Science Links Japan | Relation between Destination on Discharge in the Elderly Patients and Comprehensive Geriatric Assessment at Admission in the Ward of the Geriatric Department of University Hospital.

Relation between Destination on Discharge in the Elderly Patients and Comprehensive Geriatric Assessment at Admission in the Ward of the Geriatric Department of University Hospital.

Accession number;02A0191496

Title;Relation between Destination on Discharge in the Elderly Patients and Comprehensive Geriatric Assessment at Admission in the Ward of the Geriatric Department of University Hospital.

Author; UMEGAKI HIROYUKI (Nagoyadai Daigakuin'igakukenkyuka Ronenkagaku) NOMURA HIDEKI (Nagoyadai Daigakuin'igakukenkyuka Ronenkagaku) NAKAMURA AKIRA (Nagoyadai Daigakuin'igakukenkyuka Ronenkagaku) ANDO FUJIKO (National Inst. Longevity Sci., JPN) SHIMOKATA HIROFUMI (National Inst. Longevity Sci., JPN) YAMAMOTO SAYAKA (Nagoyadai Daigakuin'igakukenkyuka Ronenkagaku) KAZUYA MASAFUMI (Nagoyadai Daigakuin'igakukenkyuka Ronenkagaku) IGUCHI AKIHISA (Nagoyadai Daigakuin'igakukenkyuka Ronenkagaku)

Journal Title;Japanese Journal of Geriatrics

Journal Code:Z0680A

ISSN:0300-9173

VOL.39;NO.1;PAGE.75-82(2002)

Figure&Table&Reference;TBL.3, REF.17

Pub. Country;Japan

Language;Japanese

Abstract;To determine the factors related to the destination on discharge from the geriatric ward of Nagoya University Hospital, we analyzed the relationship between the scores of comprehensive geriatric assessment at admission and the destination in patients who had dwelled in home. The scores of basic activity of daily living (Barthel index), instrumental activity of daily living (Lowton scale), and cognitive function (Mini-Mental State Examination) were significantly lower in the patients who moved to institutions than those in the patients who returned home. The proportion of disabilities in all items, except eating, in the Barthel index, and all items but washing in the Lowton scale were signuficantly higher in patients who moved to institutions than in patients who returned home. Space orientation, calculation, and drawing in the Mini-Mental State Examination were related to the destination. In items for social life communication and group behavior were related to the destination. In multiple logistic regression models, it was suggested that activity of daily living, specifically independence of excretion, and ability in communication were significantly related to the destination on discharge. (author abst.)

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