Cohort study of advance care planning in the end of life -from the view point of comprehensive geriatric assessment-

2015 Fiscal Year Final Research Report

• Project/Area Number: 24590607
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Medical sociology
• Research Institution: Kyoto University
• Principal Investigator: Wada Taizo 京都大学, 東南アジア研究所, 連携准教授 (90378646)
• Co-Investigator(Kenkyū-buntansha): MATSUBAYASHI KOZO 京都大学, 東南アジア研究所, 教授 (70190494) ; OKUMIYA KIYOHITO 京都大学, 東南アジア研究所, 連携准教授 (20253346)
• Project Period (FY): 2012-04-01 – 2016-03-31
• Keywords: 事前指示書 / 終末期ケア / Advance Care Plannning / 総合機能評価 / 胃瘻 / 地域在住高齢者 / 事前ケア計画

Outline of Final Research Achievements

Annual comprehensive geriatric assessment have been introduced in community-dwelling elderly aged over 65. Many of the participants completed advanced directives in rural area (15.7%; N=820) and in nursing home (60.3%; N=239), respectively.
In case, the participants cannot take meals orally, as for the preferred method, 42.5% of the participants chose drip infusion through peripheral vein , whereas other artificial feeding methods were chosen much less frequently (intravenous hyperalimentation, 5.1%; percutaneous endoscopicgastrostomy, 4.7%; nasal feeding tube, 4.3%); 50.3% chose none of the four methods, responding that they prefer oral intake until the end. It has been recommended that advance care planning be considered during a comprehensive geriatric assessment. To respect the best interest of individuals with dementia, advance care planning should be started early on.

Free Research Field

老年医学