Relationship between functional independence measure and geriatric nutritional risk index in pneumonia patients in long-term nursing care facilities
© 2016 Japan Geriatrics Society..
AIM: The prevention of pneumonia is an urgent issue among Japanese older adults. However, little has been reported on the relationship between a Functional Independence Measure (FIM) and the Geriatric Nutrition Risk Index (GNRI) for the prevention of pneumonia in patients in long-term care facilities in Japan. We aimed to clarify the relevance of FIM and GNRI for inpatients with and without pneumonia.
METHODS: We identified 233 patients who were hospitalized in our long-term nursing hospital from April 2012 to September 2013. We compared differences in FIM among GNRI classes for four groups: (i) pneumonia/high GNRI; (ii) pneumonia/low GNRI; (iii) no pneumonia/high GNRI; and (iv) no pneumonia/low GNRI. To assess the pneumonia predictors, we used a logistic regression for long-term nursing patients. Receiver operating characteristic analysis showed cut-off values and the area under the curve.
RESULTS: A total of 88 (37.8%) of 233 inpatients had pneumonia. FIM of the pneumonia/low GNRI groups was significantly lower than that of the no pneumonia/high and low GNRI groups. Logistic regression showed that FIM (P < 0.001; OR -1.035, 95% CI -1.019-1.051) and GNRI (P = 0.017; OR -1.038, 95% CI -1.007-1.070) were predictors of pneumonia. The cut-off values for FIM and GNRI were 26.6 (P < 0.001, the area under the curve 0.70) and 80.5 (P < 0.001, the area under the curve 0.65), respectively.
CONCLUSION: Low activity and malnutrition might lead to the development of pneumonia. FIM and GNRI are useful predictor tools that could help to prevent pneumonia in Japanese patients in long-term care facilities. Geriatr Gerontol Int 2017; 17: 1617-1622.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2017 |
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| Erschienen: |
2017 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:17 |
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| Enthalten in: |
Geriatrics & gerontology international - 17(2017), 10 vom: 15. Okt., Seite 1617-1622 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Mitani, Yuji [VerfasserIn] |
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| Links: |
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| Themen: |
Functional Independence Measure |
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| Anmerkungen: |
Date Completed 24.07.2018 Date Revised 24.07.2018 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1111/ggi.12942 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM268875154 |
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| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2016 Japan Geriatrics Society. | ||
| 520 | |a AIM: The prevention of pneumonia is an urgent issue among Japanese older adults. However, little has been reported on the relationship between a Functional Independence Measure (FIM) and the Geriatric Nutrition Risk Index (GNRI) for the prevention of pneumonia in patients in long-term care facilities in Japan. We aimed to clarify the relevance of FIM and GNRI for inpatients with and without pneumonia | ||
| 520 | |a METHODS: We identified 233 patients who were hospitalized in our long-term nursing hospital from April 2012 to September 2013. We compared differences in FIM among GNRI classes for four groups: (i) pneumonia/high GNRI; (ii) pneumonia/low GNRI; (iii) no pneumonia/high GNRI; and (iv) no pneumonia/low GNRI. To assess the pneumonia predictors, we used a logistic regression for long-term nursing patients. Receiver operating characteristic analysis showed cut-off values and the area under the curve | ||
| 520 | |a RESULTS: A total of 88 (37.8%) of 233 inpatients had pneumonia. FIM of the pneumonia/low GNRI groups was significantly lower than that of the no pneumonia/high and low GNRI groups. Logistic regression showed that FIM (P < 0.001; OR -1.035, 95% CI -1.019-1.051) and GNRI (P = 0.017; OR -1.038, 95% CI -1.007-1.070) were predictors of pneumonia. The cut-off values for FIM and GNRI were 26.6 (P < 0.001, the area under the curve 0.70) and 80.5 (P < 0.001, the area under the curve 0.65), respectively | ||
| 520 | |a CONCLUSION: Low activity and malnutrition might lead to the development of pneumonia. FIM and GNRI are useful predictor tools that could help to prevent pneumonia in Japanese patients in long-term care facilities. Geriatr Gerontol Int 2017; 17: 1617-1622 | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Functional Independence Measure | |
| 650 | 4 | |a Geriatric Nutritional Risk Index | |
| 650 | 4 | |a long-term nursing hospital | |
| 650 | 4 | |a pneumonia | |
| 650 | 4 | |a predictor tool | |
| 700 | 1 | |a Oki, Yutaro |e verfasserin |4 aut | |
| 700 | 1 | |a Fujimoto, Yukari |e verfasserin |4 aut | |
| 700 | 1 | |a Yamaguchi, Takumi |e verfasserin |4 aut | |
| 700 | 1 | |a Iwata, Kentaro |e verfasserin |4 aut | |
| 700 | 1 | |a Watanabe, Yu |e verfasserin |4 aut | |
| 700 | 1 | |a Takahashi, Kazuki |e verfasserin |4 aut | |
| 700 | 1 | |a Yamada, Kanji |e verfasserin |4 aut | |
| 700 | 1 | |a Ishikawa, Akira |e verfasserin |4 aut | |
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