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Long-Term Survival of Patients Receiving Artificial Nutrition in Japanese Psychiatric Hospitals
- Source :
- Dementia and Geriatric Cognitive Disorders EXTRA, Dementia and Geriatric Cognitive Disorders Extra, Vol 6, Iss 3, Pp 477-485 (2016)
- Publication Year :
- 2016
-
Abstract
- Background/Aims: Most patients with dementia suffer from dysphagia in the terminal stage of the disease. In Japan, most elderly patients with dysphagia receive either tube feeding or total parenteral nutrition. Methods: In this study, we investigated the factors determining longer survival with artificial nutrition. Various clinical characteristics of 168 inpatients receiving artificial nutrition without oral intake in psychiatric hospitals in Okayama Prefecture, Japan, were evaluated. Results: Multiple logistic regression analysis showed that the duration of artificial nutrition was associated with a percutaneous endoscopic gastrostomy (PEG) tube, diagnosis of mental disorder, low MMSE score, and absence of decubitus. Conclusion: Patients with mental disorders survived longer than those with dementia diseases on artificial nutrition. A PEG tube and good nutrition seem to be important for long-term survival.
- Subjects :
- medicine.medical_specialty
Cognitive Neuroscience
Percutaneous endoscopic gastrostomy
Artificial nutrition
Disease
lcsh:Geriatrics
lcsh:RC346-429
Nasogastric tube
03 medical and health sciences
Long-term care
Long-term survival
0302 clinical medicine
Long term survival
medicine
Dementia
Original Research Article
Intensive care medicine
lcsh:Neurology. Diseases of the nervous system
Nutrition
Terminal stage
business.industry
medicine.disease
Dysphagia
Psychiatry and Mental health
lcsh:RC952-954.6
Schizophrenia
030211 gastroenterology & hepatology
medicine.symptom
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 16645464
- Volume :
- 6
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Dementia and geriatric cognitive disorders extra
- Accession number :
- edsair.doi.dedup.....14d37d23ebdfd2383b7284d846af6963