Relationship between functional independence measure and geriatric nutritional risk index in pneumonia patients in long‐term nursing care facilities

Mitani, Yuji; Oki, Yutaro; Fujimoto, Yuki; Yamaguchi, Takuma; Iwata, K.; Watanabe, Yu; Takahashi, Kuniyuki; Yamada, Kanji; Ishikawa, Akira

doi:10.1111/ggi.12942

Cited by 20 publications

(35 citation statements)

References 19 publications

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“…It has been reported that patients with an FIM score ≤36 were completely dependent . We previously reported that the FIM‐total score was an independent predictor of the development of pneumonia . A previous study reported that a decrease in ADL might be a risk factor for aspiration pneumonia .…”

Section: Discussionmentioning

confidence: 95%

“…The tasks are rated on a 7‐point ordinal scale that ranges from 1 (total assistance or complete dependence) to 7 (complete independence). The total score ranges from 18 to 126, and a higher score indicates a higher function level …”

Section: Methodsmentioning

confidence: 99%

“…In contrast, a poor nutritional status can lead to the development of infectious diseases, affecting activities of daily living (ADL) in older people. We previously reported that low activity and malnutrition could lead to the development of pneumonia . However, few reports have investigated the relationship among ADL, malnutrition and aspiration.…”

Section: Introductionmentioning

confidence: 99%

“…We previously reported that low activity and malnutrition could lead to the development of pneumonia. 10 However, few reports have investigated the relationship among ADL, malnutrition and aspiration. The predictive values of ADL, the nutrition index and the aspiration index measured objectively remain unclear.…”

Section: Introductionmentioning

confidence: 99%

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Relationship between the Functional Independence Measure and Mann Assessment of Swallowing Ability in hospitalized patients with pneumonia

Mitani

Oki

Fujimoto

et al. 2018

Geriatrics Gerontology Int

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Aim Pneumonia ranks high among the causes of death worldwide. However, the predictive values of activities of daily living, the nutrition index and the aspiration index measured objectively remain unclear. The present study aimed to examine the associations of activity, nutrition and dysphagia with pneumonia. Methods We assessed 992 hospitalized patients. Logistic regression analysis was used to examine the predictors of pneumonia. Receiver operating characteristic curve analysis was used to determine the cut‐off values of variables. Kaplan–Meier and Cox hazards regression analyses were used to examine the incidence of pneumonia and the factors associated with pneumonia. Results We finally enrolled 393 inpatients. Of the 393 patients, 102 (26.0%) had pneumonia. On logistic regression analysis, age, Functional Independence Measure (FIM)‐motor score and Mann Assessment of Swallowing Ability (MASA) score were independent predictors of pneumonia. The FIM‐motor and MASA cut‐off values were 19.5 (area under the curve 0.83, P < 0.01) and 170.5 (area under the curve 0.82, P < 0.01), respectively. Kaplan–Meier analysis showed that the no pneumonia rate was significantly lower among patients with FIM‐motor scores <20 than among those with FIM‐motor scores ≥20 (log–rank test, P < 0.01), and was significantly lower among patients with MASA scores <171 than among those with MASA scores ≥171 (log–rank test, P < 0.01). Cox regression analysis showed that FIM‐motor (hazard ratio 0.97, P = 0.009) and MASA scores (hazard ratio 0.99, P < 0.01) were significantly associated with pneumonia. Conclusions In addition to the infectious risk, the FIM‐motor and MASA scales are useful tools to predict the development of pneumonia in older adults. Geriatr Gerontol Int 2018; 18: 1620–1624.

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Section: Discussionmentioning

confidence: 95%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Relationship between the Functional Independence Measure and Mann Assessment of Swallowing Ability in hospitalized patients with pneumonia

Mitani

Oki

Fujimoto

et al. 2018

Geriatrics Gerontology Int

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“…[5][6][7][8][9][10] Sarcopenia is defined as an age-related involuntary loss of skeletal muscle mass and strength, and it results in physical disability, a poor quality of life and increased risk of death. [13][14][15][16] Previous studies have shown positive correlations between the GNRI and functional independence measures, such as activities of daily living (ADL) and quality of life, [13][14][15][16] however, the target GNRI for independent walking ability in maintenance hemodialysis patients is not clear. [13][14][15][16] Previous studies have shown positive correlations between the GNRI and functional independence measures, such as activities of daily living (ADL) and quality of life, [13][14][15][16] however, the target GNRI for independent walking ability in maintenance hemodialysis patients is not clear.…”

Section: Introductionmentioning

confidence: 99%

Geriatric Nutritional Risk Index for independent walking function in maintenance hemodialysis patients: A single‐facility retrospective cohort study

Tanaka¹,

Nishiyama

Yamamura

et al. 2018

Geriatrics Gerontology Int

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Aim The target Geriatric Nutritional Risk Index (GNRI) for patients on chronic maintenance hemodialysis is unclear. We aimed to determine the relationship between the GNRI and independent walking ability in such patients. Methods In the present retrospective cohort study, 90 patients receiving chronic maintenance hemodialysis were included. Logistic regression analyses were carried out to evaluate the relationship between the GNRI and independent walking ability. Receiver operating characteristic curve analysis was carried out to determine the cut‐off GNRI for predicting independent walking ability. Results Multivariate logistic regression analysis showed significant differences in age (odds ratio [OR] 0.8, 95% confidence interval [CI] 0.6–0.9), creatinine generation rate percentage (OR 1.1, 95% CI 1.0–1.2), GNRI (OR 1.4, 95% CI 1.1–1.8; P < 0.01) and urea removal rate (OR 0.3, 95% CI 0.1–0.9; P < 0.05). The cut‐off GNRI for independent walking ability was 86.7 (area under the curve 0.80, sensitivity 92.1%, specificity 66.7%, positive hit ratio 86.6%, negative hit ratio 78.3%). The factors correlated with survival in the univariate analysis were the GNRI, equilibrated Kt/V, urea removal rate, clear space rate, salt intake amount (P < 0.01), number of days of hospitalization and %creatinine generation rate (P < 0.05). The Cox proportional hazard regression model showed an OR of 0.77 (95% CI 0.32–1.8) at a GNRI <86/GNRI ≥86. In the multivariate survival analysis, we observed no significant differences in any of the factors. Conclusions GNRI was correlated with walking ability, which indicated that GNRI might predict future walking ability; also, a GNRI of 87 might be the target for maintaining walking ability. Geriatr Gerontol Int 2018; 18: 1556–1561.

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Clinical impact of functional independent measure (FIM) on 180-day readmission and mortality in elderly patients hospitalized with acute decompensated heart failure

Iwata

Kitai

Yoshimura³

et al. 2021

Heart Vessels

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Activities of daily living (ADL) are important prognostic factors for heart failure. The functional independent measure (FIM) has emerged as a comprehensive valid measure of ADL from both physical and cognitive perspectives. This study aimed to investigate the prognostic impact of the FIM score on clinical outcomes in hospitalized patients with acute decompensated heart failure (ADHF). We retrospectively analyzed 473 ADHF patients, with available pre-discharge FIM scores, admitted to our institution between May 2018 and May 2020. Primary outcome measures, defined as a composite of 180-day all-cause deaths and readmissions, were compared among 3 tertiles. The median FIM score was 102 (interquartile range: 85-115). Tertile 1 corresponded to an FIM score >111 (n=154), Tertile 2 to that of 90-111 (n=167), and Tertile 3 to that of <90 (n=152). During follow-up, 28 deaths and 114 readmissions occurred. Patients with lower FIM scores were associated with a graded increase in the risk of primary outcome measure (p=0.001). Even after multivariable adjustment, the results remained significant (Tertile 1 vs. 3; adjusted hazard ratio: 3.28 [95% confidence

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Relationship between functional independence measure and geriatric nutritional risk index in pneumonia patients in long‐term nursing care facilities

Abstract: Low activity and malnutrition might lead to the development of pneumonia. FIM and GNRI are useful predictor tools that could help to prevent pneumonia in Japanese patients in long-term care facilities. Geriatr Gerontol Int 2017; 17: 1617-1622.

Cited by 20 publications

References 19 publications

Relationship between the Functional Independence Measure and Mann Assessment of Swallowing Ability in hospitalized patients with pneumonia

Relationship between the Functional Independence Measure and Mann Assessment of Swallowing Ability in hospitalized patients with pneumonia

Geriatric Nutritional Risk Index for independent walking function in maintenance hemodialysis patients: A single‐facility retrospective cohort study

Clinical impact of functional independent measure (FIM) on 180-day readmission and mortality in elderly patients hospitalized with acute decompensated heart failure

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