Survival period after tube feeding in bedridden older patient

2008 Fiscal Year Final Research Report

• Project/Area Number: 18590659
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Single-year Grants
• Section: 一般
• Research Field: General internal medicine (including Psychosomatic medicine)
• Research Institution: Akita University of Nursing and Welfare
• Principal Investigator: SASAKI Hidetada Akita University of Nursing and Welfare, 看護福祉学部, 学長 (20004731)
• Project Period (FY): 2006 – 2008
• Keywords: 終末期医学 / 経管栄養 / 誤嚥性肺炎 / 要介護老人 / 寝たきり / 摂食障害

Research Abstract

要介護老人における経管栄養後の生存期間はどの位か、又、何によって経管栄養後の生存期間が決定されるのかを調査するため、163 人の仙台光が丘スペルマン病院に入院して経管栄養を受けた患者の前向きな予後調査を行った。
経管栄養なしで過ごした期間と経管栄養後の生存期間は反比例しており、特に寝たきり半年以上の人では経管栄養後の生存期間は約半年で約半年であった。更に経管栄養後肺炎なしで過ごした期間と経管栄養後の生存期間は比例した。経管栄養後一旦肺炎をおこした場合、生存期間は半年であった。

Research Products

• [Journal Article] Single pathogenesis of geriatric syndrome (2008)
  • Author(s): Sasaki H
  • Journal Title: Geriatr Gerontol Int 8 Pages: 1-4
• [Journal Article] High incidence of aspiration pneumonia in community-and hospital-acquired pneumonia in hospitalized patients:.a multicenter;prospective study in Japan (2008)
  • Author(s): Teramoto S , Sasaki H, et al
  • Journal Title: J Am Geriatr soc 56 Pages: 577-579
  • Peer Reviewed
• [Journal Article] Lavender aroma therapy for behaviolal and psychological symptoms in dementia patients (2008)
  • Author(s): Fujii M,Sasaki H
  • Journal Title: Geriatr Gerontol Int 8 Pages: 136-138
  • Peer Reviewed
• [Journal Article] Mortality rates of community-residing adults With and without dentures (2008)
  • Author(s): Fukai K,Sasaki H, et al
  • Journal Title: Geriatr Gerontol Int 8 Pages: 152-189
  • Peer Reviewed
• [Journal Article] Dietry gidance for older patients with diabetes mellitus and primary caregivers using a Model Nutuitional Balance Chart (2008)
  • Author(s): Satoh A,Sasaki H
  • Journal Title: Japan Journal of Nursing Science 5 Pages: 83-89
  • Peer Reviewed
• [Journal Article] Emotional therapy for pat 、ients with dementia (2008)
  • Author(s): Hirazakura A,Sasaki -H
  • Journal Title: Geriatr Gerontol Int 8 Pages: 303-306
  • Peer Reviewed
• [Journal Article] Salttaste perceptionand salt intake in older people (2008)
  • Author(s): Watanabe M,Sasaki H
  • Journal Title: Geriatr And Gerontol Int 8 Pages: 62-64
• [Journal Article] Azelastine hydrochloride on behavioral and psychological symptoms and activities of daily living in dementia patients (2008)
  • Author(s): Hatakeyama A, Sasaki H
  • Journal Title: Geriatr Gerontol Int 8 Pages: 59-61
  • Peer Reviewed
• [Journal Article] Mosapride citrate prolongs survival in stroke patients with gastrostomy (2007)
  • Author(s): He M, Sasaki H
  • Journal Title: J Am Geriatr Soc 55 Pages: 142-143
  • Peer Reviewed
• [Journal Article] Acid and swallowing reflex (2007)
  • Author(s): Ebihara T Sasaki H
  • Journal Title: Geriatric Gerontol Int 7 Pages: 94-95
  • Peer Reviewed
• [Journal Article] Life satisfaction in older people (2007)
  • Author(s): Kudo H,Sasaki H
  • Journal Title: Geriatr Gerontol Int 7 Pages: 15-20
• [Journal Article] Toe clearance rehabilitative slipper for gait disorder in the elderly (2007)
  • Author(s): Sato T, Sasaki H
  • Journal Title: Geriatr Gerontol Int 7 Pages: 310-311
  • Peer Reviewed
• [Journal Article] Family relationships for self-care-dependent older people at home (2007)
  • Author(s): Kodama H,Sasaki H
  • Journal Title: Geriatr Gerontol Int 7 Pages: 252-257
• [Journal Article] Frontier medical science versus geriatrics (2007)
  • Author(s): Sasaki H
  • Journal Title: Geriatr Gerontol Int 7 Pages: 313-315
  • Peer Reviewed
• [Journal Article] Functional tooth number and 15-year mortality in a cohort of communitv-residing older people (2007)
  • Author(s): Fukai K, Sasaki H
  • Journal Title: Geriatr Gerontol Int 7 Pages: 341-347
  • Peer Reviewed
• [Journal Article] Salt intake and age-adjusted death rate from cerebral infarction (2007)
  • Author(s): Fukuoka Y, Sasaki H
  • Journal Title: Geriatr Gerontol Int 7 Pages: 202-204
  • Peer Reviewed
• [Journal Article] Relationship of suicide rates and per capita income in Japan (2006)
  • Author(s): Reiko Hatakeyama, Sasaki H
  • Journal Title: Geriatr Gerontol Int 6 Pages: 274-276
  • Peer Reviewed
• [Journal Article] Educational therapy for patients with dementia,Geriater (2006)
  • Author(s): Akiko Hirazakura,Sasaki H
  • Journal Title: Gerontol Int 6 Pages: 147-148
  • Peer Reviewed
• [Journal Article] Aspiration pneumonia.In Principles and Practice of Geriatric Medicine (2006)
  • Author(s): Ohrui T,Sasaki H
  • Journal Title: 4th Ed.Edited by MSJ Pathy, AJ Sinclair, JE Morly Pages: 685-592
  • Peer Reviewed
• [Journal Article] Pneumonia.In Antibiotic Therapy for Geriatric Patients (2006)
  • Author(s): Yamaya M,Sasaki H
  • Journal Title: Edited by TT Yoshikawa,S Rajagopalan Pages: 425-434
  • Peer Reviewed
• [Journal Article] Arterial carboxyhemoglobin concentrations as a predictor of chemosensitivity in elderly patients with advanced lung cancer (2006)
  • Author(s): Ebihara S, Sasaki H
  • Journal Title: J Am Geriatr Soc 54 Pages: 373-375
  • Peer Reviewed
• [Journal Article] Dental status and mortality in institutionalized elderly people (2006)
  • Author(s): Ohrui T, Sasaki H
  • Journal Title: Geriatr Gerontol Int 6 Pages: 101-108
  • Peer Reviewed
• [Journal Article] Carbocisteine reduces frequency of common colds and exacerbations in patients with chronic obstructive pulmonary disease (2006)
  • Author(s): Yasuda H,Sasaki H
  • Journal Title: J Am Gerialr Soc 54 Pages: 378-380
• [Journal Article] Dietary intakes and plasma8-iso-protaglandin F2a concentrations in community-dwelling elderly Japanese: The Tsurugaya project (2006)
  • Author(s): Kuriyama S, Sasaki H
  • Journal Title: Int J Vitam Nutr Res 76 Pages: 87-94
  • Peer Reviewed
• [Journal Article] Feeding tubes in the terminal frail elderly (2005)
  • Author(s): Kosaka Y,Sasaki H
  • Journal Title: elderly,Geriatr Gerontol Int 5 Pages: 301-302
  • Peer Reviewed
• [Journal Article] Combinational western and oriental medicine therapies for geriatric syndrome (2005)
  • Author(s): Iwasaki K, Seki T, Aral H, Sasaki H
  • Journal Title: Geriatr Gerontol Int 5 Pages: 216-233
  • Peer Reviewed
• [Journal Article] Lithium therapy and cerebrospinal fluidv biomarker levels in Alzheimer's diseases (2005)
  • Author(s): MaruyamaM,Sasaki H
  • Journal Title: Geriatr Gerontol Int 5 Pages: 298-300
  • Peer Reviewed
• [Journal Article] Risk of falls in Alzheimer's diseases:a Prospective study (2005)
  • Author(s): Horikawa E, Sasaki H
  • Journal Title: Int Med 44 Pages: 717-721
  • Peer Reviewed
• [Journal Article] The neuraI correIattes of driving Performance identified using positronEmission tomography (2005)
  • Author(s): Horikawa E,Sasaki H
  • Journal Title: Brain cognition 58 Pages: 166-171
  • Peer Reviewed
• [Journal Article] Expiratory carbon monoxide in Japanese population
  • Author(s): Takahashi I, Sasaki H
  • Journal Title: International scientific meeting Breath Analysis in physiology and Medicine Organized by International Association for Breath Research IABR4^<th> and5^<th>
  • Peer Reviewed
• [Journal Article] Mosapride citrate prolongs survival in stroke patients with qastrostomy
  • Author(s): He M,Sasaki H
  • Journal Title: J Am Geriatr Soc (In press)
  • Peer Reviewed
• [Journal Article] Accidental carbon monoxide poisoning at home in Japan
  • Author(s): Ohara Y, Sasaki H
  • Journal Title: Ped Pulm in press
• [Presentation] Medical and care approaches for dysphagi in older adults (2008)
  • Author(s): Sasaki H
  • Organizer: The 4Th International Symposium on geriatrics and gerontology.Nutrition and longevity
  • Place of Presentation: あいち健康プラザ
  • Year and Date: 2008-11-20
• [Presentation] Plenary lecture,Progree and strategies for preventive medicine for the elderly (2007)
  • Author(s): Sasaki H
  • Organizer: The 8th Asia/Oceania Regional Congrees of Gerontology and Geriatrics
  • Place of Presentation: Beijing
  • Year and Date: 20071022-25
• [Presentation] Overview on respiratory diseases and care for the elderly (2007)
  • Author(s): Sasaki H
  • Organizer: 2007 SNU Advanced Training Course for Gerontology and Geriatrics.By Asia Oceania Region of International Association of Gerontology and Geriatrics
  • Place of Presentation: Seoul National Universityb
  • Year and Date: 20070817-19