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Association between being at-risk of malnutrition and discontinued home medical care among older patients: a 1-year follow-up study.
Tsuji, Taeko; Yamasaki, Kazuyo; Kondo, Kyoko; Hongu, Nobuko; Matsumoto, Yoshinari; Fukuo, Keisuke; Habu, Daiki.
Afiliação
  • Tsuji T; Department of Health and Nutrition, Faculty of Human Science, Osaka Aoyama University, Minoh, Japan.
  • Yamasaki K; Department of Nutrition, Graduate School of Human Life and Ecology, Osaka Metropolitan University, Osaka-shi, Japan.
  • Kondo K; Division of Visiting Nursing, Nishinomiya Social Welfare Corporation, Nishinomiya, Japan.
  • Hongu N; Research Support Platform, Osaka Metropolitan University Graduate School of Medicine, Osaka-shi, Japan.
  • Matsumoto Y; Department of Nutrition, Graduate School of Human Life and Ecology, Osaka Metropolitan University, Osaka-shi, Japan.
  • Fukuo K; Department of Nutrition, Graduate School of Human Life and Ecology, Osaka Metropolitan University, Osaka-shi, Japan.
  • Habu D; Research Institute for Nutrition Sciences, Mukogawa Women's University, Nishinomiya, Japan.
J Hum Nutr Diet ; 37(2): 574-582, 2024 Apr.
Article em En | MEDLINE | ID: mdl-38229274
ABSTRACT

BACKGROUND:

Both malnutrition and at-risk of malnutrition are prevalent among older patients receiving home medical care. Discontinuation of home medical care usually occurs when an older patient is admitted to a hospital or nursing home or dies. This study aimed to assess prospective associations between nutritional status and discontinuation of home medical care in older patients.

METHODS:

Three hundred and thirty-three Japanese older patients receiving home-visit nursing care services were included in this study. Their nutritional status was assessed using the Mini Nutritional Assessment®-Short Form, and patients were classified into three groups (well-nourished, at-risk of malnutrition and malnourished). Outcomes were confirmed at the 1-year follow-up survey. Hazard ratios (HRs) and 95% confidence intervals (CIs) for discontinuation of home medical care based on nutritional status were calculated using a Cox proportional hazard model. Covariates included age, sex, living status, economic status, activities of daily living, comorbidities and dysphagia status.

RESULTS:

In total, 297 patients (median age 84 years) were analysed. At baseline, 48.5% of the patients were at-risk of malnutrition and 18.9% were malnourished. During the observation period of 1 year, 27.6% patients discontinued their home medical care. In the adjusted model, the HR for discontinuation of home medical care among those at-risk of malnutrition was 2.44 (95% CI 1.34-4.45) times than that of the well-nourished group, although the malnourished group was not significantly associated with discontinuation of home medical care (HR 1.69, 95% CI 0.77-3.72; referent well-nourished).

CONCLUSIONS:

At-risk of malnutrition was associated with discontinuation of home medical care among older patients.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atividades Cotidianas / Desnutrição Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Aged80 / Humans Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atividades Cotidianas / Desnutrição Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Aged80 / Humans Idioma: En Ano de publicação: 2024 Tipo de documento: Article