Long-Term Survival of Patients Receiving Artificial Nutrition in Japanese Psychiatric Hospitals

被引：6

作者：

Abe, Keiichi ^{[1
]}

Yamashita, Ryuko ^{[2
]}

Kondo, Keiko ^{[7
]}

Takayama, Keiko ^{[8
]}

Yokota, Osamu ^{[9
]}

Sato, Yoshiki ^{[10
]}

Kawai, Mitsumasa ^{[12
]}

Ishizu, Hideki ^{[3
]}

Nakashima, Tadao ^{[4
]}

Hayashi, Hideki ^{[5
]}

Nakata, Kenji ^{[13
]}

Asaba, Hiroyuki ^{[11
]}

Kadota, Koichi ^{[14
]}

Tanaka, Kazuyoshi ^{[16
]}

Morisada, Yunni ^{[15
]}

Oshima, Etsuko ^{[6
]}

Terada, Seishi ^{[6
]}

机构：

[1] Mannari Hosp, Dept Psychiat, Okayama, Japan

[2] Kawada Hosp, Dept Psychiat, Okayama, Japan

[3] Zikei Hosp, Dept Psychiat, Okayama, Japan

[4] Sanyo Hosp, Dept Psychiat, Okayama, Japan

[5] Hayashi Hosp, Dept Psychiat, Okayama, Japan

[6] Okayama Univ, Grad Sch Med, Dept Neuropsychiat, Dent & Pharmaceut Sci,Kita Ku, 2-5-1 Shikata Cho, Okayama, 7008558, Japan

[7] Sekizen Hosp, Dept Psychiat, Tsuyama, Japan

[8] Kibogaoka Hosp, Dept Psychiat, Tsuyama, Japan

[9] Kinoko Espoir Hosp, Dept Psychiat, Kasaoka, Japan

[10] Yura Hosp, Dept Psychiat, Tamano, Japan

[11] Kohnan Hosp, Dept Psychiat, Tamano, Japan

[12] Setouchi Kinen Hosp, Dept Psychiat, Setouchi, Japan

[13] Taiyo Hills Hosp, Dept Psychiat, Takahashi, Japan

[14] Kurshiki Jinpu Hosp, Dept Psychiat, Kurashiki, Okayama, Japan

[15] Kurashiki Shinkeika Hosp, Dept Psychiat, Kurashiki, Okayama, Japan

[16] Koyodai Hosp, Dept Psychiat, Maniwa, Japan

来源：

DEMENTIA AND GERIATRIC COGNITIVE DISORDERS EXTRA | 2016年 / 6卷 / 03期

关键词：

Artificial nutrition; Dementia; Long-term care; Long-term survival; Nasogastric tube; Nutrition; Percutaneous endoscopic gastrostomy; Schizophrenia;

D O I：

10.1159/000448242

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background/Aims: Most patients with dementia suffer from dysphagia in the terminal stage of the disease. In Japan, most elderly patients with dysphagia receive either tube feeding or total parenteral nutrition. Methods: In this study, we investigated the factors determining longer survival with artificial nutrition. Various clinical characteristics of 168 inpatients receiving artificial nutrition without oral intake in psychiatric hospitals in Okayama Prefecture, Japan, were evaluated. Results: Multiple logistic regression analysis showed that the duration of artificial nutrition was associated with a percutaneous endoscopic gastrostomy (PEG) tube, diagnosis of mental disorder, low MMSE score, and absence of decubitus. Conclusion: Patients with mental disorders survived longer than those with dementia diseases on artificial nutrition. A PEG tube and good nutrition seem to be important for long-term survival. (C) 2016 The Author(s) Published by S. Karger AG, Basel

引用

页码：477 / 485

页数：9

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