Rehabilitation services and related health databases, Japan

Yamaguchi, Kaori; Nakanishi, Yasuhiro; Tangcharoensathien, Viroj; Kono, Michihito; Nishioka, Yuichi; Noda, Tatsuya; Imamura, Tomoaki; Akahane, Manabu

doi:10.2471/blt.22.288174

Cited by 5 publications

(4 citation statements)

References 24 publications

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“…Thirdly, the study focused exclusively on patients requiring subacute inpatient rehabilitation after acute stroke treatment. While the availability of subacute rehabilitation was less influenced by economic status or social background due to the universal health insurance system in Japan, the decision to transfer to a rehabilitation hospital was influenced by the will of the patient, the patient’s family, and the medical team, introducing the possibility of selection bias ( 54 ). Lastly, the significance of weight change varies individually ( 55 ), especially in stroke patients, where categorization into overweight and underweight may be warranted.…”

Section: Discussionmentioning

confidence: 99%

Impact of rehabilitation dose on body mass index change in older acute patients with stroke: a retrospective observational study

Murata,

Tashiro,

Sakamoto

et al. 2023

Front. Nutr.

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BackgroundIt is established that a low body mass index (BMI) correlates with a diminished home discharge rate and a decline in activities of daily living (ADL) capacity among elderly stroke patients. Nevertheless, there exists a paucity of knowledge regarding strategies to mitigate BMI reduction during the acute phase. This investigation seeks to elucidate the impact of rehabilitation dose, as determined by both physical and occupational therapy, on BMI alterations, positing that a heightened rehabilitation dose could thwart BMI decline.MethodsThis retrospective, observational study was conducted in the stroke unit of a university hospital. Enrollees comprised individuals aged ≥65 years, hospitalized for stroke, and subsequently relocated to rehabilitation facilities between January 2019 and November 2020. The percentage change in BMI (%ΔBMI) was calculated based on BMI values at admission and discharge. Multivariate multiple regression analysis was employed to ascertain the influence of rehabilitation dose on %ΔBMI.ResultsA total of 187 patients were included in the analysis, of whom 94% experienced a reduction in BMI during acute hospitalization. Following adjustment for sociodemographic and clinical factors, multivariable analyzes revealed a positive association between rehabilitation dose and %ΔBMI (β = 0.338, p < 0.001).ConclusionThe findings of this study suggest that, in the context of acute stroke treatment, an augmented rehabilitation dose is associated with a diminished decrease in BMI.

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Section: Discussionmentioning

confidence: 99%

Impact of rehabilitation dose on body mass index change in older acute patients with stroke: a retrospective observational study

Murata,

Tashiro,

Sakamoto

et al. 2023

Front. Nutr.

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“…The details of the LIFE have been reported previously. [17][18][19][20] In brief, the Japanese Ministry of Health, Labor, and Welfare launched the LIFE long-term care insurance service database in April 2021. This database stores information on diseases, physical and cognitive functions, rehabilitation goals and interventions, ADL, instrumental ADL, and nutrition.…”

Section: Methodsmentioning

confidence: 99%

“…The Longterm care Information system For Evidence (LIFE) database collects data on nutrition to improve nursing care. [17][18][19][20] The data collected by the LIFE include motivation to eat, appetite and food satisfaction, and food consciousness. However, the potential differing effects of these items on dietary intake and nutritional status are unknown.…”

Section: Introductionmentioning

confidence: 99%

Impact of Motivation for Eating Habits, Appetite and Food Satisfaction, and Food Consciousness on Food Intake and Weight Loss in Older Nursing Home Patients

Wakabayashi,

Kinoshita,

Isowa

et al. 2024

Ann Geriatr Med Res

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Background: This study analyzed data from the Long-term care Information system For Evidence (LIFE) database to examine the effects of motivation to eat, appetite and food satisfaction, and food consciousness on food intake and weight loss.Methods: Of the 748 nursing home residents enrolled in the LIFE database, 336 met the eligibility criteria for this cross-sectional study. Motivation to eat, appetite and food satisfaction, and food consciousness were rated on five-point Likert scales (e.g., good, fair, normal, not so good, and not good). We applied Spearman rank correlation coefficient and multiple regression analyses to analyze the relationships between these three items, daily energy and protein intake, and body weight loss over 6 months.Results: The mean participant age was 87.4±8.1 years and 259 (77%) were female. The required levels of care included—level 1, 1 (0%); level 2, 4 (1%); level 3, 107 (32%); level 4, 135 (40%); and level 5, 89 (27%). The mean daily energy intake was 28.2±7.8 kcal/kg. The mean daily protein intake was 1.1±0.3 g/kg. The mean weight loss over six months was 1.2±0.7 kg. We observed strong positive correlations among motivation to eat, appetite and food satisfaction, and food consciousness (r>0.8). These three items were significantly associated with higher daily energy intake but not with daily protein intake. Only appetite and food satisfaction were significantly associated with lower weight loss over six months.Conclusion: The observed associations of appetite and food satisfaction suggest that these factors may be more important to assess than motivation to eat or food consciousness among older adult residents of long-term care facilities.

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“…The minimum payment unit is 20 min of rehabilitation, and the unit price is determined according to the disease. 24) We divided patients into three groups according to the rehabilitation time: none, < 20 min/day, or ≥ 20 min/day.…”

Section: Exposuresmentioning

confidence: 99%

In-hospital Rehabilitation Therapy Outcomes in Adult Down’s Syndrome Patients with Community-acquired Pneumonia: A Nationwide Observational Study

Ikeda,

Cooray,

Yodoshi

et al. 2023

PRM

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There has been no analysis of the effects of in-hospital rehabilitation on adult patients with Down's Syndrome (DS) after hospitalization for community-acquired pneumonia (CAP). Medical claims data retrospectively collected nationwide were used to examine outcomes at discharge. Methods: Hospitalization data were obtained from 440 Japanese hospitals for DS patients with CAP that were discharged between 1 June 2009 and 31 January 2022 (n=2897). After the exclusion of 2478 patients, mainly on the basis of age or type of admission, the records of 419 patients were extracted. The following were used as outcomes: (1) 30-day readmission, (2) 45-day readmission, (3) discharge Barthel Index (BI), (4) BI score gain, and (5) length of hospital stay. The targeted minimum loss-based estimator was used to examine effects of the average daily times of rehabilitation on outcomes at discharge. Results: Most patients had no in-hospital rehabilitation (73.5%). Provided that the average daily time of rehabilitation therapy was at least 20 min, BI scores were lower at discharge (coefficient, −15.91; 95% confidence interval, −30.07 to −1.75) and BI gain was lower (coefficient, −12.56; 95% confidence interval, −25.60 to 0.47) when compared with the use of no rehabilitation therapy. Conclusions: In-hospital rehabilitation medicine in DS patients with CAP provided by a therapist was not associated with improved activities of daily living at discharge. Future studies are warranted to develop systematic, efficient, and comprehensive rehabilitation medicine for DS patients suffering from CAP.

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Rehabilitation services and related health databases, Japan

Cited by 5 publications

References 24 publications

Impact of rehabilitation dose on body mass index change in older acute patients with stroke: a retrospective observational study

Impact of rehabilitation dose on body mass index change in older acute patients with stroke: a retrospective observational study

Impact of Motivation for Eating Habits, Appetite and Food Satisfaction, and Food Consciousness on Food Intake and Weight Loss in Older Nursing Home Patients

In-hospital Rehabilitation Therapy Outcomes in Adult Down’s Syndrome Patients with Community-acquired Pneumonia: A Nationwide Observational Study

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