Research Article

Comparison of a Chinese Herbal Medicine (CCH1) and Lactulose as First-Line Treatment of Constipation in Long-Term Care: A Randomized, Double-Blind, Double-Dummy, and Placebo-Controlled Trial

Table 3

Characteristics of patients in baseline period.

VariablesGroup, number (%) value
CCH1Lactulose

Gender
 Female26 (59.1)25 (51.0)0.43
 Male18 (40.9)24 (49.0)
Age (years)
 41–609 (20.5)9 (18.4)0.59
 61–8017 (38.6)24 (49.0)
 >8018 (40.9)16 (32.7)
 Mean (SD)73.4 (13.3)73.6 (13.2)0.94
Abdominal surgery
 No30 (68.2)38 (77.6)0.30
 Yes14 (31.8)11 (22.4)
Barthel index*
 ≤3031 (70.5)37 (75.5)0.83
 35–606 (13.6)5 (10.2)
 >607 (15.9)7 (14.3)
 Median (25th, 75th percentile)17.5 (0, 45)10.0 (0, 32.5)0.59
Severity of constipation
 Group A21 (47.7)23 (46.9)0.84
 Group B15 (34.1)19 (38.8)
 Group C8 (18.2)7 (14.3)
History of disease
 Hypertension30 (68.2)29 (59.2)0.36
 Cerebrovascular disease22 (50.0)29 (59.2)0.37
 Diabetes15 (34.1)17 (34.7)0.95
 Cardiovascular disease12 (27.3)16 (32.7)0.57
 Dementia9 (20.5)9 (18.4)0.79
 Anxiety/depression7 (15.9)12 (24.5)0.30
 Chronic lung disease6 (13.6)5 (10.2)0.60
 Peptic ulcer4 (9.1)7 (14.3)0.43
 Anemia3 (6.8)5 (10.2)0.71
 Parkinsonism2 (4.5)7 (14.3)0.16
 Malignancy except GI origin2 (4.5)3 (6.1)0.99
 Chronic hepatitis2 (4.5)3 (6.1)0.99
 Chronic kidney disease1 (2.3)3 (6.1)0.61

*Barthel index [26] (0–100) is a scale used to measure performance in basic activities of daily living. A higher number is associated with a better performance.
Participants were classified into three groups according to their bowel performance in the run-in period under the bowel routine protocol in long-term care:
group A: received enema more than once a week,
group B: received enema once a week or had less than three times of spontaneous bowel movements per week,
group C: 3–7 times of spontaneous bowel movements per week under usual care.