Claims-based Frailty Index in Japanese Older Adults: A Cohort Study Using LIFE Study Data

Autor: Kiyomasa Nakatsuka, Rei Ono, Shunsuke Murata, Toshihiro Akisue, Haruhisa Fukuda
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Epidemiology, Vol 34, Iss 3, Pp 112-118 (2024)
Druh dokumentu: article
ISSN: 0917-5040
1349-9092
DOI: 10.2188/jea.JE20220310
Popis: Background: We aimed to assess whether the United States-developed Claims-based Frailty Index (CFI) can be implemented in Japanese older adults using claims data. Methods: We used the monthly claims data and certification of long-term care (LTC) insurance data of residents from 12 municipalities from April 2014 to March 2019. The 12 months from first recording was defined as the “baseline period,” and the time thereafter as the “follow-up period”. Participants aged ≥65 years were included, and those with no certified LTC insurance or who died at baseline were excluded. New certification of LTC insurance and all-cause mortality during the follow-up period were defined as outcome events. CFI categorization consisted of three steps including: 1) using 12 months deficit-accumulation approach that assigned different weights to each of the 52 items; 2) the accumulated score to derive the CFI; and 3) categorizing the CFI as “robust” (
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