Predicting Life Outcomes of Older Adults Dying in Nursing Home Facilities from BMI, Dietary and Fluid Intake Trajectories: A Longitudinal Retrospective Study of Elderly People Who Died and Survived in Special Care Nursing Facilities
- VernacularTitle:BMI，食事・水分摂取量のトラジェクトリーから高齢者施設で死亡する高齢者の生命予後を予測する—特養で死亡，生存した高齢者の縦断的後方視的研究—
- Author:
Yoshiaki KAWAKAMI
1
;
Kenichiro IGUCHI
2
;
Mayumi OEDA
3
;
Koji UENO
3
;
Kaoru INOUE
4
;
Koshi NOZAKI
4
;
Jun HAMANO
5
Author Information
- Keywords: nursing home; end of life care; prognosis; body mass index; daily food consumption
- From:Palliative Care Research 2024;19(3):219-229
- CountryJapan
- Language:Japanese
- Abstract: Objective:We compared changes in BMI as well as nutritional and fluid intake in older adult patients who died and survived while in special nursing care facilities, and examined whether trajectories in the death group were effective in predicting prognosis. Methods:We retrospectively extracted data from BMI, nutritional and fluid intake for all older adults admitted to a special nursing care facility between April 2007 and the end of July 2022, searching for changes in the monthly mean values. Results:Data were obtained for 646 patients in the death group and 498 in the survival group. In the death group, BMI, nutrition and fluid intake decreased significantly from 12 months before death compared with the survival group. In the death group, nutrient intake per kilogram of body weight decreased significantly and irreversibly as of 6 months before death, and fluid intake decreased significantly and irreversibly starting 3 months before death compared with the previous month. Discussion:The trajectories of BMI, nutrition and fluid intake decreased simultaneously from 12 months before death, and the significant irreversible decrease in fluid intake followed by nutritional intake per kilogram body weight was effective in predicting the prognosis of elderly patients dying in special care facilities.
