title: [Relation between destination on discharge in the elderly patients and comprehensive geriatric assessment at admission in the ward of the Geriatric Department of University Hospital].
abstract: To determine the factors related to the destination on discharge from the geriatric ward of Nagoya University Hospital, we analyzed the relationship between the scores of comprehensive geriatric assessment at admission and the destination in patients who had dwelled in home. The scores of basic activity of daily living (Barthel index), instrumental activity of daily living (Lowton scale), and cognitive function (Mini-Mental State Examination) were significantly lower in the patients who moved to institutions than those in the patients who returned home. The proportion of disabilities in all items, except eating, in the Barthel index, and all items but washing in the Lowton scale were significantly higher in patients who moved to institutions than in patients who returned home. Space orientation, calculation, and drawing in the Mini-Mental State Examination were related to the destination. In items for social life communication and group behavior were related to the destination. In multiple logistic regression models, it was suggested that activity of daily living, specifically independence of excretion, and ability in communication were significantly related to the destination on discharge.
authors.affiliation: Nagoya University Graduate School of Medicine, Department of Geriatrics.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Umegaki
authors.forename: Hideki
authors.initials: H
authors.lastname: Nomura
authors.forename: Akira
authors.initials: A
authors.lastname: Nakamura
authors.forename: Fujiko
authors.initials: F
authors.lastname: Ando
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Shimokata
authors.forename: Sayaka
authors.initials: S
authors.lastname: Yamamoto
authors.forename: Masahumi
authors.initials: M
authors.lastname: Kuzuya
authors.forename: Akihisa
authors.initials: A
authors.lastname: Iguchi
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D015444:Exercise; D005260:Female; D015577:Geriatric Assessment; D006707:Homes for the Aged; D006785:Hospitals, University; D006801:Humans; D007902:Length of Stay; D008297:Male; D009735:Nursing Homes; D010351:Patient Discharge