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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 | Relationship Between Performance Improvement in Activities of Daily Living and Energy Intake in Older Patients With Hip Fracture Undergoing Rehabilitation. |
| 掲載誌名 | 正式名：Annals of rehabilitation medicine 略 称：Ann Rehabil Med ISSNコード：22340645/22340645 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 43(5),pp.562-569 |
| 著者・共著者 | Umezawa Hiroki, Kokura Yoji, Abe Satoko, Suzuki Chieko, Nishida Akiko, Uchiyama Yoshie, Maeda Keisuke, Wakabayashi Hidetaka, Momosaki Ryo |
| 発行年月 | 2019/10 |
| 概要 | OBJECTIVE:To analyze whether sufficient energy intake (EI) improves performance of activities of daily living (ADL) in patients with hip fracture admitted to rehabilitation hospitals. The adequate amount of EI for improving performance of ADL in patients with hip fracture remains unknown.METHODS:This retrospective cohort study included all patients with hip fracture (n=234) admitted to rehabilitation hospitals in Japan. The inclusion criteria for this study were age >65 years and body mass index <30.0 kg/m2. Patients who were transferred to an acute hospital and those with missing case data were excluded. According to the amount of EI, the patients were classified into energy sufficiency and shortage groups (EI/total energy expenditure ≥1.0 and <1.0, respectively). The Functional Independence Measure (FIM) and FIM gain were used to evaluate the patient disability level and change in patient status in response to rehabilitation. Finally, FIM gain was calculated as the discharge FIM score minus the admission FIM score.RESULTS:The final analysis targeted 202 patients-53 (26.2%) were in the energy shortage group and 149 (73.8%) were in the energy sufficiency group. The energy sufficiency group had a greater FIM gain than the energy shortage group (mean, 25.1±14.2 vs. 19.7±16.4; p=0.024). Furthermore, sufficient EI in the first week since admission (β=0.165; 95% confidence interval, 0.392-5.230; p=0.023) was an independent factor of FIM gain.CONCLUSION:Among elderly patients with hip fracture admitted to rehabilitation hospitals in Japan, the amount of EI during the first week after admission was an independent factor of FIM gain. |
| DOI | 10.5535/arm.2019.43.5.562 |
| PMID | 31693846 |