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Dr. Ryo Momosaki
Department of Rehabilitation Medicine, Mie University Graduate School of Medicine, Mie, Japan

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0 Clinical Nutrition
0 Dysphagia
0 aspiration pneumonia
0 Rehabilitation medicine
0 health service research

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Dysphagia
aspiration pneumonia
Rehabilitation medicine

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Letters to the editor
Published: 01 August 2021 in Canadian Journal of Cardiology
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ACS Style

Syota Tsuge; Issei Kameda; Toshikazu Ito; Shinsuke Hori; Kenta Ushida; Ryo Momosaki. Barriers and Strategies for Early Mobilization in Acute Cardiovascular Disease. Canadian Journal of Cardiology 2021, 37, 1300 .

AMA Style

Syota Tsuge, Issei Kameda, Toshikazu Ito, Shinsuke Hori, Kenta Ushida, Ryo Momosaki. Barriers and Strategies for Early Mobilization in Acute Cardiovascular Disease. Canadian Journal of Cardiology. 2021; 37 (8):1300.

Chicago/Turabian Style

Syota Tsuge; Issei Kameda; Toshikazu Ito; Shinsuke Hori; Kenta Ushida; Ryo Momosaki. 2021. "Barriers and Strategies for Early Mobilization in Acute Cardiovascular Disease." Canadian Journal of Cardiology 37, no. 8: 1300.

Journal article
Published: 13 July 2021 in American Journal of Gastroenterology
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ACS Style

Kenta Ushida; Miho Shimizu; Yoshinori Yamamoto; Ryo Momosaki. Strategies to Improve Exercise Adherence in Patients With Cirrhosis. American Journal of Gastroenterology 2021, Publish Ah, 1 .

AMA Style

Kenta Ushida, Miho Shimizu, Yoshinori Yamamoto, Ryo Momosaki. Strategies to Improve Exercise Adherence in Patients With Cirrhosis. American Journal of Gastroenterology. 2021; Publish Ah ():1.

Chicago/Turabian Style

Kenta Ushida; Miho Shimizu; Yoshinori Yamamoto; Ryo Momosaki. 2021. "Strategies to Improve Exercise Adherence in Patients With Cirrhosis." American Journal of Gastroenterology Publish Ah, no. : 1.

Letter to the editor
Published: 27 June 2021 in Journal of the American Geriatrics Society
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See the Reply by Van Grootven et al.

ACS Style

Issei Kameda; Toshikazu Ito; Syota Tsuge; Shinsuke Hori; Kenta Ushida; Ryo Momosaki. Comment on: Geriatric co‐management for cardiology patients in the hospital: A quasi‐experimental study. Journal of the American Geriatrics Society 2021, 69, 2364 -2365.

AMA Style

Issei Kameda, Toshikazu Ito, Syota Tsuge, Shinsuke Hori, Kenta Ushida, Ryo Momosaki. Comment on: Geriatric co‐management for cardiology patients in the hospital: A quasi‐experimental study. Journal of the American Geriatrics Society. 2021; 69 (8):2364-2365.

Chicago/Turabian Style

Issei Kameda; Toshikazu Ito; Syota Tsuge; Shinsuke Hori; Kenta Ushida; Ryo Momosaki. 2021. "Comment on: Geriatric co‐management for cardiology patients in the hospital: A quasi‐experimental study." Journal of the American Geriatrics Society 69, no. 8: 2364-2365.

Journal article
Published: 12 June 2021 in Healthcare
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The object of this study is to determine the impact of the rehabilitation dose on the nutritional status at discharge from a convalescent rehabilitation ward in malnourished patients with hip fracture. This retrospective case-control study involved malnourished patients with hip fracture aged 65 years or older who had been admitted to a convalescent rehabilitation ward and whose data were registered in the Japan Rehabilitation Nutrition Database. The primary outcome was nutritional status at discharge. Patients were classified according to whether nutritional status was improved or not at discharge, according to the Mini Nutritional Assessment-Short Form® (MNA-SF) score. The association between improved nutritional status and rehabilitation dose was assessed by a logistic regression analysis. Data were available for 145 patients (27 men, 118 women; mean age 85.1 ± 7.9 years). Daily rehabilitation dose was 109.5 (median 94.6–116.2) min and the MNA-SF score at admission was 5 (median 4–6). Nutritional status was improved in 97 patients and not improved in 48. Logistic regression analysis showed the following factors to be independently associated with nutritional status at discharge: Functional Independence Measure score (OR 1.042, 95% CI 1.016–1.068), energy intake (OR 1.002 CI 1.000–1.004), daily rehabilitation dose (OR 1.023, 95% CI 1.002–1.045), and length of hospital stay (OR 1.026, 95% CI 1.003–1.049). The daily rehabilitation dose in malnourished patients with hip fracture may positively impact nutritional status at discharge.

ACS Style

Yusuke Ito; Hidetaka Wakabayashi; Shinta Nishioka; Shin Nomura; Ryo Momosaki. Impact of Rehabilitation Dose on Nutritional Status at Discharge from a Convalescent Rehabilitation Ward in Malnourished Patients with Hip Fracture. Healthcare 2021, 9, 722 .

AMA Style

Yusuke Ito, Hidetaka Wakabayashi, Shinta Nishioka, Shin Nomura, Ryo Momosaki. Impact of Rehabilitation Dose on Nutritional Status at Discharge from a Convalescent Rehabilitation Ward in Malnourished Patients with Hip Fracture. Healthcare. 2021; 9 (6):722.

Chicago/Turabian Style

Yusuke Ito; Hidetaka Wakabayashi; Shinta Nishioka; Shin Nomura; Ryo Momosaki. 2021. "Impact of Rehabilitation Dose on Nutritional Status at Discharge from a Convalescent Rehabilitation Ward in Malnourished Patients with Hip Fracture." Healthcare 9, no. 6: 722.

Letter to the editor
Published: 23 May 2021 in Disability and Rehabilitation
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ACS Style

Yuki Koyama; Syota Minamibata; Yuki Naoe; Shinsuke Hori; Yuki Kato; Ryo Momosaki. Comparing post-hospital care pathways following hip fracture. Disability and Rehabilitation 2021, 1 -1.

AMA Style

Yuki Koyama, Syota Minamibata, Yuki Naoe, Shinsuke Hori, Yuki Kato, Ryo Momosaki. Comparing post-hospital care pathways following hip fracture. Disability and Rehabilitation. 2021; ():1-1.

Chicago/Turabian Style

Yuki Koyama; Syota Minamibata; Yuki Naoe; Shinsuke Hori; Yuki Kato; Ryo Momosaki. 2021. "Comparing post-hospital care pathways following hip fracture." Disability and Rehabilitation , no. : 1-1.

Letter to the editor
Published: 21 April 2021 in Journal of the American Medical Directors Association
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ACS Style

Takaaki Shimada; Yoshie Suzuki; Yuko Yada; Shinsuke Hori; Kenta Ushida; Ryo Momosaki. Community-Based Integrated Care Units: Intermediate Care Units for Older Adults in Japan. Journal of the American Medical Directors Association 2021, 22, 1774 -1775.

AMA Style

Takaaki Shimada, Yoshie Suzuki, Yuko Yada, Shinsuke Hori, Kenta Ushida, Ryo Momosaki. Community-Based Integrated Care Units: Intermediate Care Units for Older Adults in Japan. Journal of the American Medical Directors Association. 2021; 22 (8):1774-1775.

Chicago/Turabian Style

Takaaki Shimada; Yoshie Suzuki; Yuko Yada; Shinsuke Hori; Kenta Ushida; Ryo Momosaki. 2021. "Community-Based Integrated Care Units: Intermediate Care Units for Older Adults in Japan." Journal of the American Medical Directors Association 22, no. 8: 1774-1775.

Review
Published: 27 February 2021 in Nutrients
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Malnutrition negatively affects the quality of life of patients with dysphagia. Despite the need for nutritional status assessment in patients with dysphagia, standard, effective nutritional assessments are not yet available, and the identification of optimal nutritional assessment items for patients with dysphagia is inadequate. We conducted a scoping review of the use of nutritional assessment items in adult patients with oropharyngeal and esophageal dysphagia. The MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials databases were searched to identify articles published in English within the last 30 years. Twenty-two studies met the inclusion criteria. Seven nutritional assessment categories were identified: body mass index (BMI), nutritional screening tool, anthropometric measurements, body composition, dietary assessment, blood biomarkers, and other. BMI and albumin were more commonly assessed in adults. The Global Leadership Initiative on Malnutrition (GLIM), defining new diagnostic criteria for malnutrition, includes the categories of BMI, nutritional screening tool, anthropometric measurements, body composition, and dietary assessment as its required components, but not the blood biomarkers and the “other” categories. We recommend assessing nutritional status, including GLIM criteria, in adult patients with dysphagia. This would standardize nutritional assessments in patients with dysphagia and allow future global comparisons of the prevalence and outcomes of malnutrition, as well as of appropriate interventions.

ACS Style

Junko Ueshima; Ryo Momosaki; Akio Shimizu; Keiko Motokawa; Mika Sonoi; Yuka Shirai; Chiharu Uno; Yoji Kokura; Midori Shimizu; Ai Nishiyama; Daisuke Moriyama; Kaori Yamamoto; Kotomi Sakai. Nutritional Assessment in Adult Patients with Dysphagia: A Scoping Review. Nutrients 2021, 13, 778 .

AMA Style

Junko Ueshima, Ryo Momosaki, Akio Shimizu, Keiko Motokawa, Mika Sonoi, Yuka Shirai, Chiharu Uno, Yoji Kokura, Midori Shimizu, Ai Nishiyama, Daisuke Moriyama, Kaori Yamamoto, Kotomi Sakai. Nutritional Assessment in Adult Patients with Dysphagia: A Scoping Review. Nutrients. 2021; 13 (3):778.

Chicago/Turabian Style

Junko Ueshima; Ryo Momosaki; Akio Shimizu; Keiko Motokawa; Mika Sonoi; Yuka Shirai; Chiharu Uno; Yoji Kokura; Midori Shimizu; Ai Nishiyama; Daisuke Moriyama; Kaori Yamamoto; Kotomi Sakai. 2021. "Nutritional Assessment in Adult Patients with Dysphagia: A Scoping Review." Nutrients 13, no. 3: 778.

Letter to the editor
Published: 25 February 2021 in Journal of the American Medical Directors Association
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ACS Style

Shinsuke Hori; Kotomi Sakai; Yukito Ueda; Kana Matsuda; Ryo Momosaki. Association of Speech Therapy Time and Cognitive Recovery in Stroke Patients: A Comparison of Studies. Journal of the American Medical Directors Association 2021, 22, 1327 -1328.

AMA Style

Shinsuke Hori, Kotomi Sakai, Yukito Ueda, Kana Matsuda, Ryo Momosaki. Association of Speech Therapy Time and Cognitive Recovery in Stroke Patients: A Comparison of Studies. Journal of the American Medical Directors Association. 2021; 22 (6):1327-1328.

Chicago/Turabian Style

Shinsuke Hori; Kotomi Sakai; Yukito Ueda; Kana Matsuda; Ryo Momosaki. 2021. "Association of Speech Therapy Time and Cognitive Recovery in Stroke Patients: A Comparison of Studies." Journal of the American Medical Directors Association 22, no. 6: 1327-1328.

Research paper
Published: 15 February 2021 in European Geriatric Medicine
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This study aimed to examine the impact of preoperative body mass index (BMI) on postoperative activities of daily living (ADL) and clinical outcomes in older patients who underwent curative gastrectomy. Among older patients with gastric cancer who underwent curative gastrectomy, underweight patients showed lower independence in ADL at discharge, whereas obese patients had a higher occurrence of postoperative complications and prolonged lengths of hospital stay. Perioperative management with a focus on BMI is important in older patients undergoing gastrectomy.

ACS Style

Tatsuro Inoue; Hidetaka Wakabayashi; Keisuke Maeda; Ryo Momosaki. Body mass index affects postoperative daily activities of older patients after gastrectomy. European Geriatric Medicine 2021, 12, 825 -835.

AMA Style

Tatsuro Inoue, Hidetaka Wakabayashi, Keisuke Maeda, Ryo Momosaki. Body mass index affects postoperative daily activities of older patients after gastrectomy. European Geriatric Medicine. 2021; 12 (4):825-835.

Chicago/Turabian Style

Tatsuro Inoue; Hidetaka Wakabayashi; Keisuke Maeda; Ryo Momosaki. 2021. "Body mass index affects postoperative daily activities of older patients after gastrectomy." European Geriatric Medicine 12, no. 4: 825-835.

Letter
Published: 01 January 2021 in Geriatric Orthopaedic Surgery & Rehabilitation
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There are various barriers to home modifications to prevent falls among the older population. Several strategies may be necessary to overcome these barriers and implement effective home modifications. The need for home modification should be assessed, which requires a home evaluation by a specialist. In Japan, welfare housing environment coordinators have been trained to provide advice on home modifications suitable for people with disabilities. In addition, in Japan, home assessment and advice on home modification before discharge from acute care hospitals for older people is allowed as a medical reimbursement, and a system for effective home modification is well established. Human resource training and medical policy arrangements on home modifications could improve the cost-effectiveness. In Japan, a system has been established to support the costs of home modification and environmental maintenance. Financial support has reduced the barrier to home modification. Fixed grab bars or shower chairs can be rented, which may be more cost-effective than purchasing them and may shorten the time required for installation. There may be psychological barriers to home modification for older population. Since many older people do not recognize the importance of home modification, promotion to convey the value of home modification may be necessary. Training of staff to engage in home modification, public financial support for modification, and ideas for reducing psychological hesitation may help to reduce the barriers for home modification and to enable effective home modification.

ACS Style

Yuki Kato; Ken Muramatsu; Yoshinori Yamamoto; Yoshie Suzuki; Ryo Momosaki. Strategies for Effective Home Modification in Older Adults. Geriatric Orthopaedic Surgery & Rehabilitation 2021, 12, 1 .

AMA Style

Yuki Kato, Ken Muramatsu, Yoshinori Yamamoto, Yoshie Suzuki, Ryo Momosaki. Strategies for Effective Home Modification in Older Adults. Geriatric Orthopaedic Surgery & Rehabilitation. 2021; 12 ():1.

Chicago/Turabian Style

Yuki Kato; Ken Muramatsu; Yoshinori Yamamoto; Yoshie Suzuki; Ryo Momosaki. 2021. "Strategies for Effective Home Modification in Older Adults." Geriatric Orthopaedic Surgery & Rehabilitation 12, no. : 1.

Letter to the editor
Published: 01 January 2021 in Geriatric Orthopaedic Surgery & Rehabilitation
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ACS Style

Yoshie Suzuki; Yuuko Yada; Yuki Koyama; Shinsuke Hori; Ryo Momosaki. Types of Geriatric Assessment and Management Approaches to Hip Fracture. Geriatric Orthopaedic Surgery & Rehabilitation 2021, 12, 1 .

AMA Style

Yoshie Suzuki, Yuuko Yada, Yuki Koyama, Shinsuke Hori, Ryo Momosaki. Types of Geriatric Assessment and Management Approaches to Hip Fracture. Geriatric Orthopaedic Surgery & Rehabilitation. 2021; 12 ():1.

Chicago/Turabian Style

Yoshie Suzuki; Yuuko Yada; Yuki Koyama; Shinsuke Hori; Ryo Momosaki. 2021. "Types of Geriatric Assessment and Management Approaches to Hip Fracture." Geriatric Orthopaedic Surgery & Rehabilitation 12, no. : 1.

Journal article
Published: 05 October 2020 in Healthcare
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In patients with idiopathic interstitial pneumonias, undernutrition has a profound effect on prognosis. However, whether body mass index affects the ability to perform activities of daily living as measured by the Barthel index in patients with idiopathic interstitial pneumonias remains unknown. Therefore, we examined the impact of body mass index on the activities of daily living in inpatients with idiopathic interstitial pneumonia. We used a database constructed by the Japan Medical Data Center. Data were extracted from 2774 inpatients from participating hospitals with a diagnosis of idiopathic interstitial pneumonia. Multiple regression analysis adjusted for confounding factors was performed to determine whether body mass index classification would be independently related to change in Barthel index during hospitalization. Underweight, normal weight, overweight, and obesity numbered 473 (19%), 1037 (41), 795 (31%), and 235 (9%), respectively. Multivariable analysis showed that being underweight was independently associated with a change in Barthel index during hospitalization of 2.95 (95% confidence interval −4.82 to −1.07) points lower than being normal weight. Approximately 20% of the patients with idiopathic interstitial pneumonias were underweight. Those who were underweight had decreased independence in activities of daily living during hospitalization.

ACS Style

Kengo Shirado; Hidetaka Wakabayashi; Keisuke Maeda; Ryo Momosaki. Impact of Body Mass Index on Activities of Daily Living in Patients with Idiopathic Interstitial Pneumonias. Healthcare 2020, 8, 385 .

AMA Style

Kengo Shirado, Hidetaka Wakabayashi, Keisuke Maeda, Ryo Momosaki. Impact of Body Mass Index on Activities of Daily Living in Patients with Idiopathic Interstitial Pneumonias. Healthcare. 2020; 8 (4):385.

Chicago/Turabian Style

Kengo Shirado; Hidetaka Wakabayashi; Keisuke Maeda; Ryo Momosaki. 2020. "Impact of Body Mass Index on Activities of Daily Living in Patients with Idiopathic Interstitial Pneumonias." Healthcare 8, no. 4: 385.

Original research
Published: 29 July 2020 in PM&R
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Objective The aim of this study was to investigate the impact of the number of drugs on rehabilitation outcomes for patients with acute traumatic brain injury. Design Retrospective cohort study. Setting Hospital‐based database created by the Japan Medical Data Center. Participants Patients with acute traumatic brain injuryadmittedbetween April 2014 and November 2017. Methods Analysis of relationships among 1‐5 and ≥6 drugs as well as clinical outcomes in 2603 patients. Main Outcome Measurements The primary outcome was defined as the Barthel index efficiency, and the secondary outcome was Barthel index gain and length of hospital stay. Results Median Barthel index score on admission was 40. Barthel index efficiency and Barthel index gain were significantly higher in the group that had taken 1‐5 drugs than in the group that had taken ≥6 drugson admission (median: 1.19 vs 0.50, 20.0 vs 10.0). Also, the group that had taken 1‐5 drugshad a significantly shorter length of hospital stay than in the group that had taken ≥6 drugson admission (median 11.0 vs 14.0). Moreover, multiple linear regression analysis showed that having taken ≥6 drugs on admission was independently associated with Barthel index efficiency, Barthel index gain, and length of stay. Conclusions Taking≥6 drugs for acute traumatic brain injury was associated with lower Barthel index efficiency,lower Barthel index gain, and longer length of stay than taking 1‐5 drugs.

ACS Style

Makiko Yamaoka Ot; Masayuki Chono Ot; Miki Fukumoto Ot; Tomomi Watanabe Ot; Takeshi Fukaya Ot; Ryo Momosaki. Impact of Number of Drugs on Rehabilitation Outcomes in Patients after Traumatic Brain Injury: A Retrospective Cohort Study. PM&R 2020, 13, 496 -502.

AMA Style

Makiko Yamaoka Ot, Masayuki Chono Ot, Miki Fukumoto Ot, Tomomi Watanabe Ot, Takeshi Fukaya Ot, Ryo Momosaki. Impact of Number of Drugs on Rehabilitation Outcomes in Patients after Traumatic Brain Injury: A Retrospective Cohort Study. PM&R. 2020; 13 (5):496-502.

Chicago/Turabian Style

Makiko Yamaoka Ot; Masayuki Chono Ot; Miki Fukumoto Ot; Tomomi Watanabe Ot; Takeshi Fukaya Ot; Ryo Momosaki. 2020. "Impact of Number of Drugs on Rehabilitation Outcomes in Patients after Traumatic Brain Injury: A Retrospective Cohort Study." PM&R 13, no. 5: 496-502.

Original communication
Published: 17 July 2020 in Journal of Parenteral and Enteral Nutrition
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Background This study aimed to investigate the predictive validity of the previously reported body mass index (BMI) cut‐off values of the Global Leadership Initiative on Malnutrition (GLIM) criteria for patients with pneumonia in Asian populations using a nationwide registry database. Methods The study included 26,098 (2,282 patients aged This article is protected by copyright. All rights reserved

ACS Style

Akio Shimizu; Keisuke Maeda; Hidetaka Wakabayashi; Shinta Nishioka; Ayano Nagano; Jun Kayashita; Ichiro Fujishima; Ryo Momosaki. Predictive Validity of Body Mass Index Cut‐off Values Used in the GLIM Criteria for discriminating Severe and Moderate Malnutrition Based on In‐Patients With Pneumonia in Asian Populations. Journal of Parenteral and Enteral Nutrition 2020, 1 .

AMA Style

Akio Shimizu, Keisuke Maeda, Hidetaka Wakabayashi, Shinta Nishioka, Ayano Nagano, Jun Kayashita, Ichiro Fujishima, Ryo Momosaki. Predictive Validity of Body Mass Index Cut‐off Values Used in the GLIM Criteria for discriminating Severe and Moderate Malnutrition Based on In‐Patients With Pneumonia in Asian Populations. Journal of Parenteral and Enteral Nutrition. 2020; ():1.

Chicago/Turabian Style

Akio Shimizu; Keisuke Maeda; Hidetaka Wakabayashi; Shinta Nishioka; Ayano Nagano; Jun Kayashita; Ichiro Fujishima; Ryo Momosaki. 2020. "Predictive Validity of Body Mass Index Cut‐off Values Used in the GLIM Criteria for discriminating Severe and Moderate Malnutrition Based on In‐Patients With Pneumonia in Asian Populations." Journal of Parenteral and Enteral Nutrition , no. : 1.

Article
Published: 13 June 2020 in The journal of nutrition, health & aging
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Many older patients with pneumonia cannot intake orally after admission and may need nutritional care such as nasogastric tube feeding or total parenteral nutrition. This study sought to compare in-hospital outcomes between patients receiving nasogastric tube feeding and total parenteral nutrition. This is a retrospective cohort study. A hospital-based database constructed by the Diagnosis Procedure Combination survey data comprising more than 100 acute-care hospitals. The study included consecutive older inpatients aged >65 years admitted to participating hospitals with a diagnosis of pneumonia from 2014 through 2017. We compared patients who received total parenteral nutrition and those who received nasogastric tube feeding in terms of characteristics and outcomes. Among the included inpatients, a total of 336 (73.2%) patients received total parenteral nutrition and 123 (26.8%) patients received nasogastric tube feeding. Patients with nasogastric tube feeding had less in-hospital mortality (13.8% vs 27.1%, p = 0.003) and a smaller number of complications (mean; 0.71 vs 1.44, p <0.001), shorter length of hospital stay (mean; 27.6 vs 48.9, p <0.001), more discharges home (72.4% vs 35.1%, p <0.001), and more discharges without oral intake (65.9% vs 45.8%, p <0.001) than patients with total parenteral nutrition. The same results were obtained in propensity score analysis. Older patients with pneumonia treated with total parenteral nutrition were significantly more likely to have higher in-hospital mortality than those receiving nasogastric tube feeding.

ACS Style

Y. Honda; Ryo Momosaki; N. Ogata. Nasogastric Tube Feeding Versus Total Parenteral Nutrition in Older Dysphagic Patients with Pneumonia: Retrospective Cohort Study. The journal of nutrition, health & aging 2020, 24, 883 -887.

AMA Style

Y. Honda, Ryo Momosaki, N. Ogata. Nasogastric Tube Feeding Versus Total Parenteral Nutrition in Older Dysphagic Patients with Pneumonia: Retrospective Cohort Study. The journal of nutrition, health & aging. 2020; 24 (8):883-887.

Chicago/Turabian Style

Y. Honda; Ryo Momosaki; N. Ogata. 2020. "Nasogastric Tube Feeding Versus Total Parenteral Nutrition in Older Dysphagic Patients with Pneumonia: Retrospective Cohort Study." The journal of nutrition, health & aging 24, no. 8: 883-887.

Review
Published: 05 June 2020 in Nutrients
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The aim of this systematic review was to assess the best available evidence on semi-solid nutrients for prevention of complications associated with enteral tube feeding (ETF). PubMed (MEDLINE), EMBASE, Cochrane Central Register of Controlled Trial, Ichushi-web, and World Health Organization International Clinical Trials Registry Platform databases were searched for relevant articles. Randomized controlled trials (RCTs), cluster RCTs, and crossover trials comparing the effects of semi-solid nutrients with those of control interventions in patients on ETF were included in the review. The primary outcome was development of gastroesophageal reflux (GER). Eight RCTs and five crossover trials involving 889 study participants in total were examined via meta-analysis. The meta-analysis showed that semi-solid nutrients significantly decreased the risk of GER (risk ratio 0.39; 95% confidence interval (CI) 0.21 to 0.73) and the GER index (mean difference −2.93; 95% CI −5.18 to −0.68). Dwell time in the stomach was significantly shortened (standardized mean difference (SMD) −0.50; 95% CI −0.99 to −0.02), as was care time defined as the time needed to prepare and administer the nutrient solution (SMD −8.02; 95% CI −10.94 to −5.10). Semi-solid nutrients significantly decrease the risk of GER and the dwell time in the stomach in adult patients.

ACS Style

Yoji Kokura; Chieko Suzuki; Hidetaka Wakabayashi; Keisuke Maeda; Kotomi Sakai; Ryo Momosaki. Semi-Solid Nutrients for Prevention of Enteral Tube Feeding-Related Complications in Japanese Population: A Systematic Review and Meta-Analysis. Nutrients 2020, 12, 1 .

AMA Style

Yoji Kokura, Chieko Suzuki, Hidetaka Wakabayashi, Keisuke Maeda, Kotomi Sakai, Ryo Momosaki. Semi-Solid Nutrients for Prevention of Enteral Tube Feeding-Related Complications in Japanese Population: A Systematic Review and Meta-Analysis. Nutrients. 2020; 12 (6):1.

Chicago/Turabian Style

Yoji Kokura; Chieko Suzuki; Hidetaka Wakabayashi; Keisuke Maeda; Kotomi Sakai; Ryo Momosaki. 2020. "Semi-Solid Nutrients for Prevention of Enteral Tube Feeding-Related Complications in Japanese Population: A Systematic Review and Meta-Analysis." Nutrients 12, no. 6: 1.

Review article
Published: 01 June 2020 in Stroke
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Repetitive peripheral magnetic stimulation (rPMS) is a noninvasive treatment method that can penetrate to deeper structures with painless stimulation to improve motor function in people with physical impairment due to brain or nerve disorders. The effectiveness and safety of this intervention for people after stroke currently remain uncertain. Our recent Cochrane review1 update assessed the effects of rPMS in improving activities of daily living and functional ability in people after stroke.

ACS Style

Kotomi Sakai; Yuichi Yasufuku; Tomohiko Kamo; Erika Ota; Ryo Momosaki. Repetitive Peripheral Magnetic Stimulation for Patients After Stroke. Stroke 2020, 51, 1 .

AMA Style

Kotomi Sakai, Yuichi Yasufuku, Tomohiko Kamo, Erika Ota, Ryo Momosaki. Repetitive Peripheral Magnetic Stimulation for Patients After Stroke. Stroke. 2020; 51 (6):1.

Chicago/Turabian Style

Kotomi Sakai; Yuichi Yasufuku; Tomohiko Kamo; Erika Ota; Ryo Momosaki. 2020. "Repetitive Peripheral Magnetic Stimulation for Patients After Stroke." Stroke 51, no. 6: 1.

Journal article
Published: 08 April 2020 in Journal of Geriatric Physical Therapy
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Background and Purpose: Most patients become physically inactive after vertebral compression fracture and thus need help for early mobilization. This study sought to investigate the effect of early rehabilitation on activities of daily living in patients following acute vertebral compression fracture. Methods: We conducted this retrospective cohort study with a hospital-based database created by the Japan Medical Data Center and comprising data from a Diagnosis Procedure Combination survey from more than 100 acute care hospitals across Japan. Data of consecutive inpatients hospitalized because of thoracic and/or lumbar compression fractures from 2014 to 2018 were extracted. We compared characteristics and outcomes between patients who underwent early rehabilitation (early rehabilitation group) and those who did not undergo rehabilitation (no rehabilitation group). The primary outcome measure was Barthel Index improvement. Results: After applying exclusion criteria, a total of 8493 eligible patients with acute vertebral compression fracture were included in this study. The unadjusted data showed significantly greater Barthel Index improvement (72.5% vs 60.3, P < .001) and a higher rate of discharge to home (82.9% vs 77.4, P < .001) among patients in the early rehabilitation group compared with the no rehabilitation group. After adjustment by propensity score analysis, significant between-group differences were found. Conclusion: Early rehabilitation could possibly be a feasible alternative for maintenance of the Barthel Index in patients with acute vertebral compression fracture.

ACS Style

Tomohiro Kobata; Kiyotaka Hasebe; Ryo Momosaki. Effectiveness of Early Rehabilitation for Vertebral Compression Fractures: A Retrospective Cohort Study. Journal of Geriatric Physical Therapy 2020, 44, 139 -143.

AMA Style

Tomohiro Kobata, Kiyotaka Hasebe, Ryo Momosaki. Effectiveness of Early Rehabilitation for Vertebral Compression Fractures: A Retrospective Cohort Study. Journal of Geriatric Physical Therapy. 2020; 44 (3):139-143.

Chicago/Turabian Style

Tomohiro Kobata; Kiyotaka Hasebe; Ryo Momosaki. 2020. "Effectiveness of Early Rehabilitation for Vertebral Compression Fractures: A Retrospective Cohort Study." Journal of Geriatric Physical Therapy 44, no. 3: 139-143.

Original research
Published: 06 March 2020 in PM&R
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Introduction Although early rehabilitation for acute inpatients is widely recommended, the effectiveness of early physical rehabilitation for interstitial pneumonia in the acute setting remains unclear. Objective To investigate the impact of early rehabilitation on mortality in patients with interstitial pneumonia in the acute setting. Design Retrospective cohort study used a hospital‐based database created by the Japan Medical Data Center. Setting Over 100 acute‐care hospitals across Japan. Participants Inpatients hospitalized due to interstitial pneumonia from 2014 to 2018. Interventions Early rehabilitation provided by physical therapists and/or occupational therapists within 2 days of admission. Main Outcome Measures 30‐ and 90‐day in‐hospital mortality. Results Among the included inpatients, 847 (50%) underwent early rehabilitation. Mortality was significantly lower in the early rehabilitation group compared with the delayed rehabilitation group (30‐day mortality: 6.8% vs 12.1%, 90‐day mortality: 13.0% vs 19.8%). The differences were significant after propensity score adjustment using inverse probability weighting (30‐day mortality: 7.6% vs 11.0%, 90‐day mortality: 14.3% vs 18.0%). Conclusion Early rehabilitation was associated with decreased mortality in hospitalized patients with interstitial pneumonia. This article is protected by copyright. All rights reserved.

ACS Style

Masashi Sawabe Pt; Kiyotaka Hasebe Pt; Ryo Momosaki. Effectiveness of Early Versus Delayed Physical Rehabilitation on In‐Hospital Mortality in Interstitial Pneumonia: A Retrospective Cohort Study. PM&R 2020, 12, 1081 -1085.

AMA Style

Masashi Sawabe Pt, Kiyotaka Hasebe Pt, Ryo Momosaki. Effectiveness of Early Versus Delayed Physical Rehabilitation on In‐Hospital Mortality in Interstitial Pneumonia: A Retrospective Cohort Study. PM&R. 2020; 12 (11):1081-1085.

Chicago/Turabian Style

Masashi Sawabe Pt; Kiyotaka Hasebe Pt; Ryo Momosaki. 2020. "Effectiveness of Early Versus Delayed Physical Rehabilitation on In‐Hospital Mortality in Interstitial Pneumonia: A Retrospective Cohort Study." PM&R 12, no. 11: 1081-1085.

Journal article
Published: 31 January 2020 in BMC Geriatrics
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Background The multidisciplinary comprehensive care (MDCC) program promotes the improvement of oral intake for older patients. The Kuchi-kara Taberu (ingesting orally in Japanese, KT) index was developed to objectively assess patient conditions in the MDCC program. This trial examined the effects of the index in promoting oral intake in older patients with pneumonia. Methods A cluster randomized controlled trial was conducted in 10 local hospitals targeting older patients with pneumonia (≥65 years). Ten hospitals were allocated randomly to either the intervention or the control group. Both groups (each with five hospitals) received the MDCC program for oral feeding, which consisted of professional assessment, care, and treatment. The KT index was used by the intervention group, focusing on improving low score items. The primary outcome was determined using the Functional Oral Intake Scale (FOIS) at discharge or 1 month after admission. Results One hundred and twelve patients (46 women and 66 men) who participated from 10 hospitals, with a median age of 88 years (interquartile range [IQR], 80–91), were examined. The median FOIS level and the number of patients with oral intake (FOIS ≥ level 4) at discharge were 4 (IQR, 4–6) and 89 (79.5%), respectively. The duration of nil per os was 2 (IQR, 1–5) days. Clusters were not matched in the presence of Kuchi-kara Taberu Shiawase-wo Mamoru-kai-certified medical staff promoting oral intake in patients with dysphagia in each hospital. The median FOIS levels of 53 patients in the intervention group and 59 patients in the control group were 5 (IQR, 4–6) and 4 (IQR, 4–5), respectively, showing no statistically significant difference (P = 0.76). According to a multivariate analysis, the KT index had no positive effect on FOIS levels. Conclusions This trial was not able to demonstrate the usefulness of the KT index due to random assignment failure. However, both the intervention and control groups showed a high prevalence of oral intake (FOIS ≥ level 4) at discharge. Trial registration UMIN-Clinical Trial Registry, UMIN000025172, December 17, 2016.

ACS Style

Hiroshi Shamoto; Tamami Koyama; Ryo Momosaki; Keisuke Maeda; Hidetaka Wakabayashi. The effects of promoting oral intake using the Kuchi-kara Taberu index, a comprehensive feeding assistant tool, in older pneumonia patients: a cluster randomized controlled trial. BMC Geriatrics 2020, 20, 36 -8.

AMA Style

Hiroshi Shamoto, Tamami Koyama, Ryo Momosaki, Keisuke Maeda, Hidetaka Wakabayashi. The effects of promoting oral intake using the Kuchi-kara Taberu index, a comprehensive feeding assistant tool, in older pneumonia patients: a cluster randomized controlled trial. BMC Geriatrics. 2020; 20 (1):36-8.

Chicago/Turabian Style

Hiroshi Shamoto; Tamami Koyama; Ryo Momosaki; Keisuke Maeda; Hidetaka Wakabayashi. 2020. "The effects of promoting oral intake using the Kuchi-kara Taberu index, a comprehensive feeding assistant tool, in older pneumonia patients: a cluster randomized controlled trial." BMC Geriatrics 20, no. 1: 36-8.