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

被引：1

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

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