Effect of early rehabilitation on activities of daily living in patients with aspiration pneumonia.
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アブストラクト AIM:To assess the effect of early rehabilitation on improving activities of daily living (ADL) in elderly patients with aspiration pneumonia.METHODS:Using the Japanese Diagnosis Procedure Combination inpatient database, we retrospectively analyzed consecutive patients with aspiration pneumonia at admission who received early rehabilitation (n = 48 201) or did not receive any rehabilitation (n = 64 357) from July 2010 to March 2013. Early rehabilitation was defined as any type of physical rehabilitation initiated within 7 days after admission. The proportions of improved ADL scores from admission to discharge were compared between the early rehabilitation group and the non-rehabilitation group using a multivariable logistic regression analysis and instrumental variable analysis.RESULTS:The proportion of improved ADL scores was higher in the early rehabilitation group than in the non-rehabilitation group (25.4% vs 33.9%; P < 0.001). The multivariable logistic regression analysis showed that the early rehabilitation group exhibited significant improvement in ADL (odds ratio 1.57; 95% confidence interval 1.50-1.64; P < 0.001). The instrumental variable analysis showed that early rehabilitation was associated with increased proportion of improved ADL (risk difference 8.2%; 95% confidence interval 6.9-9.5%; P < 0.001).CONCLUSIONS:The present results suggest that early rehabilitation might improve ADL during hospitalization in patients with aspiration pneumonia. Geriatr Gerontol Int 2016; 16: 1181-1187.ジャーナル名 Geriatrics & gerontology international 投稿日 2015/10/16 投稿者 Yagi, Maiko; Yasunaga, Hideo; Matsui, Hiroki; Fushimi, Kiyohide; Fujimoto, Masashi; Koyama, Teruyuki; Fujitani, Junko 組織名 Department of Rehabilitation, St Marianna University School of Medicine, Toyoko;Hospital, Tokyo, Japan.;Department of Clinical Epidemiology and Health Economics, School of Public;Health, The University of Tokyo, Tokyo, Japan.;Department of Health Policy and Informatics, Tokyo Medical and Dental University;Graduate School of Medicine, Tokyo, Japan.;Department of Rehabilitation, National Center for Global Health and Medicine,;Tokyo, Japan.;Department of Rehabilitation, Tokyo Metropolitan Geriatric Hospital, Tokyo,;Japan. Pubmed リンク https://www.ncbi.nlm.nih.gov/pubmed/26460175/ -
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