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)
| Autor: | Yoshichika Baba, Yoshinari Okuda, Masako Akiyama, Ya Huang, Kana Kodama, Toshinori Nakamura, Masashi Ikushima, Toshio Fukuda, Hiromi Rakugi, Eriko Koujiya, Masahiro Nagano, Kei Kamide, Mariko Yamamoto, Michio Tamatani, Atsushi Hirotani, Mai Kabayama, Yoko Higami |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Gerontology Time Factors Logistic regression Medical care Disability Evaluation Insurance Long-Term Care Japan Humans Medicine Disabled Persons Prospective Studies Registries Significant risk Risk factor Aged Aged 80 and over business.industry Odds ratio Home Care Services Confidence interval Female Observational study business Low serum albumin Needs Assessment |
| Zdroj: | Geriatrics & Gerontology International. 19:1198-1205 |
| ISSN: | 1447-0594 1444-1586 |
| DOI: | 10.1111/ggi.13790 |
| Popis: | Aim To clarify factors associated with changes in care needs level and mortality among disabled older people receiving home medical care over a period of 2.5 years. Methods The study included 179 participants, aged ≥65 years, receiving home medical care, who consented to join the Osaka Home Care Registry study. The main outcome was changes in the care needs level of participants eligible for the long-term care insurance system. We investigated the association of changes in care needs level with basic characteristics and care-receiving status. Results At the 2.5-year follow up, 20.0% of participants showed deteriorated levels, and 41.8% of participants died. In multiple logistic regression, age (odds ratio [OR] 1.10, 95% confidence interval [CI] 1.00-1.21; P = 0.051) and bone joint diseases (OR 0.34, CI 0.09-1.22; P = 0.098) were possible risks associated with deterioration of the care needs level. Male sex (OR 3.28, CI 0.91-11.74; P = 0.068) was a possible risk factor for mortality, and lower serum albumin (OR 0.22, CI 0.07-0.73) was a significant risk factor for mortality. Conclusions We clarified the different factors associated with deterioration of the care needs level and mortality among disabled older people. Old age and bone joint diseases might be predictive factors for the further deterioration of independence of physical activity, and a low serum albumin level is considered to be strongly associated with increased mortality. Geriatr Gerontol Int 2019; 19: 1198-1205. |
| Databáze: | OpenAIRE |
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