Long-Term Survival of Patients Receiving Artificial Nutrition in Japanese Psychiatric Hospitals

Keiichi Abe, Ryuko Yamashita, Keiko Kondo, Keiko Takayama, Osamu Yokota, Yoshiki Sato, Mitsumasa Kawai, Hideki Ishizu, Tadao Nakashima, Hideki Hayashi, Kenji Nakata, Hiroyuki Asaba, Koichi Kadota, Kazuyoshi Tanaka, Yumi Morisada, Etsuko Oshima, Seishi Terada

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background/Aims: 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. Conclusion: 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.

Original languageEnglish
Pages (from-to)477-485
Number of pages9
JournalDementia and Geriatric Cognitive Disorders Extra
Volume6
Issue number3
DOIs
Publication statusPublished - Sep 9 2016

Keywords

  • Artificial nutrition
  • Dementia
  • Long-term care
  • Long-term survival
  • Nasogastric tube
  • Nutrition
  • Percutaneous endoscopic gastrostomy
  • Schizophrenia

ASJC Scopus subject areas

  • Cognitive Neuroscience
  • Psychiatry and Mental health

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  • Cite this

    Abe, K., Yamashita, R., Kondo, K., Takayama, K., Yokota, O., Sato, Y., Kawai, M., Ishizu, H., Nakashima, T., Hayashi, H., Nakata, K., Asaba, H., Kadota, K., Tanaka, K., Morisada, Y., Oshima, E., & Terada, S. (2016). Long-Term Survival of Patients Receiving Artificial Nutrition in Japanese Psychiatric Hospitals. Dementia and Geriatric Cognitive Disorders Extra, 6(3), 477-485. https://doi.org/10.1159/000448242