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ワカバヤシ ヒデタカ
Wakabayashi Hidetaka
若林 秀隆 所属 医学部 医学科（東京女子医科大学病院） 職種 教授・基幹分野長 |
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| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Nutritional Status Changes and Activities of Daily Living after Hip Fracture in Convalescent Rehabilitation Units: A Retrospective Observational Cohort Study from the Japan Rehabilitation Nutrition Database. |
| 掲載誌名 | 正式名：Journal of the Academy of Nutrition and Dietetics 略 称：J Acad Nutr Diet ISSNコード：22122672/22122672 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 118(7),pp.1270-1276 |
| 著者・共著者 | Nishioka Shinta, Wakabayashi Hidetaka, Momosaki Ryo |
| 担当区分 | 2nd著者 |
| 発行年月 | 2018/07 |
| 概要 | BACKGROUND:Several studies have suggested that malnutrition impedes functional recovery in patients with hip fracture, but there are few reports on improvement in nutritional status and return to activities of daily living (ADL) in these patients.OBJECTIVE:This study was conducted to evaluate the relationship between change in nutritional status and recovery of ADL in malnourished patients after hip fracture and to identify predictors of functional recovery among the characteristic features of undernutrition.DESIGN:This was a retrospective observational cohort study.PARTICIPANTS/SETTING:Data for patients aged ≥65 years with hip fracture and malnutrition (Mini Nutritional Assessment-Short Form [MNA-SF] score ≤7) at the time of admission to convalescent rehabilitation units were obtained from the Japan Rehabilitation Nutrition Database between November 2015 and August 2017.MAIN OUTCOME MEASURES:The main outcome measures were Functional Independence Measure (FIM) at discharge and the proportion of patients discharged home.STATISTICAL ANALYSES PERFORMED:Patients were divided into two groups based on MNA-SF scores at discharge: improvement in nutritional status (>7, IN group) and non-improvement in nutritional status (≤7, NN group). Clinical characteristics and outcomes were compared between the groups. Multivariable regression analysis was performed to adjust for confounders including age, sex, comorbidity, pre-fracture ADL level, and FIM score on admission.RESULTS:Of 876 patients, 110 met the eligibility criteria (mean age, 85 years; 78.2% female); 77 of the patients were assigned to the IN group and 33 to the NN group. The patients in the IN group were younger and had higher FIM and MNA-SF scores on admission than those in the NN group. At discharge, the median FIM score was significantly higher in the IN group than in the NN group (110 vs 83, P<0.001). |
| DOI | 10.1016/j.jand.2018.02.012 |
| PMID | 29752190 |