以查爾森共病指數探討2002年至2012年老年人罹患慢性病之趨勢變化

Using the Charlson Comorbidity Index to Explore the Trend of Chronic Diseases in the Elderly from 2002 to 2012

江博煌(Po-Huang Chiang) ； 張育嘉(Yu-Chia Chang) ； 徐尚為(Shang-Wei Hsu)

《臺灣老人保健學刊》 16卷1&2期 (2020/12) Pp. 1-19

摘要

目的：本研究利用次級資料庫，以查爾森共病指數描述台灣地區老年人多重慢性病變化趨勢。方法：分析2002年至2012年台灣各縣市65歲以上老年人慢性病種類與數目之變化趨勢及差異。結果：自2002年至2012年有1項以上慢性病之個案自36.98%逐漸升至40.49%。罹患慢性病個案中，登錄一項疾病者，11年間自52.37%逐年下降至45.89%；大於四項者則自1.77%增加為3.20%。平均慢性病個數自1.75個逐步增加至1.93個；平均共病分數自1.98分逐步增加至2.32分。隨著年齡增長平均個數與平均共病分數亦隨之增加，男性與女性皆然。各縣市平均個數與平均共病分數變化趨勢亦同，隨著縣市居民年齡增長平均個數與平均分數亦隨之增加。結論：隨著年齡增長有慢性病或多重慢性病的老人增加，建議各縣市政府可以依照縣市之老年人口特性，針對不同族群，配合國民健康署相關延緩老化或與失能之相關資源，推展精準的慢性病防治計畫。

關鍵字

查爾森共病指數 ； 多重慢性病 ； 心血管代謝症候群

並列摘要

Objective: This study used a secondary database to describe the changing trend of multiple chronic diseases among the elderly in Taiwan. Method: Analyze the trends and differences in the chronic diseases of the elderly over 65 years old in cities and counties in Taiwan from 2002 to 2012. Results: From 2002 to 2012, the number of cases with more than one chronic disease gradually increased from 36.98% to 40.49%. Among the cases of chronic diseases, those who have a disease registered declined from 52.37% to 45.89% in 11 years, and those who have four or more diseases registered inclined from 1.77% to 3.20%. The average number of chronic diseases has gradually increased from 1.75 to 1.93, the average comorbidity score gradually increased from 1.98 to 2.32. The average number of aging and the average comorbidity score increase with age in both men and women. The changing trend in the average number of counties and cities and the average comorbidity scores is the same, with the age increases in city and county residents, the average number and average score also increases. Conclusion: The number of elders with chronic diseases or multiple chronic diseases increase with age, it is recommended that city and county governments follow the demographic characteristics of each city and county, focusing on different ethnic groups, cooperate with the National Health Administration's policies related to delaying old age or disability, and promoting local chronic disease prevention and control programs.

並列關鍵字

Charlson Comorbidity Index ； multiple chronic diseases ； cardio-metabolic syndrome