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Categorization using the Dementia Assessment Sheet for Community‐Based Integrated Care System 8‐items (DASC‐8) based on cognitive function and activities of daily living predicts frailty, disability and mortality in older adults
Aim This longitudinal study aimed to determine whether categorization by the Dementia Assessment Sheet for Community‐based Integrated Care System 8‐items (DASC‐8) is associated with risk of frailty onset, disability, and mortality. Methods We analyzed longitudinal data from outpatients aged 65 years...
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| Published in: | Geriatrics & gerontology international 2024-03, Vol.24 (S1), p.150-155 |
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| creator | Katsumata, Yuu Toyoshima, Kenji Tamura, Yoshiaki Murao, Yuji Sato, Motoya Watanabe, So Kodera, Remi Oba, Kazuhito Ishikawa, Joji Chiba, Yuko Awata, Shuichi Araki, Atsushi |
| description | Aim
This longitudinal study aimed to determine whether categorization by the Dementia Assessment Sheet for Community‐based Integrated Care System 8‐items (DASC‐8) is associated with risk of frailty onset, disability, and mortality.
Methods
We analyzed longitudinal data from outpatients aged 65 years and older evaluated for the DASC‐8 at the Frailty Clinic. The outcomes during the 3‐year follow‐up period were (Study A) frailty onset (Kihon Checklist ≥8) and (Study B) disability (new certification of nursing care needs) or mortality. Multivariate Cox regression analyses were performed to examine independent associations between the DASC‐8 category and outcomes, and hazard ratios and 95% confidence intervals (CIs) were calculated after adjustment for age, sex, and the presence or absence of diabetes, hypertension, and dyslipidemia.
Results
(Study A) Out of the 216 patients without frailty in Categories I or II at baseline, 40 (20.4%) and 11 (55.0%) developed frailty, respectively. The adjusted hazard ratio was 3.62 (95% CI: 1.69–7.76, P |
| doi_str_mv | 10.1111/ggi.14715 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2881247425</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2881247425</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3135-ab3dfcd87e5fc1847744e25a5767041f74e7b19537b4ad2bf11b76d1260d77093</originalsourceid><addsrcrecordid>eNp1ksFu1DAQhiMEoqVw4AXQSFxaibRxYq-T45KWZaVKHBbOkROPU1eJvdhOUTjxCDxjjzwFbrZwQMIXzz_65vcveZLkNcnOSTwXfa_PCeWEPUmOCaU8zVhFny41TQkrV0fJC-9vs4zwipDnyVHBS56XrDpOftUiYG-d_i6CtgYmr00P4QbhEkc0QQtYe4_ePwjY3SAGUNZBbcdxMjrM9z9-vhceJWxNNHLRTUItHMJu9gFHKCOgY-Hh9HK9q6Mqz6BdJuJzne2jib5DUJPplgTCSBCxvIt99GAVSKGHGYbYidH2DqXuggflYjvM70BqL1o9xCzL7GhdEIvSBuwg0YGQ0xD8y-SZEoPHV4_3SfLlw9Xn-mN6_WmzrdfXaVeQgqWiLaTqZMmRqY6UlHNKMWeC8RXPKFGcIm9JxQreUiHzVhHS8pUk-SqTnGdVcZKcHnz3zn6d0Idm1L7DYRAG7eSbvCxJTjnNWUTf_oPe2smZmK7JK17RrKCrLFJnB6pz1nuHqtk7PQo3NyRrHhagiQvQLAsQ2TePjlM7ovxL_vnxCFwcgG96wPn_Ts1msz1Y_gZbh8DS</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2979403460</pqid></control><display><type>article</type><title>Categorization using the Dementia Assessment Sheet for Community‐Based Integrated Care System 8‐items (DASC‐8) based on cognitive function and activities of daily living predicts frailty, disability and mortality in older adults</title><source>Wiley-Blackwell Read & Publish Collection</source><creator>Katsumata, Yuu ; Toyoshima, Kenji ; Tamura, Yoshiaki ; Murao, Yuji ; Sato, Motoya ; Watanabe, So ; Kodera, Remi ; Oba, Kazuhito ; Ishikawa, Joji ; Chiba, Yuko ; Awata, Shuichi ; Araki, Atsushi</creator><creatorcontrib>Katsumata, Yuu ; Toyoshima, Kenji ; Tamura, Yoshiaki ; Murao, Yuji ; Sato, Motoya ; Watanabe, So ; Kodera, Remi ; Oba, Kazuhito ; Ishikawa, Joji ; Chiba, Yuko ; Awata, Shuichi ; Araki, Atsushi</creatorcontrib><description>Aim
This longitudinal study aimed to determine whether categorization by the Dementia Assessment Sheet for Community‐based Integrated Care System 8‐items (DASC‐8) is associated with risk of frailty onset, disability, and mortality.
Methods
We analyzed longitudinal data from outpatients aged 65 years and older evaluated for the DASC‐8 at the Frailty Clinic. The outcomes during the 3‐year follow‐up period were (Study A) frailty onset (Kihon Checklist ≥8) and (Study B) disability (new certification of nursing care needs) or mortality. Multivariate Cox regression analyses were performed to examine independent associations between the DASC‐8 category and outcomes, and hazard ratios and 95% confidence intervals (CIs) were calculated after adjustment for age, sex, and the presence or absence of diabetes, hypertension, and dyslipidemia.
Results
(Study A) Out of the 216 patients without frailty in Categories I or II at baseline, 40 (20.4%) and 11 (55.0%) developed frailty, respectively. The adjusted hazard ratio was 3.62 (95% CI: 1.69–7.76, P < 0.001). (Study B) Out of the 350 patients who did not require long‐term care at baseline, disability or death occurred for 20 (7.3%) in Category I, 14 (23.0%) in Category II, and 9 (56.3%) in Category III. The adjusted hazard ratios were 2.40 (Category I vs. II; 95% CI: 1.13–5.11, P = 0.023) and 5.43 (Category I vs. III; 95% CI: 2.23–13.3, P < 0.001).
Conclusion
Categorization according to DASC‐8 is associated with the risk of frailty, disability, and mortality in older patients. Geriatr Gerontol Int 2024; 24: 150–155.
In the 3‐year follow‐up period, participants in Category II were more likely to develop frailty than those in Category I. In addition, the incidence of death or disability increased progressively in Categories II and III compared with in Category I.</description><identifier>ISSN: 1444-1586</identifier><identifier>EISSN: 1447-0594</identifier><identifier>DOI: 10.1111/ggi.14715</identifier><identifier>PMID: 37872859</identifier><language>eng</language><publisher>Kyoto, Japan: John Wiley & Sons Australia, Ltd</publisher><subject>Clinical outcomes ; Cognitive ability ; Comorbidity ; Dementia ; Dementia Assessment Sheet for Community‐based Integrated Care System 8‐items (DASC‐8) ; Disability ; Frailty ; Geriatrics ; Integrated delivery systems ; Longitudinal studies ; Mortality ; older adults ; Older people ; Public health ; Survival analysis</subject><ispartof>Geriatrics & gerontology international, 2024-03, Vol.24 (S1), p.150-155</ispartof><rights>2023 Japan Geriatrics Society.</rights><rights>2024 Japan Geriatrics Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3135-ab3dfcd87e5fc1847744e25a5767041f74e7b19537b4ad2bf11b76d1260d77093</cites><orcidid>0000-0001-9088-2841 ; 0000-0002-1220-273X ; 0000-0002-8669-815X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37872859$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Katsumata, Yuu</creatorcontrib><creatorcontrib>Toyoshima, Kenji</creatorcontrib><creatorcontrib>Tamura, Yoshiaki</creatorcontrib><creatorcontrib>Murao, Yuji</creatorcontrib><creatorcontrib>Sato, Motoya</creatorcontrib><creatorcontrib>Watanabe, So</creatorcontrib><creatorcontrib>Kodera, Remi</creatorcontrib><creatorcontrib>Oba, Kazuhito</creatorcontrib><creatorcontrib>Ishikawa, Joji</creatorcontrib><creatorcontrib>Chiba, Yuko</creatorcontrib><creatorcontrib>Awata, Shuichi</creatorcontrib><creatorcontrib>Araki, Atsushi</creatorcontrib><title>Categorization using the Dementia Assessment Sheet for Community‐Based Integrated Care System 8‐items (DASC‐8) based on cognitive function and activities of daily living predicts frailty, disability and mortality in older adults</title><title>Geriatrics & gerontology international</title><addtitle>Geriatr Gerontol Int</addtitle><description>Aim
This longitudinal study aimed to determine whether categorization by the Dementia Assessment Sheet for Community‐based Integrated Care System 8‐items (DASC‐8) is associated with risk of frailty onset, disability, and mortality.
Methods
We analyzed longitudinal data from outpatients aged 65 years and older evaluated for the DASC‐8 at the Frailty Clinic. The outcomes during the 3‐year follow‐up period were (Study A) frailty onset (Kihon Checklist ≥8) and (Study B) disability (new certification of nursing care needs) or mortality. Multivariate Cox regression analyses were performed to examine independent associations between the DASC‐8 category and outcomes, and hazard ratios and 95% confidence intervals (CIs) were calculated after adjustment for age, sex, and the presence or absence of diabetes, hypertension, and dyslipidemia.
Results
(Study A) Out of the 216 patients without frailty in Categories I or II at baseline, 40 (20.4%) and 11 (55.0%) developed frailty, respectively. The adjusted hazard ratio was 3.62 (95% CI: 1.69–7.76, P < 0.001). (Study B) Out of the 350 patients who did not require long‐term care at baseline, disability or death occurred for 20 (7.3%) in Category I, 14 (23.0%) in Category II, and 9 (56.3%) in Category III. The adjusted hazard ratios were 2.40 (Category I vs. II; 95% CI: 1.13–5.11, P = 0.023) and 5.43 (Category I vs. III; 95% CI: 2.23–13.3, P < 0.001).
Conclusion
Categorization according to DASC‐8 is associated with the risk of frailty, disability, and mortality in older patients. Geriatr Gerontol Int 2024; 24: 150–155.
In the 3‐year follow‐up period, participants in Category II were more likely to develop frailty than those in Category I. In addition, the incidence of death or disability increased progressively in Categories II and III compared with in Category I.</description><subject>Clinical outcomes</subject><subject>Cognitive ability</subject><subject>Comorbidity</subject><subject>Dementia</subject><subject>Dementia Assessment Sheet for Community‐based Integrated Care System 8‐items (DASC‐8)</subject><subject>Disability</subject><subject>Frailty</subject><subject>Geriatrics</subject><subject>Integrated delivery systems</subject><subject>Longitudinal studies</subject><subject>Mortality</subject><subject>older adults</subject><subject>Older people</subject><subject>Public health</subject><subject>Survival analysis</subject><issn>1444-1586</issn><issn>1447-0594</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp1ksFu1DAQhiMEoqVw4AXQSFxaibRxYq-T45KWZaVKHBbOkROPU1eJvdhOUTjxCDxjjzwFbrZwQMIXzz_65vcveZLkNcnOSTwXfa_PCeWEPUmOCaU8zVhFny41TQkrV0fJC-9vs4zwipDnyVHBS56XrDpOftUiYG-d_i6CtgYmr00P4QbhEkc0QQtYe4_ePwjY3SAGUNZBbcdxMjrM9z9-vhceJWxNNHLRTUItHMJu9gFHKCOgY-Hh9HK9q6Mqz6BdJuJzne2jib5DUJPplgTCSBCxvIt99GAVSKGHGYbYidH2DqXuggflYjvM70BqL1o9xCzL7GhdEIvSBuwg0YGQ0xD8y-SZEoPHV4_3SfLlw9Xn-mN6_WmzrdfXaVeQgqWiLaTqZMmRqY6UlHNKMWeC8RXPKFGcIm9JxQreUiHzVhHS8pUk-SqTnGdVcZKcHnz3zn6d0Idm1L7DYRAG7eSbvCxJTjnNWUTf_oPe2smZmK7JK17RrKCrLFJnB6pz1nuHqtk7PQo3NyRrHhagiQvQLAsQ2TePjlM7ovxL_vnxCFwcgG96wPn_Ts1msz1Y_gZbh8DS</recordid><startdate>202403</startdate><enddate>202403</enddate><creator>Katsumata, Yuu</creator><creator>Toyoshima, Kenji</creator><creator>Tamura, Yoshiaki</creator><creator>Murao, Yuji</creator><creator>Sato, Motoya</creator><creator>Watanabe, So</creator><creator>Kodera, Remi</creator><creator>Oba, Kazuhito</creator><creator>Ishikawa, Joji</creator><creator>Chiba, Yuko</creator><creator>Awata, Shuichi</creator><creator>Araki, Atsushi</creator><general>John Wiley & Sons Australia, Ltd</general><general>Blackwell Publishing Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9088-2841</orcidid><orcidid>https://orcid.org/0000-0002-1220-273X</orcidid><orcidid>https://orcid.org/0000-0002-8669-815X</orcidid></search><sort><creationdate>202403</creationdate><title>Categorization using the Dementia Assessment Sheet for Community‐Based Integrated Care System 8‐items (DASC‐8) based on cognitive function and activities of daily living predicts frailty, disability and mortality in older adults</title><author>Katsumata, Yuu ; Toyoshima, Kenji ; Tamura, Yoshiaki ; Murao, Yuji ; Sato, Motoya ; Watanabe, So ; Kodera, Remi ; Oba, Kazuhito ; Ishikawa, Joji ; Chiba, Yuko ; Awata, Shuichi ; Araki, Atsushi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3135-ab3dfcd87e5fc1847744e25a5767041f74e7b19537b4ad2bf11b76d1260d77093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Clinical outcomes</topic><topic>Cognitive ability</topic><topic>Comorbidity</topic><topic>Dementia</topic><topic>Dementia Assessment Sheet for Community‐based Integrated Care System 8‐items (DASC‐8)</topic><topic>Disability</topic><topic>Frailty</topic><topic>Geriatrics</topic><topic>Integrated delivery systems</topic><topic>Longitudinal studies</topic><topic>Mortality</topic><topic>older adults</topic><topic>Older people</topic><topic>Public health</topic><topic>Survival analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Katsumata, Yuu</creatorcontrib><creatorcontrib>Toyoshima, Kenji</creatorcontrib><creatorcontrib>Tamura, Yoshiaki</creatorcontrib><creatorcontrib>Murao, Yuji</creatorcontrib><creatorcontrib>Sato, Motoya</creatorcontrib><creatorcontrib>Watanabe, So</creatorcontrib><creatorcontrib>Kodera, Remi</creatorcontrib><creatorcontrib>Oba, Kazuhito</creatorcontrib><creatorcontrib>Ishikawa, Joji</creatorcontrib><creatorcontrib>Chiba, Yuko</creatorcontrib><creatorcontrib>Awata, Shuichi</creatorcontrib><creatorcontrib>Araki, Atsushi</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Geriatrics & gerontology international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Katsumata, Yuu</au><au>Toyoshima, Kenji</au><au>Tamura, Yoshiaki</au><au>Murao, Yuji</au><au>Sato, Motoya</au><au>Watanabe, So</au><au>Kodera, Remi</au><au>Oba, Kazuhito</au><au>Ishikawa, Joji</au><au>Chiba, Yuko</au><au>Awata, Shuichi</au><au>Araki, Atsushi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Categorization using the Dementia Assessment Sheet for Community‐Based Integrated Care System 8‐items (DASC‐8) based on cognitive function and activities of daily living predicts frailty, disability and mortality in older adults</atitle><jtitle>Geriatrics & gerontology international</jtitle><addtitle>Geriatr Gerontol Int</addtitle><date>2024-03</date><risdate>2024</risdate><volume>24</volume><issue>S1</issue><spage>150</spage><epage>155</epage><pages>150-155</pages><issn>1444-1586</issn><eissn>1447-0594</eissn><abstract>Aim
This longitudinal study aimed to determine whether categorization by the Dementia Assessment Sheet for Community‐based Integrated Care System 8‐items (DASC‐8) is associated with risk of frailty onset, disability, and mortality.
Methods
We analyzed longitudinal data from outpatients aged 65 years and older evaluated for the DASC‐8 at the Frailty Clinic. The outcomes during the 3‐year follow‐up period were (Study A) frailty onset (Kihon Checklist ≥8) and (Study B) disability (new certification of nursing care needs) or mortality. Multivariate Cox regression analyses were performed to examine independent associations between the DASC‐8 category and outcomes, and hazard ratios and 95% confidence intervals (CIs) were calculated after adjustment for age, sex, and the presence or absence of diabetes, hypertension, and dyslipidemia.
Results
(Study A) Out of the 216 patients without frailty in Categories I or II at baseline, 40 (20.4%) and 11 (55.0%) developed frailty, respectively. The adjusted hazard ratio was 3.62 (95% CI: 1.69–7.76, P < 0.001). (Study B) Out of the 350 patients who did not require long‐term care at baseline, disability or death occurred for 20 (7.3%) in Category I, 14 (23.0%) in Category II, and 9 (56.3%) in Category III. The adjusted hazard ratios were 2.40 (Category I vs. II; 95% CI: 1.13–5.11, P = 0.023) and 5.43 (Category I vs. III; 95% CI: 2.23–13.3, P < 0.001).
Conclusion
Categorization according to DASC‐8 is associated with the risk of frailty, disability, and mortality in older patients. Geriatr Gerontol Int 2024; 24: 150–155.
In the 3‐year follow‐up period, participants in Category II were more likely to develop frailty than those in Category I. In addition, the incidence of death or disability increased progressively in Categories II and III compared with in Category I.</abstract><cop>Kyoto, Japan</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>37872859</pmid><doi>10.1111/ggi.14715</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-9088-2841</orcidid><orcidid>https://orcid.org/0000-0002-1220-273X</orcidid><orcidid>https://orcid.org/0000-0002-8669-815X</orcidid></addata></record> |
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| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Clinical outcomes Cognitive ability Comorbidity Dementia Dementia Assessment Sheet for Community‐based Integrated Care System 8‐items (DASC‐8) Disability Frailty Geriatrics Integrated delivery systems Longitudinal studies Mortality older adults Older people Public health Survival analysis |
| title | Categorization using the Dementia Assessment Sheet for Community‐Based Integrated Care System 8‐items (DASC‐8) based on cognitive function and activities of daily living predicts frailty, disability and mortality in older adults |
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