126.
[21] Shimizu A, Maeda K,Fujishima I,et al.Hospital Frailty Risk Score Predicts Adverse Events in Older Patients with Hip Fractures after Surgery:Analysis of a Nationwide Inpatient Database in Japan[J].Arch Gerontol Geriatr,2022,98:104552.DOI:10.1016/j.archger.2021.104552.
[22] Kundi H, Coskun N, Yesiltepe M.Association of Entirely Claims-based Frailty Indices with Long-term Outcomes in Patients with Acute Myocardial Infarction,Heart Failure,or Pneumonia:A Nationwide Cohort Study in Turkey[J].Lancet Reg Health Eur,2021,10:100183.DOI:10.1016/j.lanepe.2021.100183.
[23] Kundi H,Cetin EHÖ,Canpolat U,et al.The Role of Frailty on Adverse Outcomes among Older Patients with COVID-19[J].J Infect,2020, 81(6):944-951.DOI:10.1016/j.jinf.2020.09.029.
[24] Nghiem S, Afoakwah C, Scuffham P,et al.Hospital Frailty Risk Score and Adverse Health Outcomes: Evidence from Longitudinal Record Linkage Cardiac Data[J].Age Ageing,2021, 50(5):1778-1784. DOI:10.1093/ageing/afab073.
[25] Hasan O, Barkat R, Rabbani A,et al.Charlson Comorbidity Index Predicts Postoperative Complications in Surgically Treated Hip Fracture Patients in a Tertiary Care Hospital: Retrospective Cohort of 1045 Patients[J]. Int J Surg,2020,82:116-120. DOI:10.1016/j.ijsu.2020.08.017.
[26] Elsamadicy AA,Koo AB,Reeves B,et al.Hospital Frailty Risk Score and Healthcare Resource Utilization after Surgery for Metastatic Spinal Column Tumors[J]. J Neurosurg Spine,2022,11:1-11.DOI:10.3171/2022.1.SPINE21987.
[27] Peterson R, Kandregula S, Jee E, et al.Utility of Hospital Frailty Risk Score for Predicting Postoperative Outcomes in Craniopharyngioma[J].2022,159(1):185-193.DOI:10.1007/s11060-022-04056-x.
[28] Bruno RR, Wernly B,Flaatten H,et al.The Hospital Frailty Risk Score Is of Limited Value in Intensive Care Unit Patients[J]. Critical Care,2019,23(1):239.DOI:10.1186/s13054-019-2520-8.
[29] Aitken S J,Lujic S,Randall DA,et al.Predicting Outcomes in Older Patients Undergoing Vascular Surgery Using the Hospital Frailty Risk Score[J].Br J Surg,2021,108(6):659-666.DOI:10.1002/bjs.12043.
[30] Hollinghurst J, Housley G,Watkins A,et al.A Comparison of Two National Frailty Scoring Systems[J]. Age and Ageing,2021,50(4):1208-1214.DOI: 10.1093/ageing/afaa252.
[31] Ushida K, Shimizu A, Hori S, et al.Hospital Frailty Risk Score Predicts Outcomes in Chronic Obstructive Pulmonary Disease Exacerbations[J]. Arch Gerontol Geriatr,2022,100:104658-104658.DOI:10.1016/j.archger.2022.104658.
[32] Kundi H, Wadhera RK,Strom JB,et al.Association of Frailty with 30-day Outcomes for Acute Myocardial Infarction,Heart Failure,and Pneumonia among Elderly Adults[J].JAMA Cardiol,2019, 4(11):1084-1091.DOI:10.1001/jamacardio.2019.3511.
[33] Hannah TC,Neifert SN,Caridi JM,et al.Utility of the Hospital Frailty Risk Score for Predicting Adverse Outcomes in Degenerative Spine Surgery Cohorts[J].Neurosurgery,2020,87(6):1223-1230.DOI:10.1093/neuros/nyaa248.
[34] 李秋萍,韩斌如.老年外科患者衰弱状态与术后并发症的相关研究[J].中国实用护理杂志,2019(6):426-429.
[35] Hajek A, Bock J-O,Saum K-U,et al.Frailty and Healthcare Costs-longitudinal Results of a Prospective Cohort Study[J].Age and Ageing,2018, 47(2):233-241.DOI:10.1093/ageing/afx157.
[36] Ramai D,Dang-Ho KP,Kewalramani A,et al.Hospital Frailty Risk Score Is Independently Associated with Mortality and Encephalopathy in Hospitalized Patients with Hepatocellular Carcinoma[J]. Biomedicines, 2021,9(11):1693.DOI:10.3390/biomedicines9111693.
[37] 倪洁,葛兆霞.衰弱前期老年患者运动衰弱干预试验效果观察[J].护理学报, 2019,26(15):65-69.DOI:10.16460/j.issn1008-9969.2019.15.065.
[38] Harvey LA, Toson B,Norris C,et al.Does Identifying Frailty from ICD-10 Coded Data on Hospital Admission Improve Prediction of Adverse Outcomes in Older Surgical Patients?A Population-based Study[J].Age Ageing,2021,50(3):802-808.DOI:10.1093/ageing/afaa214.
[1] 李垚, 陈小敏, 夏敏, 吴茜, 张琳, 陈叡喆, 葛莉丽, 吴逸梅. 肿瘤患者衰弱评估工具应用的范围综述[J]. 护理学报, 2025, 32(4): 48-52.
[2] 郑小静, 严红虹, 李慧景, 陈思涓, 陈秀梅. 肝细胞癌伴低血糖症风险预测模型的构建与验证[J]. 护理学报, 2025, 32(4): 53-58.
[3] 伍丽华, 吴心雨, 赖湘瑜, 邓宝贵, 黄泽青, 赵耀, 廖源, 沈彩萍, 李瑜. 人工关节置换术后患者深静脉血栓风险预测模型的系统评价[J]. 护理学报, 2025, 32(3): 12-16.
[4] 刘硕怡, 熊莉娟, 李凌, 王玉梅, 何嘉, 李鑫, 袁淑蕾, 郭雪琴, 王暘婧, 张慧娟. 老年住院患者衰弱预防及管理临床实践指南的质量评价及内容分析[J]. 护理学报, 2025, 32(2): 50-55.
[5] 李雪, 廖常菊, 张健, 丁娟, 陈晓丽, 胡玉庭. 三级甲等医院ICU护士睡眠障碍的风险预测模型构建及验证[J]. 护理学报, 2025, 32(2): 63-69.
[6] 闫亚铃, 乐美妮, 姚桃琴, 王雪莲, 姜建玲, 辛艺. 老年胃肠肿瘤患者围手术期衰弱管理方案的构建[J]. 护理学报, 2025, 32(2): 74-78.
[7] 余璐, 黄晓沁, 刘琳, 袁嘉敏, 邬青. 心力衰竭患者30天非计划性再入院风险预测模型的系统评价[J]. 护理学报, 2024, 31(8): 43-48.
[8] 曹娟, 李方, 于跃, 戴丽, 杨丹丹, 李志华, 徐欣怡, 戴琪, 陈柯宇. 食管癌术后静脉血栓栓塞症风险预测模型的构建及验证[J]. 护理学报, 2024, 31(8): 63-68.
[9] 姚晨晨, 陈娟, 杨雷. 老年衰弱患者基于埃德蒙顿衰弱量表评估分层抗阻运动的效果观察[J]. 护理学报, 2024, 31(7): 73-78.
[10] 薛荣, 张开利, 陈保云, 马荣慧, 张雨欣. 中老年脑卒中患者多维衰弱发展轨迹及其影响因素研究[J]. 护理学报, 2024, 31(6): 6-12.
[11] 周越, 张杰, 潘宇帆, 戴雨, 孙羽健, 肖益, 余雨枫. 机械通气患者衰弱风险预测模型的系统评价[J]. 护理学报, 2024, 31(6): 56-61.
[12] 王薇, 周演铃, 薛文萍, 张淋淋, 林书球. 老年髋部骨折患者衰弱评估工具的范围综述[J]. 护理学报, 2024, 31(4): 42-47.
[13] 邢春凤, 李国新, 张广清, 刘雅鑫, 孙晓伟. 产妇产褥期乳房胀痛危险因素分析及风险预测模型构建[J]. 护理学报, 2024, 31(3): 6-11.
[14] 王丽云, 张明慧, 张新月, 沙凯辉. 产后压力性尿失禁风险预测模型的系统评价[J]. 护理学报, 2024, 31(3): 57-62.
[15] 赵国瑞, 刘高明, 张凤, 周颖. 宫颈癌患者术后下肢淋巴水肿风险预测模型的构建及验证[J]. 护理学报, 2024, 31(24): 7-12.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!