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
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Impact of Rehabilitation Dose on Nutritional Status at Discharge from a Convalescent Rehabilitation Ward in Malnourished Patients with Hip Fracture.
掲載誌名	正式名：Healthcare (Basel, Switzerland) 略　 称：Healthcare (Basel) ISSNコード：22279032/22279032
掲載区分	国外
巻・号・頁	9(6),pp.722
著者・共著者	Ito Yusuke, Wakabayashi Hidetaka, Nishioka Shinta, Nomura Shin, Momosaki Ryo
担当区分	2nd著者
発行年月	2021/06
概要	The object of this study is to determine the impact of the rehabilitation dose on the nutritional status at discharge from a convalescent rehabilitation ward in malnourished patients with hip fracture. This retrospective case-control study involved malnourished patients with hip fracture aged 65 years or older who had been admitted to a convalescent rehabilitation ward and whose data were registered in the Japan Rehabilitation Nutrition Database. The primary outcome was nutritional status at discharge. Patients were classified according to whether nutritional status was improved or not at discharge, according to the Mini Nutritional Assessment-Short Form® (MNA-SF) score. The association between improved nutritional status and rehabilitation dose was assessed by a logistic regression analysis. Data were available for 145 patients (27 men, 118 women; mean age 85.1 ± 7.9 years). Daily rehabilitation dose was 109.5 (median 94.6-116.2) min and the MNA-SF score at admission was 5 (median 4-6). Nutritional status was improved in 97 patients and not improved in 48. Logistic regression analysis showed the following factors to be independently associated with nutritional status at discharge: Functional Independence Measure score (OR 1.042, 95% CI 1.016-1.068), energy intake (OR 1.002 CI 1.000-1.004), daily rehabilitation dose (OR 1.023, 95% CI 1.002-1.045), and length of hospital stay (OR 1.026, 95% CI 1.003-1.049). The daily rehabilitation dose in malnourished patients with hip fracture may positively impact nutritional status at discharge.
DOI	10.3390/healthcare9060722
PMID	34204642