The Effect of Energy Balance on Discharge to Home of Frail Elderly Persons in a Health Facility for the Aged

Ikeda, Takashi; Nagasawa, Hiroshi; Yamashita, Tetsuya; Horiuchi, Yuichirou; Uchida, Takahisa; Nomura, Chihiro; Kugota, Hiroyuki; Isowa, Yukiko; Ishida, Kuniko

doi:10.1589/rika.30.47

Cited by 2 publications

(1 citation statement)

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“…Older people with limited ability to perform ADLs, males, and those admitted from other institutions are more likely not to return home . When nutritional status was assessed, energy balance has also been shown to be significantly positive among subjects from homes compared with that in frail older adults living in LCHFs . Although it has been shown that nutritional intervention is effective for improving the physical function of older adults living in nursing homes, the direct impacts of nutritional status when assessed in LCHFs have not been evaluated.…”

Section: Introductionmentioning

confidence: 99%

Nutritional status is associated with the return home in a long‐term care health facility

Nishida¹,

Wakabayashi

Maeda

et al. 2017

J of Gen and Family Med

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BackgroundThe 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).MethodsA 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.ResultsThe 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.ConclusionsNutritional status is associated with the return home in older people living in LCHF.

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Section: Introductionmentioning

confidence: 99%