Study of the Factors Hindering Discharge from a Home Care Support Hospital to the Pre-hospitalization Medical Environment

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  • Hiraike Taeko
    Division of Nutrition, Okubo Hospital Department of Medical Nutrition, Graduate School of Human Life Science, Osaka City University
  • Momoki Chika
    Department of Food Science and Human Nutrition, Faculty of Agriculture, Setsunan University
  • Habu Daiki
    Department of Medical Nutrition, Graduate School of Human Life Science, Osaka City University

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  • 在宅療養支援病院から入院前と同じ療養環境へ退院できなかった事例の要因検討
  • ザイタク リョウヨウ シエン ビョウイン カラ ニュウイン マエ ト オナジ リョウヨウ カンキョウ エ タイイン デキナカッタ ジレイ ノ ヨウイン ケントウ

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Abstract

<p>Objective: This study was conducted to evaluate whether the patient's nutritional status on admission may influence a successful return to their pre-hospitalization medical environment.</p><p>Method: This is a single-center cohort study. We enrolled patients aged 65 years or older, hospitalized between September 2014 and October 2015 in one community hospital in Oita. Among 307 patients, 28 were excluded because of death, terminal conditions, lack of essential data on admission, and prolonged hospitalization beyond the study period, thus finally 279 patients were analyzed. Nutritional status on admission was compared between two study groups, i.e. ​a return group who could return to their home or pre-hospitalization care facility, and a non-return group who could not return to their home or pre-hospitalization medical environment.</p><p>Results: The return group comprises 192 patients and 87 patients in the non-return groups, respectively. Compared with the return group, participants in the non-return group revealed to be older, and had lower MNA-SF (Mini Nutritional Assessment Short-Form), Barthel Index, body mass index, calf circumference, and serum albumin levels. They also had more comorbidities, and the mean hospital stay was longer in the non-return group. Cox proportional hazard analysis was performed to disclose the factors which may influence patient's non-return, however, none of nine nutrition-related factors contributed to non-return to the pre-hospitalization medical environment.</p><p>Conclusion: In this study, there was no significant difference in the nutritional status of individuals who failed to discharge to their pre-hospitalization medical environment.</p>

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