title: Long-Term Survival of Patients Receiving Artificial Nutrition in Japanese Psychiatric Hospitals.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Psychiatry, Mannari Hospital, Okayama, Japan.
authors.forename: Keiichi
authors.initials: K
authors.lastname: Abe
authors.affiliation: Department of Psychiatry, Kawada Hospital, Okayama, Japan.
authors.forename: Ryuko
authors.initials: R
authors.lastname: Yamashita
authors.affiliation: Department of Psychiatry, Sekizen Hospital, Tsuyama, Japan.
authors.forename: Keiko
authors.initials: K
authors.lastname: Kondo
authors.affiliation: Department of Psychiatry, Kibogaoka Hospital, Tsuyama, Japan.
authors.forename: Keiko
authors.initials: K
authors.lastname: Takayama
authors.affiliation: Department of Psychiatry, Kinoko Espoir Hospital, Kasaoka, Japan.
authors.forename: Osamu
authors.initials: O
authors.lastname: Yokota
authors.affiliation: Department of Psychiatry, Yura Hospital, Tamano, Japan.
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Sato
authors.affiliation: Department of Psychiatry, Setouchi Kinen Hospital, Setouchi, Japan.
authors.forename: Mitsumasa
authors.initials: M
authors.lastname: Kawai
authors.affiliation: Department of Psychiatry, Zikei Hospital, Okayama, Japan.
authors.forename: Hideki
authors.initials: H
authors.lastname: Ishizu
authors.affiliation: Department of Psychiatry, Sanyo Hospital, Okayama, Japan.
authors.forename: Tadao
authors.initials: T
authors.lastname: Nakashima
authors.affiliation: Department of Psychiatry, Hayashi Hospital, Okayama, Japan.
authors.forename: Hideki
authors.initials: H
authors.lastname: Hayashi
authors.affiliation: Department of Psychiatry, Taiyo Hills Hospital, Takahashi, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Nakata
authors.affiliation: Department of Psychiatry, Kohnan Hospital, Tamano, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Asaba
authors.affiliation: Department of Psychiatry, Kurashiki Jinpu Hospital, Kurashiki, Japan.
authors.forename: Koichi
authors.initials: K
authors.lastname: Kadota
authors.affiliation: Department of Psychiatry, Koyodai Hospital, Maniwa, Japan.
authors.forename: Kazuyoshi
authors.initials: K
authors.lastname: Tanaka
authors.affiliation: Department of Psychiatry, Kurashiki Shinkeika Hospital, Kurashiki, Japan.
authors.forename: Yumi
authors.initials: Y
authors.lastname: Morisada
authors.affiliation: Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
authors.forename: Etsuko
authors.initials: E
authors.lastname: Oshima
authors.affiliation: Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
authors.forename: Seishi
authors.initials: S
authors.lastname: Terada
keywords: Artificial nutrition; Dementia; Long-term care; Long-term survival; Nasogastric tube; Nutrition; Percutaneous endoscopic gastrostomy; Schizophrenia