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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 | Impact of energy intake on the activities of daily living in patients with cervical spinal cord injury undergoing post-acute rehabilitation. |
| 掲載誌名 | 正式名：The journal of spinal cord medicine 略 称：J Spinal Cord Med ISSNコード：20457723/10790268 |
| 掲載区分 | 国外 |
| 巻・号・頁 | pp.1-8 |
| 著者・共著者 | Moriyama Daisuke, Kokura Yoji, Nishioka Shinta, Maeda Keisuke, Shimizu Akio, Tanaka Hirotaka, Watanabe Tomoe, Wakabayashi HIdetaka |
| 担当区分 | 最終著者 |
| 発行年月 | 2023/05 |
| 概要 | OBJECTIVE:To investigate the association between sufficient energy intake and improvement in activities of daily living (ADL) after hospitalization in patients with cervical spinal cord injury (CSCI) undergoing post-acute rehabilitation.DESIGN:Retrospective cohort study.SETTING:Post-acute care hospital from September 2013 to December 2020.PARTICIPANTS:Patients with CSCI admitted to a post-acute care hospital for rehabilitation.INTERVENTION:Not applicable.OUTCOME MEASURE(S):Multiple regression analysis was performed to investigate the relationship of sufficient energy intake to Motor Functional Independence Measure (mFIM) gain, mFIM score at discharge, and body weight change during hospitalization.RESULTS:In total, 116 patients (104 men and 12 women), median age: 55 (interquartile range [IQR] 41-65) years were included in the analysis. Then, 68 (58.6%) were in the energy-sufficient group, and 48 (41.4%) patients were classified under the energy-deficient group. The two groups did not significantly differ in terms of mFIM gain and mFIM score at discharge. The energy-sufficient group maintained body weight change during hospitalization than the energy-deficient group (0.6 [-2.0-2.0] vs. -1.9 [-4.0--0.3], P < 0.001). Multiple regression analysis showed no association between sufficient energy intake and outcomes.CONCLUSION:Sufficient energy intake within the first 3 days of admission did not affect ADL improvement during hospitalization in patients with a post-cute CSCI undergoing rehabilitation. |
| DOI | 10.1080/10790268.2023.2212333 |
| PMID | 37195196 |