{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T21:06:04Z","timestamp":1783717564938,"version":"3.55.0"},"reference-count":16,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,2,25]],"date-time":"2024-02-25T00:00:00Z","timestamp":1708819200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100010298","name":"Yuumi Memorial Foundation for Home Health Care","doi-asserted-by":"publisher","award":["549800yen"],"award-info":[{"award-number":["549800yen"]}],"id":[{"id":"10.13039\/501100010298","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gen and Family Med"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The aim of this study was to investigate the frequency, effectiveness, and reasons for the use of artificial hydration (AH) in senile patients in the last week, and patient\u2010related factors associated with its usage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between April and May 2023, I conducted a cross\u208bsectional study among medical institutions affiliated with the Japan Network of Home Care Supporting Clinics. Eligible cases included those in which senility was listed as the cause of death on the death certificate from January 1, 2022, to December 31, 2022. The questions asked use of AH, reasons for AH, and symptoms that improved or worsened with AH. Patient characteristics, including age, gender, place of death, length of treatment, and complication of dementia, were also asked. Descriptive statistics were performed. Univariate and multivariate analyses were conducted to examine the association between patient characteristics and the use of AH.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighty\u2010three medical institutions (12.5%) provided responses, contributing a total of 714 cases. AH was administered in 236 cases (33.1%). The most common reason was \u201cdue to family preference\u201d in 110 cases (46.6%). One hundred thirty\u2010five cases (57.2%) reported \u201cno improved symptoms,\u201d while symptom worsening was reported as \u201cno worsened symptoms\u201d in 176 cases (74.6%). Multivariate analysis on 699 cases using complete\u2010case analysis identified age (risk ratio [RR]:0.98, 95% confidence interval [CI]: 0.96\u20130.99) and female (RR:0.73, 95% CI:0.58\u20130.92) as factors associated with the use of AH.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study revealed that AH was commonly used based on family preferences and to alleviate psychological burdens on the family.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jgf2.681","type":"journal-article","created":{"date-parts":[[2024,2,25]],"date-time":"2024-02-25T21:49:00Z","timestamp":1708897740000},"page":"121-127","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Use of artificial hydration in patients diagnosed with senility as the cause of death by home care physicians: A cross\u208bsectional study"],"prefix":"10.1002","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6630-8284","authenticated-orcid":false,"given":"Teruhiko","family":"Imanaga","sequence":"first","affiliation":[{"name":"Kanade Clinic  Hasuda Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,25]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Ministry of Health Labour and Welfare.Trends in leading causes of death (Summary of vital statics).2022Accessed November 11 2023. Available from:https:\/\/www.mhlw.go.jp\/english\/database\/db\u2010hw\/populate\/dl\/E03.pdf"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2020-002600"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/medethics-2013-101527"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2018.0020"},{"issue":"1","key":"e_1_2_9_6_1","first-page":"52","article-title":"What kind of medical care would the general public like to receive when they become senile?","volume":"3","author":"Imanaga T","year":"2022","journal-title":"Journal of Japanese Association for Home Care Medicine"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.3143\/geriatrics.52.354"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216313493125"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.3143\/geriatrics.49.71"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdq620"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.09.001"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.14419"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2005.06.015"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2010.02.025"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2006.12.006"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.2512\/jspm.17.7"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/096228029900800102"}],"container-title":["Journal of General and Family Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jgf2.681","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,2]],"date-time":"2024-05-02T17:01:18Z","timestamp":1714669278000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jgf2.681"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,25]]},"references-count":16,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1002\/jgf2.681"],"URL":"https:\/\/doi.org\/10.1002\/jgf2.681","archive":["Portico"],"relation":{},"ISSN":["2189-7948","2189-7948"],"issn-type":[{"value":"2189-7948","type":"print"},{"value":"2189-7948","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,25]]},"assertion":[{"value":"2023-11-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-19","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}