Health information exchange in relation to point-of-care testing in home care: Issues in Japan

Shimizu, Nayuta; Kotani, Kazuhiko

doi:10.1016/j.cca.2022.05.013

Cited by 6 publications

(1 citation statement)

References 27 publications

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“…In developed countries, the demand for home healthcare is increasing with an aging population [ 1 , 2 ]. Moreover, home healthcare is being promoted in Japan, where it is provided to patients who are unable to visit medical institutions on their own, such as older adults who require nursing care [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Prognostic Biomarkers of Mortality in Older Patients Without Cancer in Home Healthcare

Shimizu,

Nakai,

Takahashi

et al. 2024

Cureus

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Introduction The number of patients without cancer who receive home healthcare is increasing; however, prognostic prediction is challenging among them. This study aimed to investigate the prognostic value of generic biomarkers for mortality in patients without cancer who receive home healthcare. Materials and methods The multicenter retrospective cohort study included 114 older patients without cancer, of which 12 (10.5%) died during the study period. The median (interquartile range (IQR)) of the study observation period was 181 (49-293) days. Generic biomarkers included hemoglobin (Hb), albumin (Alb), C-reactive protein (CRP), estimated glomerular filtration rate (eGFR), aspartate aminotransferase (AST), and alanine aminotransferase (ALT). A multivariate-adjusted Cox proportional hazard model on all-cause mortality was used to calculate hazard ratio (HR) and 95% confidence interval (95% CI) for each biomarker. The cut-off values of each biomarker were calculated by receiver operating characteristic curve analysis. The performance of cut-off values was evaluated by time-dependent area under the curves (AUCs). Results The median (IQR) of AST was 13 (10-21) U/L. The biomarkers significantly predictive of mortality were Hb (fully adjusted HR: 0.41; 95% Cl: 0.25 - 0.70), Alb (HR: 0.41; 95% Cl: 0.02 - 0.69), and AST (HR: 1.09; 95% Cl: 1.00 - 1.18), along with male sex (HR: 4.07; 95% Cl: 1.15 - 14.35). The AUC of a cut-off value of AST (> 31 U/L) at 360 days was 0.72 (95% CI 0.71 - 0.72; p < 0.01), which outperformed the AUCs for Hb and Alb. Conclusion AST, in addition to Hb and Alb, may be useful for predicting the prognosis of older patients without cancer, who had a normal-to-mild increased level of AST, in home healthcare settings. Larger-sample and longer follow-up studies will be warranted.

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Section: Introductionmentioning

confidence: 99%

Prognostic Biomarkers of Mortality in Older Patients Without Cancer in Home Healthcare

Shimizu,

Nakai,

Takahashi

et al. 2024

Cureus

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Point-of-Care Devices in Healthcare: A Public Health Perspective

Zarnegar

2023

Studies in Computational Intelligence

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The Relationship between the Distribution of Home Medical Clinics and Home Care Service Offices in Japan

Kuwayama,

Kotani

2023

Tohoku J. Exp. Med.

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The increasing number of older people in Japan has led to a need for cooperation between home medical and care services. The collaboration between medical and care provisions in home settings is thus a matter for concern. The present study examines the distribution of and relationship between the number of home medical clinics (HMCs) and home care service offices (HCOs) in Japan. We used national data, detailing the total population, percentage of older adults, and number of HMCs and HCOs. Overall, 23,428 HMCs and 35,612 HCOs were identified nationwide. While the southwestern region of Japan had a higher number of HMCs relative to the northeastern region, there was not such a clear difference in the regional distribution of number of HCOs. A linear regression analyses, adjusted for the percentage of older people, revealed a significant positive correlation between the number of HMCs per 10,000 older people and HCOs per 10,000 older people (β = 0.58, p < 0.001). These findings may allow us to understand advances in cooperation between home medical and care services in Japan.

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Health information exchange in relation to point-of-care testing in home care: Issues in Japan

Cited by 6 publications

References 27 publications

Prognostic Biomarkers of Mortality in Older Patients Without Cancer in Home Healthcare

Prognostic Biomarkers of Mortality in Older Patients Without Cancer in Home Healthcare

Point-of-Care Devices in Healthcare: A Public Health Perspective

The Relationship between the Distribution of Home Medical Clinics and Home Care Service Offices in Japan

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