Both conventional indices of cognitive function and frailty predict levels of care required in a long-term care insurance program for memory clinic patients in Japan

Hajime Takechi, Yuriko Sugihara, Atsuko Kokuryu, Maiko Nishida, Hiroko Yamada, Hidenori Arai, Yoshiyuki Hamakawa

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Aim: To delineate relationships among cognitive function, frailty and level of care required in the Japanese long-term care insurance program (LTCIP) in outpatient memory clinic patients. Methods: This was a cross-sectional study carried out at an outpatient memory clinic. Participants were 201 cognitively impaired patients. Cognitive function was measured by the Mini-Mental State Examination (MMSE). Frailty was measured by Timed Up & Go (TUG) and grip strength. Waist circumference, body mass index, living arrangement and level of care required in the LTCIP (rank 1 minor disability to rank 7 severe disability) were also assessed. Results: Mean age, MMSE score, TUG score and grip strength were 78.8±6.9years, 19.6±6.1, 14.6±6.7s and 16.9±7.5kg, respectively. A total of 70 patients (34.8%) had not applied for the certification, at least in part because of their younger age and existence of family caregivers. LTCIP rank was correlated both with MMSE score (β: -0.49, P=0.001), grip strength (β: -0.27, P=0.005) and living alone (β: -0.18, P=0.03), but not with TUG score (β: 0.14, P=0.105). Conclusion: In outpatients of a memory clinic, care ranks, which define the upper limit of monthly benefit in the Japanese LTCIP, were influenced by age, cognitive function, frailty and living arrangements. Understanding the relationship among these parameters would be useful in predicting the needs of cognitively impaired patients and important when comparing the possible services provided by long-term care systems for them worldwide.

Original languageEnglish
Pages (from-to)630-636
Number of pages7
JournalGeriatrics and Gerontology International
Volume12
Issue number4
DOIs
Publication statusPublished - 01-10-2012

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Long-Term Care Insurance
long-term care insurance
Cognition
Japan
Hand Strength
life situation
Ambulatory Care Facilities
examination
severe disability
Certification
Waist Circumference
Long-Term Care
cross-sectional study
Caregivers
caregiver
certification
Body Mass Index
Outpatients
Cross-Sectional Studies
disability

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Gerontology
  • Geriatrics and Gerontology

Cite this

Takechi, Hajime ; Sugihara, Yuriko ; Kokuryu, Atsuko ; Nishida, Maiko ; Yamada, Hiroko ; Arai, Hidenori ; Hamakawa, Yoshiyuki. / Both conventional indices of cognitive function and frailty predict levels of care required in a long-term care insurance program for memory clinic patients in Japan. In: Geriatrics and Gerontology International. 2012 ; Vol. 12, No. 4. pp. 630-636.
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abstract = "Aim: To delineate relationships among cognitive function, frailty and level of care required in the Japanese long-term care insurance program (LTCIP) in outpatient memory clinic patients. Methods: This was a cross-sectional study carried out at an outpatient memory clinic. Participants were 201 cognitively impaired patients. Cognitive function was measured by the Mini-Mental State Examination (MMSE). Frailty was measured by Timed Up & Go (TUG) and grip strength. Waist circumference, body mass index, living arrangement and level of care required in the LTCIP (rank 1 minor disability to rank 7 severe disability) were also assessed. Results: Mean age, MMSE score, TUG score and grip strength were 78.8±6.9years, 19.6±6.1, 14.6±6.7s and 16.9±7.5kg, respectively. A total of 70 patients (34.8{\%}) had not applied for the certification, at least in part because of their younger age and existence of family caregivers. LTCIP rank was correlated both with MMSE score (β: -0.49, P=0.001), grip strength (β: -0.27, P=0.005) and living alone (β: -0.18, P=0.03), but not with TUG score (β: 0.14, P=0.105). Conclusion: In outpatients of a memory clinic, care ranks, which define the upper limit of monthly benefit in the Japanese LTCIP, were influenced by age, cognitive function, frailty and living arrangements. Understanding the relationship among these parameters would be useful in predicting the needs of cognitively impaired patients and important when comparing the possible services provided by long-term care systems for them worldwide.",
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Both conventional indices of cognitive function and frailty predict levels of care required in a long-term care insurance program for memory clinic patients in Japan. / Takechi, Hajime; Sugihara, Yuriko; Kokuryu, Atsuko; Nishida, Maiko; Yamada, Hiroko; Arai, Hidenori; Hamakawa, Yoshiyuki.

In: Geriatrics and Gerontology International, Vol. 12, No. 4, 01.10.2012, p. 630-636.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Both conventional indices of cognitive function and frailty predict levels of care required in a long-term care insurance program for memory clinic patients in Japan

AU - Takechi, Hajime

AU - Sugihara, Yuriko

AU - Kokuryu, Atsuko

AU - Nishida, Maiko

AU - Yamada, Hiroko

AU - Arai, Hidenori

AU - Hamakawa, Yoshiyuki

PY - 2012/10/1

Y1 - 2012/10/1

N2 - Aim: To delineate relationships among cognitive function, frailty and level of care required in the Japanese long-term care insurance program (LTCIP) in outpatient memory clinic patients. Methods: This was a cross-sectional study carried out at an outpatient memory clinic. Participants were 201 cognitively impaired patients. Cognitive function was measured by the Mini-Mental State Examination (MMSE). Frailty was measured by Timed Up & Go (TUG) and grip strength. Waist circumference, body mass index, living arrangement and level of care required in the LTCIP (rank 1 minor disability to rank 7 severe disability) were also assessed. Results: Mean age, MMSE score, TUG score and grip strength were 78.8±6.9years, 19.6±6.1, 14.6±6.7s and 16.9±7.5kg, respectively. A total of 70 patients (34.8%) had not applied for the certification, at least in part because of their younger age and existence of family caregivers. LTCIP rank was correlated both with MMSE score (β: -0.49, P=0.001), grip strength (β: -0.27, P=0.005) and living alone (β: -0.18, P=0.03), but not with TUG score (β: 0.14, P=0.105). Conclusion: In outpatients of a memory clinic, care ranks, which define the upper limit of monthly benefit in the Japanese LTCIP, were influenced by age, cognitive function, frailty and living arrangements. Understanding the relationship among these parameters would be useful in predicting the needs of cognitively impaired patients and important when comparing the possible services provided by long-term care systems for them worldwide.

AB - Aim: To delineate relationships among cognitive function, frailty and level of care required in the Japanese long-term care insurance program (LTCIP) in outpatient memory clinic patients. Methods: This was a cross-sectional study carried out at an outpatient memory clinic. Participants were 201 cognitively impaired patients. Cognitive function was measured by the Mini-Mental State Examination (MMSE). Frailty was measured by Timed Up & Go (TUG) and grip strength. Waist circumference, body mass index, living arrangement and level of care required in the LTCIP (rank 1 minor disability to rank 7 severe disability) were also assessed. Results: Mean age, MMSE score, TUG score and grip strength were 78.8±6.9years, 19.6±6.1, 14.6±6.7s and 16.9±7.5kg, respectively. A total of 70 patients (34.8%) had not applied for the certification, at least in part because of their younger age and existence of family caregivers. LTCIP rank was correlated both with MMSE score (β: -0.49, P=0.001), grip strength (β: -0.27, P=0.005) and living alone (β: -0.18, P=0.03), but not with TUG score (β: 0.14, P=0.105). Conclusion: In outpatients of a memory clinic, care ranks, which define the upper limit of monthly benefit in the Japanese LTCIP, were influenced by age, cognitive function, frailty and living arrangements. Understanding the relationship among these parameters would be useful in predicting the needs of cognitively impaired patients and important when comparing the possible services provided by long-term care systems for them worldwide.

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