Ishii评分在养老机构老年人肌少症筛查中的应用  

Application of Ishii′s score in sarcopenia screening in institutionalized elderly

作　　者：黄姣玲 华楠 姚雪梅 李玉华 王秀华[1] Huang Jiaoling;Hua Nan;Yao Xuemei;Li Yuhua;Wang Xiuhua(Xiangya Nursing School of Central South University,Changsha 410013,China)

机构地区：[1]中南大学湘雅护理学院,湖南长沙410013

出　　处：《护理学杂志》2023年第4期100-103,共4页Journal of Nursing Science

基　　金：湖南省发展和改革委员会创新研发课题项目(2021-11);2018年度湖南省重点研发计划项目(2018SK21312)。

摘　　要：目的评价Ishii评分在养老机构老年人肌少症筛查中的准确性,为养老机构老年人肌少症筛查提供适用性工具。方法对养老机构386名老年人应用Ishii评分进行肌少症筛查,以亚洲肌少症工作组推荐的肌少症诊断标准为参考,使用灵敏度、特异度及ROC曲线下面积等指标评价Ishii评分肌少症筛查效应。结果肌少症检出率为49.7%,其中男91人,女101人;男性Ishii评分ROC曲线下面积为0.844,95%CI为0.786~0.902,女性Ishii评分ROC曲线下面积为0.806,95%CI为0.748~0.863;男性和女性分别在以137和161分为截断值时,约登指数达到最高水平。结论Ishii评分对于养老机构老年人肌少症筛查具有较高的筛检价值。Objective To assess the accuracy of Ishii′s score in the screening of sarcopenia in institutionalized elderly. Methods A total of 386 institutionalized elderly were assessed with the Ishii′s score. Using the reference diagnosis recommended by the Asian Working Group on Sarcopenia, the sensitivity, specificity and ROC curve were used to evaluate the accuracy of Ishii′s score. Results The prevalence of sarcopenia was 49.7%, involving 91 males and 101 females. The area under the ROC curve for men was 0.844(95%CI:0.786-0.902) and that for women was 0.806(95%CI:0.748-0.863). The results showed that the Ishii′s score reached the highest Youden′s index when a score of 137 was set as the cutoff value for men and 161 for women. Conclusion The Ishii′s score might facilitate the early detection of sarcopenia in institutionalized elderly.

关 键 词：老年人 肌少症 养老机构 Ishii评分 筛查工具 灵敏度 特异度 

分 类 号：R472[医药卫生—护理学] R473.1[医药卫生—临床医学]