论文部分内容阅读
目的采用meta分析的方法综合评价我国社区老年人的衰弱发生率。方法系统检索中文数据库(中国知网、万方数据库和维普网)和英文数据库(Pub Med,Embase,Medline,Cochrane Library)中1997—2016年所有公开发表的关于老年人衰弱发生率的文献。纳入合格文献后按Loney标准评价文献质量;最后采用Stata软件对数据进行meta分析。结果最终纳入12篇文献,总样本量为11 024人,我国社区老年人衰弱发生率为7.4%~14.2%。合并分析后衰弱发生率为10.5%(95%CI:9.1%~11.9%)。亚组分析显示,老年衰弱发生率随着年龄的增高而增高(60~69岁:4.9%;70~79岁:9.3%;≥80岁:20.5%)。女性衰弱率(11.3%)高于男性(8.0%)。内地(11.5%)高于香港(10.1%)和台湾地区(9.2%)。结论我国社区老年人衰弱发生率较高,应加以重视并探索有效方法进行预防和干预。
Objective To evaluate the incidence of debilitating senile people in our community by meta-analysis. METHODS: All published literature on the incidence of senile frailty in Chinese databases (CNKI, Wanfang Database and VprNet) and the PubMed, Embase (Medline, Cochrane Library) was searched from 1997 to 2016. The quality of the literature was evaluated according to the Loney criteria after inclusion of the eligible documents. Finally, the data was analyzed by using the Stata software. The results of the final inclusion of 12 articles, the total sample size of 11 024 people, the incidence of frail elderly community in China was 7.4% to 14.2%. The incidence of post-merger failure was 10.5% (95% CI: 9.1% to 11.9%). Subgroup analyzes showed that the prevalence of senile dementia increased with age (60-69 years: 4.9%; 70-79 years: 9.3%; ≥80 years: 20.5%). The decline rate of women (11.3%) is higher than that of men (8.0%). The Mainland (11.5%) is higher than Hong Kong (10.1%) and Taiwan (9.2%). Conclusion The incidence of debilitating seniors in our community is relatively high, and we should pay more attention to these problems and explore effective ways to prevent and interfere.