Data associated with the publication: Geographic regions enriched with frail older adults

Frail individuals are at particular risk in public health emergencies. Information about the concentration of frail individuals is expected to be valuable to health departments and other organizations with resources to deploy such as shelter, hospital beds, and ventilators. Additionally, researchers benefit from granular measures of frailty in communities for health services research or community-based research. We aimed to generate the probability of frailty for 100% of U.S. Medicare beneficiaries in the U.S. using a claims-based frailty index and describe the regional prevalence of frailty. We used a cross-sectional design using data from April through October 2015. We included 100% of Medicare beneficiaries with parts A and B coverage (n= 31,609,883) and calculated the probability of frailty using a validated claims-based frailty index. We report the prevalence of frail adults within each census division, state, county and U.S. zip code as the proportion of Medicare beneficiaries with a frailty probability greater than 20%. This dataset is our estimate of the percent of frail individuals (in 2015) for each zip code and county in the U.S. We anticipate this data set is useful for health services researchers and for individuals planning services. The estimates at the level of the census division and state are available in the published manuscript. (2021-05)

体弱人群在公共卫生突发事件中面临格外突出的风险。体弱人群的空间分布浓度信息，对于卫生部门及其他可调配避难场所、病床与呼吸机等资源的组织机构而言，具有重要应用价值。此外，研究人员也可借助社区层面的精细化衰弱程度测度数据，开展卫生服务研究或社区相关研究。本研究旨在基于索赔式衰弱指数，为全美100%的联邦医疗保险（Medicare）参保人群生成衰弱概率，并描绘衰弱症的区域流行特征。本研究采用横断面研究设计，使用2015年4月至10月间的相关数据。研究纳入了所有持有A、B两类保险计划的联邦医疗保险参保者（样本量n=31,609,883），并通过经过验证的索赔式衰弱指数计算个体衰弱概率。我们报告了各普查分区、州、县以及全美邮政编码区域内衰弱成年人的流行率，即以衰弱概率大于20%的联邦医疗保险参保者占比作为衡量标准。本数据集为2015年全美各邮政编码区域与县域内衰弱人群占比的估算结果。我们预计该数据集可服务于卫生服务研究人员及医疗服务规划从业者。普查分区与州级层面的估算结果已发表于相关学术论文。（2021-05）