タナカ　マサヒロ   TANAKA, Masahiro   田中　将裕 健康科学部 リハビリテーション学科 講師
言語種別	英語
発行・発表の年月	2026
形態種別	学術雑誌
査読	査読あり
標題	Factors associated with home return among residents in intermediate care facilities in Japan: A retrospective cohort study (in press).
執筆形態	共同
掲載誌名	Asian Journal of Occupational Therapy
掲載区分	国外
担当区分	筆頭著者,責任著者
著者・共著者	◎Masahiro Tanaka, Ayaka Matsuno
概要	Objective: To identify factors associated with home return from Japanese geriatric health services facilities (GHSFs) and determine clinically informative cutoff values. Methods: This retrospective cohort study included 215 residents discharged from a GHSF between 2021 and 2024. Age, Barthel Index (BI), cognitive function, cohabiting family members, care level, and grip strength were extracted from medical records. Factors associated with home return were examined using multivariable logistic regression, and cutoff values were determined by receiver operating characteristic analysis. Results: Younger age (odds ratio [OR], 0.895; 95% confidence interval [CI], 0.850–0.942), higher BI (OR, 1.052; 95% CI, 1.034–1.071), and cohabiting family members (OR, 7.51; 95% CI, 2.99–18.83) were independently associated with home return. The area under the curve was 0.767 for BI and 0.681 for age. Cutoff values were 62.5 for BI and 87.5 years for age. Conclusions: Age, ADL independence, and cohabiting family members were associated with home return from Japanese GHSFs. The cutoff values may support risk stratification and home-return planning when considered alongside other clinical and environmental factors.