Changes in nutritional status in home care patients discharged from a convalescent rehabilitation ward and factors associated with malnutrition : a retrospective cohort study

DOI
  • Nishioka Emi
    Department of Clinical Service, Nagasaki Rehabilitation Hospital, Nagasaki, Japan Rehabilitation Center for Persons with Disabilities Living in Community "GINYA", Nagasaki, Japan
  • Mori Natsumi
    Department of Clinical Service, Nagasaki Rehabilitation Hospital, Nagasaki, Japan
  • Yamanouchi Anna
    Department of Clinical Service, Nagasaki Rehabilitation Hospital, Nagasaki, Japan
  • Nishioka Shinta
    Department of Clinical Nutrition and Food Service, Nagasaki Rehabilitation Hospital, Nagasaki, Japan Department of Human Resource Development, Nagasaki Rehabilitation Hospital, Nagasaki, Japan

Bibliographic Information

Other Title
  • 回復期リハビリテーション病棟退院後の在宅患者における栄養状態の推移と低栄養関連要因の検索：後ろ向きコホート研究

Search this article

Abstract

<p>Aim: To elucidate changes in nutritional status over time following admission to a convalescent rehabilitation ward and factors associated with malnutrition after discharge.</p><p>Subjects and Methods: Patients who were discharged from the convalescent rehabilitation ward from April to August 2017 were investigated. A questionnaire including the Mini Nutritional Assessment-Short Form (MNA-SF) was distributed to the patients or family caregivers after discharge to compare nutritional status at admission, at discharge, and after discharge. Also, factors associated with malnutrition after discharge were analyzed.</p><p>Results: The subjects were 80 patients (mean age, 69.7 years). The prevalence of malnutrition gradually decreased over time : 56.3% at admission, 10.0% at discharge, and 3.8% after discharge. The post-discharge malnutrition group had lower scores for the Functional Independence Measure (FIM) and Food Intake LEVEL Scale at discharge than the well-nourished group. FIM at discharge, MNA-SF at discharge, post-discharge rehospitalization were explanatory factors for malnutrition after discharge (odds ratios 0.946, 0.755, and 9.921, respectively). </p><p>Conclusion: The nutritional status of patients admitted to the convalescent rehabilitation ward improved over time. Activities of daily living and nutritional status at discharge, and post-discharge rehospitalization were associated with malnutrition after discharge.</p>

Journal

  • Online Journal of JSPEN

    Online Journal of JSPEN 3 (4), 218-227, 2021

    Japanese Society for Clinical Nutrition and Metabolism

Keywords

Details 詳細情報について

Report a problem

Back to top