title: [Factors related to the long-term prognosis of home-based medical care subjects].
abstract: OBJECTIVE
  The purpose of this study is to identify the factors affecting long-term prognosis of home-based medical care subjects.
  
  
  METHODS
  We evaluated 290 subjects, who received home-based medical care between January 2012 and May 2015. We evaluated several aspects of the activities of daily living, such as the ability to walk, use of the toilet, self-feeding and self-administering of medications, as well as their cognition, activities, and abilities to communicate. The influence of these parameters on major adverse cardiovascular cerebrovascular events, non-cardiovascular, cerebrovascular events and the incidence of death was evaluated.
  
  
  RESULTS
  The mean age of the subjects was 83 years old and 38% of them were male: dementia or previous cerebral infarction was their main diagnosis. They required assistance for almost all activities of daily living except for feeding. Primary health concerns included 103 (37.0%) subjects had non-cardiovascular, cerebrovascular events, 63 subjects (21.7%) had pneumonia, and 48 subjects (16.6%) suffered major adverse cardiovascular cerebrovascular events, including 22 subjects (7.6%) with congestive heart failure. Sixty-one subjects (21.0%) died. The activities of daily living and cognition correlated strongly with non-cardiovascular, cerebrovascular events and death.
  
  
  CONCLUSIONS
  Our results indicated the activities of daily living and cognition strongly influence the occurrence of non-cardiovascular, cerebrovascular events and death in subjects receiving home-based medical care. Therefore, intervention should be targeted at improving these subjects' abilities to perform activities of daily living.
authors.affiliation: 2nd Department of Home Care Medicine, Saito Hospital.
authors.forename: Masaki
authors.initials: M
authors.lastname: Morita
mesh_terms: D000369:Aged, 80 and over; D003071:Cognition; D005260:Female; D016330:Frail Elderly; D006699:Home Care Services; D006801:Humans; D057187:Independent Living; D008297:Male; D011379:Prognosis; D013997:Time Factors; D016138:Walking