| Project/Area Number |
10672121
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Medical sociology
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| Research Institution | The University of Tokyo |
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Principal Investigator |
TOBA Kenji Department of Geriatric Medicine, Tokyo University Hospital, Associate professor, 医学部・附属病院, 助教授 (60155546)
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| Co-Investigator(Kenkyū-buntansha) |
ETO Masato Department of Geriatric Medicine, Tokyo University Hospital, Assistant Professor, 医学部・附属病院, 助手 (80282630)
KIM Senbung Department of Geriatric Medicine, Tokyo University Hospital, Assistant Professor, 医学部・附属病院, 助手 (30254907)
IIJIMA Setsu Department of Health Care. International Medical and Welfare University, Professor, 保健学, 教授 (80193126)
AKO Junya Department of Geriatric Medicine, Tokyo University Hospital, Assistant professor, 医学部・附属病院, 教務職員 (60292744)
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| Project Period (FY) |
1998 – 1999
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| Project Status |
Completed (Fiscal Year 1999)
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| Budget Amount *help |
¥3,700,000 (Direct Cost: ¥3,700,000)
Fiscal Year 1999: ¥1,500,000 (Direct Cost: ¥1,500,000)
Fiscal Year 1998: ¥2,200,000 (Direct Cost: ¥2,200,000)
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| Keywords | Geriatric Syndrome / Geriatric Scale / Older Old / Young Old / Longterm Care Facility / Discharge Planning / 老人保健施設 |
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| Research Abstract |
Geriatric Scale is defined as sum of signs and symptoms which are listed as geriatric syndrome in the elderly in text books of Geriatric Medicine. We investigated 474 subjects in total. These include 436 institutionalized subjects in acute care hospital, chronic care hospital, and long term care facility as well as 36 community dwelling subjects who use home-based care. Mean value of Geriatric Scale was 6 in home-based care, 6.5 in an acute care hospital, 9 in a chronic care hospital and 9 in a long term care facility. So-called geriatric syndromes were able to be categorized into 3 groups ; syndromes steeply increased after 75 years old (Older Old), syndromes increased gradually after 65 years old (Young Old) and syndromes least influenced by age (Constant).
In subjects with home-based care, geriatric scale is relatively small. However 3 layer pattern of geriatric syndrome is basically not different. In a long term care facility, Although, 3 layer pattern is found, the syndromes "Older Old" increased before 75 years old. In other words, in nursing hospital, care-burden with low ADL may be heavy. The pattern in a chronic care hospital is similar that of nursing hospital. According to one year prognosis of patients in a chronic care hospital, the geriatric scale of patients who came back to home is about half of that of patients who were transferred to long term care facilities.
Specifically, it should be noted that the element of Older Old is very small in patients who came back to home. In conclusion, the sum of geriatric syndromes and analysis of pattern of geriatric syndromes are new tool to evaluate care need and medical need. And it will help to make a discharge planning.
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