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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 is associated with the return home in a long-term care health facility. |
| 掲載誌名 | 正式名：Journal of general and family medicine 略 称：J Gen Fam Med ISSNコード：21897948/21897948 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 19(1),pp.9-14 |
| 著者・共著者 | Nishida Yuri, Wakabayashi Hidetaka, Maeda Keisuke, Nishioka Shinta |
| 担当区分 | 2nd著者 |
| 発行年月 | 2018/01 |
| 概要 | Background:The purpose of this study was to determine the association between nutritional status and the return home of older people living in a long-term care health facility (LCHF).Methods:A nested case control study was performed in 116 people ≥65 years of age in a single LCHF. Nutritional status was assessed using the Mini Nutritional Assessment Short Form (MNA-SF) and activities of daily living by the Functional Independence Measure (FIM). The return home, duration of rehabilitation, and the family wanting the patient to return home were obtained from clinical records. Multivariate logistic regression analysis was used to assess whether malnutrition had independent effects on the return home.Results:The participants included 36 males and 80 females with a mean age of 82 years. Thirty-seven people returned home while 79 did not. The MNA-SF showed that 80 subjects were malnourished. Sixty-six of the participants received rehabilitation for longer than 1 hour per week, while 50 received rehabilitation for <1 hour. The proportion of subjects with malnutrition who returned home was significantly lower (P = .003) than in participants who did not return home. Multivariate logistic regression analysis showed that malnutrition (adjusted odds ratio [AOR], 0.23; 95% confidence interval [CI], 0.08-0.65; P = .006), total FIM score (AOR, 1.03; 95% CI, 1.01-1.06; P = .012), and the family wanting the patient to return home (AOR, 9.46; 95% CI, 3.19-28.12; P < .001) were independently associated with the return home.Conclusions:Nutritional status is associated with the return home in older people living in LCHF. |
| DOI | 10.1002/jgf2.142 |
| PMID | 29340260 |