Actual conditions for returning home after hospitalization among older patients receiving home medical care in Japan: OHCARE Study

被引：0

作者：

Murakami, Naoko ^{[1
]}

Kabayama, Mai ^{[1
]}

Yano, Tomoko ^{[1
]}

Nakamura, Chika ^{[1
]}

Fukata, Yuka ^{[1
]}

Morioka, Chihiro ^{[1
]}

Fang, Wen ^{[1
]}

Nako, Yumiko ^{[1
]}

Omichi, Yuki ^{[1
]}

Koujiya, Eriko ^{[1
]}

Godai, Kayo ^{[1
]}

Kido, Michiko ^{[1
]}

Tseng, Winston ^{[2
]}

Wada, Taizo ^{[3
]}

Nakamura, Toshinori ^{[4
]}

Hirotani, Atsushi ^{[5
]}

Fukuda, Toshio ^{[6
]}

Tamatani, Michio ^{[7
]}

Okuda, Yoshinari ^{[8
]}

Ikushima, Masashi ^{[9
]}

Baba, Yoshichika ^{[10
]}

Nagano, Masahiro ^{[11
]}

Nakamura, Yukio ^{[12
]}

Rakugi, Hiromi ^{[13
,14
]}

Kamide, Kei ^{[1
,13
]}

机构：

[1] Osaka Univ, Grad Sch Med, Div Hlth Sci, 1-7 Yamadaoka, Suita, Osaka 5650871, Japan

[2] Univ Calif Berkeley, Sch Publ Hlth, Berkeley, CA USA

[3] Osaka Home Med Care Clin, Osaka, Japan

[4] Nakamura Clin, Osaka, Japan

[5] Hirotani Clin, Osaka, Japan

[6] Fukuda Clin, Osaka, Japan

[7] Tamatani Clin, Osaka, Japan

[8] Okuda Clin, Osaka, Japan

[9] Ikushima Clin, Osaka, Japan

[10] Baba Clin, Osaka, Japan

[11] Nagano Clin, Nagano, Japan

[12] Yukokai Nakamura Clin, Osaka, Japan

[13] Osaka Univ, Grad Sch Med, Dept Geriatr & Gen Med, Osaka, Japan

[14] Osaka Rosai Hosp, Japan Org Occupat Hlth & Safety, Osaka, Japan

来源：

GERIATRICS & GERONTOLOGY INTERNATIONAL | 2024年 / 24卷

关键词：

home medical care; older patients; returning home after hospitalization; ADVANCE CARE; DEFINITION; ADULTS;

D O I：

10.1111/ggi.14802

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Aim: To examine the actual conditions of older patients receiving home medical care after hospitalization over a period of 2 years in Japan.Methods: The study population included 102 participants, aged >= 65 years, receiving home medical care, who consented to participate in the Osaka Home Care Registry (OHCARE) study in Japan over a period of 2 years. We investigated the actual conditions for returning home after hospitalization.Results: The median age of the 102 participants was 84 years, and 61 (59.8%) were women. In the group that returned home, 42 (55.3%) of the respondents desired to recuperate in a familiar place, as in advanced care planning (ACP). During the 2-year follow-up period, the group that did not return home had significantly more deaths. A multivariate analysis showed the association in the presence of ACP (odds ratio: 4.72, 95% confidence interval: 1.60-13.86) and cardiac disease (odds ratio: 0.25, 95% confidence interval: 0.08-0.76). The lack of ACP in the medical records when the patient was admitted to the hospital may have prevented the return home.Conclusion: In older patients who had difficulty returning home after hospitalization, the lack of ACP in home medical care may have been an influencing factor. ACP could help continue with home medical care.

引用

页码：320 / 326

页数：7

共 50 条

[1] VISIT-TO-VISIT BLOOD PRESSURE VARIABILITY AND CLINICAL EVENTS IN OLDER PATIENTS RECEIVING HOME MEDICAL CARE: THE OHCARE STUDY
Koujiya, Eriko
Takeya, Yasushi
Kabayama, Mai
Yamamoto, Mariko
Murakami, Naoko
Yano, Tomoko
Nakamura, Chika
Rakugi, Hiromi
Kamide, Kei
[J]. JOURNAL OF HYPERTENSION, 2023, 41 : E218 - E218
[2] Polypharmacy and hospitalization among older home care patients
Flaherty, JH
Perry, HM
Lynchard, GS
Morley, JE
[J]. JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2000, 55 (10): : M554 - M559
[3] Factors associated with changes of care needs level in disabled older adults receiving home medical care: Prospective observational study by Osaka Home Care Registry (OHCARE)
Yamamoto, Mariko
Kabayama, Mai
Koujiya, Eriko
Huang, Ya
Akiyama, Masako
Higami, Yoko
Kodama, Kana
Nakamura, Toshinori
Hirotani, Atsushi
Fukuda, Toshio
Tamatani, Michio
Okuda, Yoshinari
Ikushima, Masashi
Baba, Yoshichika
Nagano, Masahiro
Rakugi, Hiromi
Kamide, Kei
[J]. GERIATRICS & GERONTOLOGY INTERNATIONAL, 2019, 19 (12) : 1198 - 1205
[4] Association between dysphagia risk and unplanned hospitalization in older patients receiving home medical care
Watanabe, Kazuhisa
Umegaki, Hiroyuki
Huang, Chi-Hsien
Arakawa Martins, Beatriz
Asai, Atsushi
Kanda, Shigeru
Nomura, Hideki
Kuzuya, Masafumi
[J]. GERIATRICS & GERONTOLOGY INTERNATIONAL, 2019, 19 (10) : 977 - 981
[5] Factors in Avoidable Emergency Visits for Ambulatory Care-sensitive Conditions among Older Patients Receiving Home Care in Japan: A Retrospective Study
Inoue, Yoshie
Nishi, Kazuo
Mayumi, Toshihiko
Sasaki, Jun
[J]. INTERNAL MEDICINE, 2022, 61 (02) : 177 - 183
[6] Frailty among older patients receiving home care services
Krogseth, Maria
Rostoft, Siri
Benth, Jurate Saltyte
Selbaek, Geir
Wyller, Torgeir Bruun
[J]. TIDSSKRIFT FOR DEN NORSKE LAEGEFORENING, 2021, 141 (04) : 346 - 352
[7] In a prospective observational study, influenza vaccination prevented hospitalization among older home care patients
Landi, Francesco
Onder, Graziano
Cesari, Matteo
Russo, Andrea
Barillaro, Christian
Bernabei, Roberto
[J]. JOURNAL OF CLINICAL EPIDEMIOLOGY, 2006, 59 (10) : 1072 - 1077
[8] Hospitalization among Home Health Care Patients
Shang, Jingjing
Ma, Chenjuan
Wang, Jinjiao
Poghosyan, Lusine
Liu, Jianfang
[J]. NURSING RESEARCH, 2014, 63 (02) : E102 - E102
[9] Factors facilitating home death in non-cancer older patients receiving home medical care
Masumoto, Shoichi
Sato, Mikiya
Ichinohe, Yumiko
Maeno, Tetsuhiro
[J]. GERIATRICS & GERONTOLOGY INTERNATIONAL, 2019, 19 (12) : 1231 - 1235
[10] Returning Home to Haiti - Providing Medical Care after the Earthquake
Delonnay, Paul B.
[J]. NEW ENGLAND JOURNAL OF MEDICINE, 2010, 362 (10): : e35

← 1 2 3 4 5 →