Factors influencing elderly patients to enter health facilities after hospital discharge among elderly patients hospitalized for developing aspiration pneumonia at home

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  • Noda Kyoka
    Department of Nursing, Tokyo Medical and Dental University (TMDU) Hospital
  • Moriwaki Mutsuko
    Quality Management Center, Tokyo Medical and Dental University (TMDU) Hospital
  • Nukaga Minori
    Department of Nursing, Kudanzaka Hospital
  • Sasaki Miki
    Graduate School of Health Care Sciences, Tokyo Medical and Dental University (TMDU)
  • Yamauchi Kazushi
    International SOS Japan Ltd. TRICARE Head of Medical Administration
  • Hayashida Kenshi
    Department of Medical Informatics and Management, University Hospital, University of Occupational and Environmental Health
  • Ogata Yasuko
    Graduate School of Health Care Sciences, Tokyo Medical and Dental University (TMDU)

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Other Title
  • 自宅から入院した高齢患者の自宅外退院に影響する要因の検討：誤嚥性肺炎を例に
  • ジタク カラ ニュウイン シタ コウレイ カンジャ ノ ジタク ガイ タイイン ニ エイキョウ スル ヨウイン ノ ケントウ : ゴエンセイ ハイエン オ レイ ニ

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Abstract

<p>The proportion of cases of aspiration pneumonia to total cases of pneumonia increases with age. The number of elderly patients with aspiration pneumonia is expected to continuously rise. In this study, we investigated patient risk factors influencing elderly patients to enter health facilities after hospital discharge among elderly patients hospitalized for developing aspiration pneumonia at home. The study involved 23,781 patients aged ≥65 years who were admitted to hospitals due to aspiration pneumonia between April 2018 and March 2019. Patients were grouped into those “discharged from hospital and returned home” and those “entered health facilities after discharge”. Patient characteristics from each group were compared using the Mann–Whitney U test and chi-square test. We examined the relationship between patient factors and places chosen after discharge. We used logistic regression analysis to control the covariates. “Age 75 to 84”, “age 85 and older”, “activities of daily living (ADL)”, “dangerous behavior”, “tube feeding”, “central venous hyperalimentation”, “circulatory or respiratory care”, “drainage management”, “dangerous behavior and tube feeding”, “circulatory or respiratory care and pressure ulcer”, and “increased need for medical care” influenced entering health facilities (area under the curve=0.76, p<0.01). ADL and medical treatment were identified as key factors.</p>

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