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Asae Oura(2010). Factors Related to Hospitalization or Institutionalization among the Frail Elderly in Sapporo, Japan; A Cohort Study. J. of SJWS 11: 63-68
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Factors Related to Hospitalization or Institutionalization among
the Frail Elderly in Sapporo, Japan; A Cohort Study
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Asae Oura1,2, Mitsuru Mori1, Hisako Izumi3, Masakazu Washio4
Departments of 1 Public Health, School of Medicine, and 3 Nursing, School of Health Science, Sapporo Medical University, Chuo-ku Minami-1, Nishi-17, Sapporo, Hokkaido, 060-8556, Japan
2 Research Fellow of the Japan Society for the Promotion of Science (JSPS Research Fellow),
Ichiban-chou 8, Chiyoda-ku, Tokyo, 102-8472, Japan, 4 Faculty of Nursing, St. Mary’s College,
Tsufuku honmachi 422, Kurume-shi, Fukuoka, 830-8558, Japan
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Abstract: The present study was conducted to identify the risk factors which could lead to hospitalization or institutionalization among the frail elderly receiving in-home care in Japan. The follow up study was conducted in 7 nursing home stations in Sapporo, Japan. Informed consent was received from 86 pairs of caregivers and disabled elderly in October 2008. We excluded 15 patients aged 64 years or younger and their caregivers. Thus, in total we analyzed 71 pairs. Among the 71 pairs, 2 died at home. Dying at home is regarded as successful in-home care and therefore those 2 cases were included for the analysis in the present study. The follow-up period of the present study was defined as 6 months. We confirmed the current home health care situation by mail for family caregivers. Frail female elderly were revealed to be at a significant low risk of institutionalization or hospitalization (HR=0.17, 95%CI=(0.04, 0.80)). The present cohort study is now being produced, and we intend to continue to report on it in the future.
Key words: hospitalization, institutionalization, family caregivers, frail elderly, Long Term Care Insurance
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