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Relationships between each category of 25‐item frailty risk assessment ( K ihon C hecklist) and newly certified older adults under L ong‐ T erm C are I nsurance: A 24‐month follow‐up study in a rural community in J apan
Author(s) -
Fukutomi Eriko,
Okumiya Kiyohito,
Wada Taizo,
Sakamoto Ryota,
Ishimoto Yasuko,
Kimura Yumi,
Chen WenLing,
Imai Hissei,
Kasahara Yoriko,
Fujisawa Michiko,
Otsuka Kuniaki,
Matsubayashi Kozo
Publication year - 2015
Publication title -
geriatrics and gerontology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 57
eISSN - 1447-0594
pISSN - 1444-1586
DOI - 10.1111/ggi.12360
Subject(s) - medicine , incidence (geometry) , gerontology , activities of daily living , geriatric depression scale , quality of life (healthcare) , lower risk , depressive symptoms , population , depression (economics) , demography , physical therapy , cognition , environmental health , psychiatry , confidence interval , physics , nursing , sociology , economics , macroeconomics , optics
Aim The 25‐item K ihon C hecklist ( KCL ) is the official self‐administered questionnaire tool to screen frail older adults, consisting of seven categories: physical strength, nutritional status, oral function, houseboundness, cognitive function, depression risk and a score of more than 9 out of 1–20 items. The aim of the present study was to evaluate the relationships between each category of the KCL and newly certified cases under the L ong‐ T erm C are I nsurance ( LTCI ) in J apan during 24 months. Method The study population consisted of 883 community‐dwelling adults aged 65 years or older uncertified by LTCI completing a questionnaire, which included the KCL and scales of basic/advanced activities of daily living ( ADL ), quality of life ( QOL ), and depressive symptoms. The participants were categorized into the risk or non‐risk group depending on the official criteria of each KCL category. The outcome was the incidence of newly certified cases by LTCI during 24 months. The difference between the risk and non‐risk group was analyzed by C ox regression hazard models. Results Scores in basic/advanced ADL and QOL were higher, and the score in the geriatric depression scale was lower in the non‐risk than the risk group in KCL criteria. In men, the incidence of newly certified cases was higher in the risk group of the physical strength category after adjusting for age and the other categories of the KCL . Conclusion The physical strength category in men was the only significant predictor of the incidence of newly certified cases by LTCI . Further studies are required to improve the assessment item of cognitive function in KCL under LTCI . Geriatr Gerontol Int 2015; 15: 864–871.