Risk factors for disability progression among Japanese long‐term care service users: A 3‐year prospective cohort study

Kamiya, Kohei; Adachi, Takuji; Sasou, Kenji; Suzuki, Tadashi; Yamada, Sumio

doi:10.1111/ggi.12756

Cited by 17 publications

(14 citation statements)

References 27 publications

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“…In our previous report [ 4 ],36 out of 181 patients (19.9%) with a mean age of 68.1 ± 9.7 years (who were younger than the patients generally seen in actual clinical practice), experienced cardiac death or a HF readmission during the 2 years after discharge. Additionally, another of our previous studies in the elderly with care needs demonstrated that > 25% of the participants experienced disability progression during the 3 years observation [ 25 ]. Based on these preliminary observations, we determined that 2 years of follow-up for FLAGSHIP was sufficient to observe study outcomes.…”

Section: Discussionmentioning

confidence: 99%

A multicenter prospective cohort study to develop frailty-based prognostic criteria in heart failure patients (FLAGSHIP): rationale and design

Yamada

Adachi

Izawa

et al. 2018

BMC Cardiovasc Disord

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BackgroundHeart failure (HF) and frailty often co-exist, and frailty in HF results in a poor prognosis. However, in Asian populations, prognostic criteria are needed to examine the effect of frailty on HF. Therefore, we conducted a nationwide cohort study to develop frailty-based prognostic criteria in HF patients (FLAGSHIP). FLAGSHIP mainly aims to 1) develop the frailty criteria based on HF-specific outcomes, 2) propose a hypothesis of the potential mechanisms of frailty manifestations in HF, and 3) examine the effects of outpatient cardiac rehabilitation on frailty.MethodsIn this prospective study, we consecutively enroll ambulatory patients admitted because of acute HF or exacerbation of HF and elderly patients admitted for acute myocardial infarction (age ≥ 70 years). They will be followed up for 2 years to assess frailty and hard clinical events. The primary endpoints of FLAGSHIP are cardiac events including cardiac mortality and HF-related readmission after discharge. Secondary endpoints are readmissions because of fracture or pneumonia and all-cause mortality. We used clinical data, including the items related to the frailty phenotype to develop diagnostic criteria for frailty and known prognostic factors of HF. Cognitive function, depression, and anorexia are also considered as potential components of frailty. As of March 2018, 2650 patients (85% was patients admitted for HF) have been registered from 30 collaborating hospitals nationwide in Japan.DiscussionFLAGSHIP provides diagnostic criteria and fundamental information on frailty manifestations to develop the best practices for the long-term management of HF. Diagnostic criteria on frailty developed by FLAGSHIP is expected to become a novel indicator for the stratification of patients at risk to functional decline after medical or surgical treatment, and in turn to contribute to the best practices in the long-term management of HF.Electronic supplementary materialThe online version of this article (10.1186/s12872-018-0897-y) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

A multicenter prospective cohort study to develop frailty-based prognostic criteria in heart failure patients (FLAGSHIP): rationale and design

Yamada

Adachi

Izawa

et al. 2018

BMC Cardiovasc Disord

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“…This was categorized into two groups: “support level 1–2 or care level 1–2” ( n = 92) and “care level 3–5” ( n = 109), as certified by the Japanese public long‐term care insurance system. This system has seven eligibility levels, including support levels 1–2 and care levels 1–5 (Kamiya, Adachi, Sasou, Suzuki, & Yamada, 2017). This study used medical record data from home‐visit dental treatment conducted at the request of patients and caregivers, so the duration of the observation period varied greatly from patient to patient.…”

Section: Study Population and Methodologymentioning

confidence: 99%

Caregiver‐reported dementia as a predictor of oral health among patients receiving home‐visit dental treatment: A retrospective cohort study

Yamaguchi

Horigome

Endo

et al. 2020

Clinical & Exp Dental Res

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Objective To assess caregiver‐reported dementia as a risk factor for retained roots, an indicator of poor oral hygiene, among patients receiving home‐visit dental treatment in Japan. Methods The medical records of 231 dentate patients who received home‐visit dental treatment (covered by public medical insurance) for more than 2 years were retrospectively analyzed. The number of teeth and retained roots at the initial and final examinations were obtained from the dental charts, and the “change in the number of retained roots from initial to final examination” was determined. The presence or absence of caregiver‐reported dementia, diabetes, and osteoporosis, as well as the level of long‐term care needed, were used as indicators of general health condition at the initial interview. Multiple regression analyses were conducted in five models that tested the association of independent variables (age, gender, observation period, general health, presence or absence of caregiver‐reported dementia at the initial interview) with changes in the number of retained roots. Results In all models, the presence of caregiver‐reported dementia at the initial interview was significantly associated with the change in the number of retained roots (p < .05). The adjusted coefficient of determination (R2) of model 5, which included all the predetermined independent factors, was .168. Conclusions Caregiver‐reported dementia may be a risk factor for an increase in the number of retained roots among patients who receive home‐visit dental treatment and may serve as an indicator of the need for regular and proactive oral hygiene management.

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“…The participants sat with the wrist in a neutral position and the elbow flexed at 90° [ 22 ]. Two trials were completed for each hand and the strongest value was used for the analysis [ 23 ]. In our previous study, grip strength was an independent associated factor of slow gait in older women aged 75 years and above [ 6 ].…”

Section: Methodsmentioning

confidence: 99%

Predicting the Future Need of Walking Device or Assistance by Moderate to Vigorous Physical Activity: A 2-Year Prospective Study of Women Aged 75 Years and Above

Adachi

Kamiya

Kono

et al. 2018

BioMed Research International

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Objective To examine the association between daily moderate to vigorous physical activity (MVPA) and the change in mobility function among community-dwelling Japanese women aged 75 years and above. Methods This prospective study included 330 older women aged 75 years and above who could walk without a walking device or assistance. MVPA and light-intensity physical activity (LPA) were assessed using an accelerometer for seven consecutive days. MVPA was defined as an activity with an intensity of >3 metabolic equivalents. The study outcome was a change in mobility function, defined as the need of walking device or assistance, during the two-year period. Results The results of the logistic regression analysis showed that MVPA was inversely associated with a decline in mobility function after controlling for LPA and potential confounders (adjusted odds ratio (OR) = 0.93 per 1 min/d, 95% confidence interval (CI) = 0.88–0.99; P = 0.017), whereas LPA was not when adjusted for MVPA and confounders (adjusted OR = 0.99 per 1 min/d, 95% CI = 0.96–1.01; P = 0.245). The receiver operating characteristics analysis identified a 7.9 min/d of MVPA as the cut-off value. Conclusions The results of this study suggest the importance of promoting daily MVPA for preventing mobility limitation in older women aged 75 years and above.

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Risk factors for disability progression among Japanese long‐term care service users: A 3‐year prospective cohort study

Cited by 17 publications

References 27 publications

A multicenter prospective cohort study to develop frailty-based prognostic criteria in heart failure patients (FLAGSHIP): rationale and design

A multicenter prospective cohort study to develop frailty-based prognostic criteria in heart failure patients (FLAGSHIP): rationale and design

Caregiver‐reported dementia as a predictor of oral health among patients receiving home‐visit dental treatment: A retrospective cohort study

Predicting the Future Need of Walking Device or Assistance by Moderate to Vigorous Physical Activity: A 2-Year Prospective Study of Women Aged 75 Years and Above

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