Actual conditions for returning home after hospitalization among older patients receiving home medical care in Japan: OHCARE Study

Naoko Murakami; Mai Kabayama; Tomoko Yano; Chika Nakamura; Yuka Fukata; Chihiro Morioka; Wen Fang; Yumiko Nako; Yuki Omichi; Eriko Koujiya; Kayo Godai; Michiko Kido; Winston Tseng; Taizo Wada; Toshinori Nakamura; Atsushi Hirotani; Toshio Fukuda; Michio Tamatani; Yoshinari Okuda; Masashi Ikushima; Yoshichika Baba; Masahiro Nagano; Yukio Nakamura; Hiromi Rakugi; Kei Kamide

doi:10.1111/ggi.14802

Actual conditions for returning home after hospitalization among older patients receiving home medical care in Japan: OHCARE Study

Geriatr Gerontol Int. 2024 Mar:24 Suppl 1:320-326. doi: 10.1111/ggi.14802. Epub 2024 Jan 24.

Authors

Naoko Murakami¹, Mai Kabayama¹, Tomoko Yano¹, Chika Nakamura¹, Yuka Fukata¹, Chihiro Morioka¹, Wen Fang¹, Yumiko Nako¹, Yuki Omichi¹, Eriko Koujiya¹, Kayo Godai¹, Michiko Kido¹, Winston Tseng², Taizo Wada³, Toshinori Nakamura⁴, Atsushi Hirotani⁵, Toshio Fukuda⁶, Michio Tamatani⁷, Yoshinari Okuda⁸, Masashi Ikushima⁹, Yoshichika Baba¹⁰, Masahiro Nagano¹¹, Yukio Nakamura¹², Hiromi Rakugi^{13

14}, Kei Kamide^{1

13}

Affiliations

¹ Division of Health Sciences, Osaka University, Graduate School of Medicine, Osaka, Japan.
² School of Public Health, University of California, Berkeley, California, USA.
³ Osaka Home Medical Care Clinic, Osaka, Japan.
⁴ Nakamura Clinic, Osaka, Japan.
⁵ Hirotani Clinic, Osaka, Japan.
⁶ Fukuda Clinic, Osaka, Japan.
⁷ Tamatani Clinic, Osaka, Japan.
⁸ Okuda Clinic, Osaka, Japan.
⁹ Ikushima Clinic, Osaka, Japan.
¹⁰ Baba Clinic, Osaka, Japan.
¹¹ Nagano Clinic, Osaka, Japan.
¹² Yukokai Nakamura Clinic, Osaka, Japan.
¹³ Department of Geriatric and General Medicine, Osaka University, Graduate School of Medicine, Osaka, Japan.
¹⁴ Japan Organization of Occupational Health and Safety, Osaka Rosai Hospital, Osaka, Japan.

PMID: 38267253
DOI: 10.1111/ggi.14802

Abstract

Aim: To examine the actual conditions of older patients receiving home medical care after hospitalization over a period of 2 years in Japan.

Methods: The study population included 102 participants, aged ≥65 years, receiving home medical care, who consented to participate in the Osaka Home Care Registry (OHCARE) study in Japan over a period of 2 years. We investigated the actual conditions for returning home after hospitalization.

Results: The median age of the 102 participants was 84 years, and 61 (59.8%) were women. In the group that returned home, 42 (55.3%) of the respondents desired to recuperate in a familiar place, as in advanced care planning (ACP). During the 2-year follow-up period, the group that did not return home had significantly more deaths. A multivariate analysis showed the association in the presence of ACP (odds ratio: 4.72, 95% confidence interval: 1.60-13.86) and cardiac disease (odds ratio: 0.25, 95% confidence interval: 0.08-0.76). The lack of ACP in the medical records when the patient was admitted to the hospital may have prevented the return home.

Conclusion: In older patients who had difficulty returning home after hospitalization, the lack of ACP in home medical care may have been an influencing factor. ACP could help continue with home medical care. Geriatr Gerontol Int 2024; 24: 320-326.

Keywords: home medical care; older patients; returning home after hospitalization.

MeSH terms

Aged
Aged, 80 and over
Female
Home Care Services*
Hospitalization
Hospitals
Humans
Japan
Male

Abstract

MeSH terms

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