Evidence map›Paper›PMID 36691358›Full record

ArticleMedical science monitor : international medical journal of experimental and clinical research2023

Effects of Caregiver's Gender or Distance Between Caregiver and Patient's Home on Home Discharge from Hospital in 285 Patients Aged ≥75 Years in Japan.

Yoshimasa Oda, Naoko E Katsuki, Masaki Tago, Risa Hirata, Osamu Kojiro, Masanori Nishiyama, Masamichi Oda, Shu-Ichi Yamashita

Open access · hybridAbstract read
In one paragraph

Article in Medical science monitor : international medical journal of experimental and clinical research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
–field-weighted citation impact, top 99% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Yoshimasa OdaDepartment of General Medicine, Saga University Hospital, Saga, Japan.
Naoko E KatsukiDepartment of General Medicine, Saga University Hospital, Saga, Japan.ORCID 0000-0002-9599-5287
Masaki TagoDepartment of General Medicine, Saga University Hospital, Saga, Japan.ORCID 0000-0003-1092-1834
Risa HirataDepartment of General Medicine, Saga University Hospital, Saga, Japan.ORCID 0000-0001-7897-5252
Osamu KojiroYuai-Kai Foundation and Oda Hospital, Kashima, Saga, Japan.
Masanori NishiyamaDepartment of General Medicine, Yuai-Kai Foundation and Oda Hospital, Kashima, Saga, Japan.
Masamichi OdaYuai-Kai Foundation and Oda Hospital, Kashima, Saga, Japan.
Shu-Ichi YamashitaDepartment of General Medicine, Saga University Hospital, Saga, Japan.
Saga University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND Many hospitalized aged patients in Japan, the most super-aged society, are unable to be discharged home. This study was performed to clarify the factors associated with home discharge, not to a long-term care (LTC) facility or another hospital, among inpatients aged ≥75 years. MATERIAL AND METHODS A single-center prospective cohort study was performed for inpatients aged ≥75 years in a rural acute-care hospital in Japan, from November 2017 to October 2019. We divided the patients into 2 groups: those who resided at home or had died at home by 30 days after discharge, and others. We obtained data from medical charts and questionnaires given to patients and their caregivers. For each factor shown to be statistically significant by the univariable analysis, a multivariable analysis with adjustment was conducted. RESULTS In all, 285 patients agreed to participate. With adjustment by where the patient was admitted from, residing with other family members, cognitive function scores, and Barthel index, multivariable analysis using each factor identified as relevant by univariable analysis identified the following as associated with home discharge: being less informed about LTC insurance; cost of home-visit medical, nursing, or LTC services; shorter hospital stays; close proximity between patient and caregiver; main caregiver being female; and life expectancy of over 6 months (P<0.05). CONCLUSIONS Male gender and a long distance between the caregiver and patient's home significantly hindered home discharge in patients aged ≥75 years, suggesting the need to provide information regarding home-visit services under Japan's LTC insurance system for such caregivers.

Indexed as

CaregiversPatient DischargeFemaleHospitalsHumansJapanMaleProspective Studies

Identifiers

PMID36691358
PMCPMC9883979
OpenAlexW4317040482

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.