Appetite loss and associated factors at 1 year after intensive care unit elder survivors in a secondary analysis of the SMAP-HoPe study.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
19 01 2023
Historique:
received: 18 05 2022
accepted: 12 01 2023
entrez: 19 1 2023
pubmed: 20 1 2023
medline: 24 1 2023
Statut: epublish

Résumé

Appetite loss, a common but serious issue in older patients, is an independent risk factor for sarcopenia, which is associated with high mortality. However, few studies have explored the phenomenon of appetite loss after discharge from the intensive care unit (ICU). Therefore, we aimed to describe the prevalence of appetite loss and relationship between appetite loss and depression in patients living at home 12 months after intensive care. This study involved secondary analysis of data obtained from a published ambidirectional study examining post-intensive care syndrome 12 months after discharge (SMAP-HoPe study) conducted in 12 ICUs in Japan. We included patients aged > 65 years. The Short Nutritional Assessment Questionnaire and Hospital Anxiety Depression Scale were used for the analysis. Descriptive statistics and a multilevel generalized linear model were used to clarify the relationship between appetite loss and depression. Data from 468 patients were analyzed. The prevalence of appetite loss was 25.4% (95% confidence interval [CI], 21.5-29.4). High severity of depression was associated with a high probability of appetite loss (odds ratio, 1.2; 95%CI, 1.14-1.28; p = 0.00). Poor appetite is common 12 months after intensive care and is associated with the severity of depression.

Identifiants

pubmed: 36658164
doi: 10.1038/s41598-023-28063-8
pii: 10.1038/s41598-023-28063-8
pmc: PMC9852461
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1079

Informations de copyright

© 2023. The Author(s).

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Auteurs

Mio Kitayama (M)

Nursing Department Heart Center, Kanazawa Medical University Hospital, Uchinada, Ishikawa, Japan.

Takeshi Unoki (T)

Department of Acute and Critical Care Nursing, School of Nursing, Sapporo City University, Chuo-ku, Sapporo, Hokkaido, Japan. iwhyh1029@gmail.com.

Aki Sasaki (A)

Department of Acute and Critical Care Nursing, School of Nursing, Sapporo City University, Chuo-ku, Sapporo, Hokkaido, Japan.
Intensive Care Unit, Sapporo Medical University Hospital, Sapporo, Hokkaido, Japan.

Hideaki Sakuramoto (H)

Department of Critical Care and Disaster Nursing, Japanese Red Cross Kyushu International College of Nursing, Munakata, Fukuoka, Japan.

Sakura Uemura (S)

Emergency and Critical Care Medical Center, Osaka City General Hospital, Osaka, Japan.

Takahiro Tsujimoto (T)

Resource Nurse Center, Nara Medical University Hospital, Kashihara City, Nara, Japan.

Takako Yamaguchi (T)

Intensive Care Unit, Nippon Medical School Musashikosugi Hospital, Kawasaki, Kanagawa, Japan.

Yuko Shiba (Y)

Intensive Care Unit, University of Tsukuba Hospital, Tsukuba, Ibaraki, Japan.

Mayumi Hino (M)

Intensive Care Unit, Tohoku Medical and Pharmaceutical University Hospital, Sendai, Miyagi, Japan.

Tomoki Kuribara (T)

Department of Acute and Critical Care Nursing, School of Nursing, Sapporo City University, Chuo-ku, Sapporo, Hokkaido, Japan.

Yuko Fukuda (Y)

Intensive Care Unit, Jichi Medical University Hospital, Yakushiji, Shimotsuke-shi, Tochigi, Japan.

Takumi Nagao (T)

Intensive Care Unit, Sakakibara Heart Institute, Fuchu-Shi, Tokyo, Japan.

Masako Shirasaka (M)

Intensive Care Unit & Cardiac Care Unit, Japanese Red Cross Fukuoka Hospital, Fukuoka, Japan.

Junpei Haruna (J)

Intensive Care Unit, Sapporo Medical University Hospital, Sapporo, Hokkaido, Japan.

Yosuke Satoi (Y)

Intensive Care Unit, Naha City Hospital, Naha, Okinawa, Japan.

Yoshiki Masuda (Y)

Department of Intensive Care Medicine, School of Medicine, Sapporo Medical University, Sapporo, Hokkaido, Japan.

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