{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T12:42:36Z","timestamp":1773232956650,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2012,12,26]],"date-time":"2012-12-26T00:00:00Z","timestamp":1356480000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Associations between markedly low activities of daily living (<jats:styled-content style=\"fixed-case\">ADL<\/jats:styled-content>) at the start of home visit care and patient home death were analyzed using data from a home care support clinic in <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>apan that has a low rate of home deaths.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study was a historical cohort study. It involved patients who began to receive home visit care from a home visit care support clinic between 1 <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>pril 2006 and 31 <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>arch 2011. Using home death as a dependent variable and presence\/absence of markedly low <jats:styled-content style=\"fixed-case\">ADL<\/jats:styled-content> and other parameters (cancer, the patient's desire for home death, etc.) as independent variables, the adjusted hazard ratio and 95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) were calculated using the <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>ox proportional hazards model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Markedly low <jats:styled-content style=\"fixed-case\">ADL<\/jats:styled-content> were associated with home death even after adjustment for factors that influence home death (adjusted hazard ratio 4.40; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 2.37\u20138.16). Cancer and the patient's desire for home death were statistically significant factors involved in home death. In a subgroup analysis according to the presence\/absence of cancer, the association between markedly low <jats:styled-content style=\"fixed-case\">ADL<\/jats:styled-content> and home death was stronger in the cancer\u2010free group (adjusted hazard ratio 10.78; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 2.89\u201340.26) than in the cancer group (adjusted hazard ratio 5.58; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>2.39\u201313.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients' desire for home death could be fulfilled if home care support clinics provide home visit services to not only terminal\u2010stage cancer patients, but also bedridden cancer\u2010free patients. We must establish systems for older adults to remain at home during the terminal period of their lives. <jats:bold>Geriatr Gerontol Int 2012; 13: 874\u2013880.<\/jats:bold><\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.12018","type":"journal-article","created":{"date-parts":[[2012,12,27]],"date-time":"2012-12-27T02:29:45Z","timestamp":1356575385000},"page":"874-880","source":"Crossref","is-referenced-by-count":23,"title":["Study on the factors determining home death of patients during home care: A historical cohort study at a home care support clinic"],"prefix":"10.1111","volume":"13","author":[{"given":"Seiji","family":"Kawagoe","sequence":"first","affiliation":[{"name":"Department of Epidemiology Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences  Okayama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshihide","family":"Tsuda","sequence":"additional","affiliation":[{"name":"Department of Human Ecology Okayama University Graduate School of Environmental and Life Sciences  Okayama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Doi","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences  Okayama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,12,26]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Ministry of Health Labour and Welfare.Annual vital statistics report: major statistical tables (latest data annual changes). Annual report2010[document on the Internet]. Ministry of Health Labour and Welfare; no date [cited 2012 Jul 1]. Available from:http:\/\/www.mhlw.go.jp\/toukei\/saikin\/hw\/jinkou\/suii10\/dl\/s03.pdf(In Japanese.)"},{"key":"e_1_2_7_3_1","unstructured":"Ministry of Health Labour and Welfare.Results of a survey on terminal care [monograph on the Internet]. Ministry of Health Labour and Welfare;2009[cited 2012 Apr 1]. 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