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ID 51006
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Author
Kawagoe, Seiji
Tsuda, Toshihide Kaken ID researchmap
Doi, Hiroyuki Kaken ID researchmap
Abstract
Aim Associations between markedly low activities of daily living (ADL) at the start of home visit care and patient home death were analyzed using data from a home care support clinic in Japan that has a low rate of home deaths. Methods The study was a historical cohort study. It involved patients who began to receive home visit care from a home visit care support clinic between 1 April 2006 and 31 March 2011. Using home death as a dependent variable and presence/absence of markedly low ADL and other parameters (cancer, the patient's desire for home death, etc.) as independent variables, the adjusted hazard ratio and 95% confidence interval (CI) were calculated using the Cox proportional hazards model. Results Markedly low ADL were associated with home death even after adjustment for factors that influence home death (adjusted hazard ratio 4.40; 95% CI 2.37–8.16). Cancer and the patient's desire for home death were statistically significant factors involved in home death. In a subgroup analysis according to the presence/absence of cancer, the association between markedly low ADL and home death was stronger in the cancer-free group (adjusted hazard ratio 10.78; 95% CI 2.89–40.26) than in the cancer group (adjusted hazard ratio 5.58; 95% CI2.39–13.05). Conclusion Patients' desire for home death could be fulfilled if home care support clinics provide home visit services to not only terminal-stage cancer patients, but also bedridden cancer-free patients. We must establish systems for older adults to remain at home during the terminal period of their lives. Geriatr Gerontol Int 2012; ●●: ●●–●●.
Keywords
activities of daily living
Cox proportional hazards model
home death
home visit
Japan
Note
This is the pre-peer reviewed version of the following article:FULL CITE, which has been published in final form at.
Published Date
2012-12-26
Publication Title
Geriatrics & Gerontology Internationa
Start Page
1
End Page
7
Content Type
Journal Article
Official Url
http://onlinelibrary.wiley.com/doi/10.1111/ggi.12018/abstract
Related Url
http://ousar.lib.okayama-u.ac.jp/metadata/50695
language
英語
Copyright Holders
© 2012 Japan Geriatrics Society.
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Refereed
True
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