Correlation Between the Dementia Assessment Sheet for Community‐Based Integrated Care System‐21 Scores and Criteria for Determination of the Daily Life Independence Level of Older Adults With Dementia Using the Diagnosis Procedure Combination Database
Aim: This study aimed to assess the validity of the criteria for determination of the daily life independence level of older adults with dementia (CDED) in the diagnosis procedure combination (DPC) database, compared with the dementia assessment sheet for community‐based integrated care system (DASC...
| Publicado en: | Geriatrics & Gerontology International Vol. 26; no. 2; pp. 1 - 10 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Feb2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191804366&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191804366 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14441586 EVM jtl: Geriatrics & Gerontology International issn: 14441586 maglogo: Y pubinfo: dt: Feb2026 vid: 26 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 191804366 191804366 191804366 10.1111/ggi.70375 191804366 ppf: 1 ppct: 9 formats: tig: atl: Correlation Between the Dementia Assessment Sheet for Community‐Based Integrated Care System‐21 Scores and Criteria for Determination of the Daily Life Independence Level of Older Adults With Dementia Using the Diagnosis Procedure Combination Database aug: au: Tani, Takuaki Shimazaki, Yoshitomo Imai, Shinobu affil: Department of Pharmacoepidemiology, Showa Medical University Graduate School of Pharmacy, Tokyo, Japan sug: subj: Dementia Diagnosis Community Programs Health Care Delivery, Integrated Activities of Daily Living In Old Age Dementia Patients Patient Autonomy Human Record Review Aged Aged, 80 and Over Japan Validation Studies Memory Orientation Problem Solving Comorbidity Frailty Syndrome Male Female Descriptive Statistics One-Way Analysis of Variance Linear Regression Confidence Intervals Data Analysis Software Reliability and Validity Questionnaires Funding Source Aged: 65+ years Aged, 80 & over Male Female ab: Aim: This study aimed to assess the validity of the criteria for determination of the daily life independence level of older adults with dementia (CDED) in the diagnosis procedure combination (DPC) database, compared with the dementia assessment sheet for community‐based integrated care system (DASC‐21), to promote the use of CDED in DPC data for clinical and policy research on in‐patients. Methods: A validation study was conducted using a DPC database and medical records. Data from patients aged ≥ 65 years hospitalized at Tokyo Metropolitan Geriatric Hospital and the Institute of Gerontology were extracted. The CDED scores range across five levels of dementia severity, and their validity was confirmed using the DASC‐21 as a reference standard. The association between both scales was assessed using descriptive statistics and a generalized linear model. Results: Data from 9401 patients were analyzed. As CDED scores increased, age, Charlson Comorbidity Index, and frailty risk increased, while activities of daily living scores decreased. Additionally, higher CDED scores were associated with higher mean DASC‐21 scores, indicating worsening cognitive and functional status. A generalized linear regression model with a Gaussian link function showed that DASC‐21 scores significantly increased with higher CDED scores (CDED 1: 1.19, CDED 2: 1.48, CDED 3: 1.64, CDED 4: 1.84, and CDED M: 1.80; p < 0.001). Conclusions: The CDED reliably assessed dementia severity and showed a strong association with the DASC‐21, reflecting dementia progression. It is useful for patient assessment and policy research on dementia. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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