Risk of Weight Loss in Adult Patients and the Effect of Staffing Registered Dietitians in Kaifukuki (Convalescent) Rehabilitation Wards: A Retrospective Analysis of a Nationwide Survey
| Autor: | Takatsugu Okamoto, Ichiro Miyai, Masako Takayama, Yoji Kokura, Shinta Nishioka |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Pediatrics
medicine.medical_specialty 030309 nutrition & dietetics Leadership and Management registered dietitian medicine.medical_treatment Staffing Health Informatics Lower risk Article Odds 03 medical and health sciences 0302 clinical medicine Nutrition care inpatient rehabilitation facility Health Information Management Weight loss medicine 030212 general & internal medicine 0303 health sciences Rehabilitation Adult patients business.industry Health Policy Odds ratio nutrition care body weight loss Medicine medicine.symptom business |
| Zdroj: | Healthcare, Vol 9, Iss 753, p 753 (2021) Healthcare Volume 9 Issue 6 |
| ISSN: | 2227-9032 |
| Popis: | There is scarce evidence regarding the risk of weight loss and the effect of having registered dietitians (RDs) on staff in rehabilitation wards on weight loss. We aimed to examine the effects of RDs in Kaifukuki (convalescent) rehabilitation wards (KRWs) on the prevention of weight loss in adult patients. Data from 2-year nationwide annual surveys on KRWs in Japan were retrospectively analysed. Weight loss was defined as loss of ≥5% weight during the KRW stay. Risk of weight loss in class 1 KRWs (obligated to provide nutrition care) was compared with that in class 2–6 KRWs (not obligated). Risk of weight loss in class 2–6 KRWs with RDs was compared to those without. Overall, 17.7% of 39,417 patients lost weight. Class 1 KRWs showed a lower risk of weight loss than class 2–6 KRWs (17.3% vs. 18.5%, p = 0.003). KRWs with RDs showed a significantly lower incidence of weight loss than those without RDs (16.1% vs. 18.8%, p = 0.015). Class 1 KRWs and exclusively staffed RDs were independently associated with lower odds of weight loss (odds ratio = 0.915 and 0.810, respectively). Approximately 18% of KRW patients lost weight, and having RDs on staff can lower the risk of weight loss. |
| Databáze: | OpenAIRE |
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