24 January 2023: Clinical Research
Effects of Caregiver’s Gender or Distance Between Caregiver and Patient’s Home on Home Discharge from Hospital in 285 Patients Aged ≥75 Years in Japan
Yoshimasa Oda 12ABCDEF* , Naoko E. Katsuki 1ABCDEF* , Masaki Tago 1ABDEFG* , Risa Hirata 1CDEF , Osamu Kojiro 3ABE , Masanori Nishiyama 2ADE , Masamichi Oda 3E , Shu-ichi Yamashita 1ADEDOI: 10.12659/MSM.939202
Med Sci Monit 2023; 29:e939202
Table 6 Multivariable analysis using each factor adjusted by 4 covariables (on the side of caregivers).
| Variable, category (unit) | Regression coefficient | Lower limit of the 95% CI for odds ratio | Upper limit of the 95% CI for odds ratio | P |
|---|---|---|---|---|
| Caregiver’s age (years) | 0.04 | 0.99 | 1.09 | 0.131 |
| Caregiver’s gender, woman | 1.08 | 1.06 | 8.23 | 0.038* |
| Family relationship to the patient, spouse | Reference | 0.819 | ||
| Family relationship to the patient, child | −1.89 | 0.02 | 1.36 | 0.091 |
| Family relationship to the patient, parent | −22.36 | 0.00 | – | 1.000 |
| Family relationship to the patient, grand child | 18.00 | 0.00 | – | 0.999 |
| Family relationship to the patient, sibling | −1.89 | 0.02 | 13.38 | 0.409 |
| Family relationship to the patient, child’s spouse | −1.57 | 0.20 | 2.18 | 0.191 |
| Family relationship to the patient, others | −22.75 | 0.00 | – | 0.999 |
| Distance between where the patient and caregiver lived, 1: same house, 2: different house but within 5-minute walk, 3: more distant but in the same city, 4: more distant but same prefecture, 5: outside the prefecture | −0.62 | 0.34 | 0.84 | 0.006* |
| Weekly time available for caregiving (hours) | 0.01 | 1.00 | 1.02 | 0.159 |
| Caregiver’s preference to let the patient stay home after discharge (VAS)† | 0.02 | 1.00 | 1.04 | 0.016* |
| Caregiver’s preference to let the patient stay at LTC facility after discharge (VAS)† | −0.02 | 0.97 | 1.00 | 0.052 |
| Caregiver’s preference to let the patient stay at another hospital after discharge (VAS)† | −0.02 | 0.97 | 1.00 | 0.035* |
| Caregiver’s preference to let the patient stay home during LTC life (VAS)† | 0.01 | 0.99 | 1.03 | 0.282 |
| Caregiver’s preference to let the patient stay at LTC facility during LTC life (VAS)† | −0.01 | 0.97 | 1.01 | 0.283 |
| Caregiver’s preference to let the patient stay home at the end stage of life (VAS)† | 0.00 | 0.99 | 1.01 | 0.899 |
| Caregiver’s knowledge of care manager in the hospital, 4 levels‡ | −0.68 | 0.25 | 1.05 | 0.068 |
| With adjustment by 4 factors (where the patient was admitted from, residing with other family members, cognitive function scores, Barthel index), multivariable analysis using each factor identified as relevant by univariable analysis were conducted. Each Factors listed are the factors on the side of caregivers. † Preference was asked by VAS ranging from 0 to 100. ‡ The knowledge of each service was asked by 4 levels, 1: had never heard about the service, 2: had heard the term of, 3: was well informed, 4: had experience of use. * CI – confidence interval; LTC – long-term care; VAS – visual analog scales. | ||||