{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T07:15:27Z","timestamp":1783149327787,"version":"3.54.6"},"reference-count":15,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T00:00:00Z","timestamp":1760400000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100006578","name":"Chi Mei Medical Center","doi-asserted-by":"publisher","award":["CLFHR11218"],"award-info":[{"award-number":["CLFHR11218"]}],"id":[{"id":"10.13039\/501100006578","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Appl Gerontol"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To develop a predictive model for nasogastric tube (NGT) removal and examine survival-related factors among community-dwelling residents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective cohort study (2016\u20132020) using medical records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting and Participants<\/jats:title>\n                    <jats:p>A total of 255 home care residents with NGTs from a regional hospital in Taiwan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study was conducted to identify predictors across 30 variables from clinical records and nursing assessments. Logistic regression and Cox proportional hazards models assessed predictors of successful NGT removal, with model performance evaluated using ROC curve.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Key predictors of successful NGT removal (18.0%,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 46) and 12-month survival were activities of daily living, instrumental activities of daily living, and upper limb strength. Survival was higher in the removal group, and the model showed good accuracy (AUC = 0.811).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This model provides a clinically applicable tool that incorporates functional and medical indicators to assess NGT removal readiness, demonstrating strong predictive validity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/07334648251383625","type":"journal-article","created":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T18:00:22Z","timestamp":1760464822000},"page":"1615-1624","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictive Factors and Survival Outcomes of Nasogastric Tube Removal in Community-Dwelling Residents: A Retrospective Cohort Study"],"prefix":"10.1177","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-1334-4908","authenticated-orcid":false,"given":"Yi-chun","family":"Chen","sequence":"first","affiliation":[{"name":"National Cheng Kung University"},{"name":"Chi Mei Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5925-8477","authenticated-orcid":false,"given":"Chung-Han","family":"Ho","sequence":"additional","affiliation":[{"name":"Southern Taiwan University of Science and Technology"},{"name":"Chi Mei Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,14]]},"reference":[{"key":"e_1_3_7_2_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v20.i26.8505"},{"key":"e_1_3_7_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-023-04611-6"},{"key":"e_1_3_7_4_1","volume-title":"National health insurance statistics trend","author":"Central Health Insurance Agency","year":"2019","unstructured":"Central Health Insurance Agency. (2019). National health insurance statistics trend. Ministry of Health and Welfare. Retrieved September 02, 2024, from. https:\/\/www.mohw.gov.tw\/dl-13470-823b78cf-a7f6-41ae-9a1d-2b56bbbb6eb1.html"},{"issue":"5","key":"e_1_3_7_5_1","first-page":"CD008096","article-title":"Percutaneous endoscopic gastrostomy versus nasogastric tube feeding for adults with swallowing disturbances","volume":"2015","author":"Gomes C. A.","year":"2015","unstructured":"Gomes C. A., Andriolo R. B., Bennett C., Lustosa S. A., Matos D., Waisberg D. R., Waisberg J. (2015). Percutaneous endoscopic gastrostomy versus nasogastric tube feeding for adults with swallowing disturbances. The Cochrane Database of Systematic Reviews, 2015(5), CD008096. https:\/\/doi.org\/10.1002\/14651858.CD008096.pub4","journal-title":"The Cochrane Database of Systematic Reviews"},{"key":"e_1_3_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000004917"},{"key":"e_1_3_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MRR.0000000000000471"},{"key":"e_1_3_7_8_1","doi-asserted-by":"crossref","unstructured":"Li B. Zhang T. Zhao J. Li P. Wu Z. Zhao S. (2023). Can non-swallowing function assessment predict nasogastric tube removal in patients with poststroke dysphagia? A clinical study. Frontiers in Neurology 13 Article 984707. https:\/\/doi.org\/10.3389\/fneur.2022.984707","DOI":"10.3389\/fneur.2022.984707"},{"issue":"1","key":"e_1_3_7_9_1","first-page":"21","article-title":"Oral care for clients in long-term care","volume":"66","author":"Liu W. M.","year":"2019","unstructured":"Liu W. M., Chiang C. K., Hwu Y. J. (2019). Oral care for clients in long-term care. Hu Li Za Zhi The Journal of Nursing, 66(1), 21\u201326. https:\/\/doi.org\/10.6224\/JN.201902_66(1).04","journal-title":"Hu Li Za Zhi The Journal of Nursing"},{"key":"e_1_3_7_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607115574290"},{"key":"e_1_3_7_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afl149"},{"issue":"6","key":"e_1_3_7_12_1","first-page":"1372","article-title":"Development and validation of two aspiration prediction models in patients receiving nasogastric feeding","volume":"28","author":"Sun W.","year":"2020","unstructured":"Sun W., Xie L., Chen L., Xiao M., Zhao Q., Zeng J., Peng Y., Shu L., Mao J. (2020). Development and validation of two aspiration prediction models in patients receiving nasogastric feeding. 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