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Rehabilitation Research and Practice
Volume 2015 (2015), Article ID 501042, 6 pages
http://dx.doi.org/10.1155/2015/501042
Research Article

Prediction of Advisability of Returning Home Using the Home Care Score

1Faculty of Rehabilitation, Shijonawate Gakuen University, Hojo 5-11-10, Daitou City, Osaka 574-0011, Japan
2Department of Rehabilitation, Pegasus Rehabilitation Hospital, Hamaderafunaochohigashi 4-269, Nishi-ku, Sakai-shi, Osaka 592-8341, Japan
3Bobath Memorial Hospital, Department of Rehabilitation, 1-6-5 Higashinakahama, Joto-ku, Osaka 536-0023, Japan
4Department of Rehabilitation, Yamamoto Hospital, Toge 6-7-26, Hashimoto City, Wakayama 648-0072, Japan
5Department of Rehabilitation, Hanna Chuo Hospital, Tawaraguchi 741, Ikoma City, Nara 630-0243, Japan
6Okamoto Home Nursing Station, Ikeda-Asahi-Cho 103-22-24, Neyagawa City, Osaka 572-0035, Japan

Received 11 July 2015; Revised 3 September 2015; Accepted 8 September 2015

Academic Editor: Jeffrey Jutai

Copyright © 2015 Akiyoshi Matsugi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. The aim of this study was to assess whether the home care score (HCS), which was developed by the Ministry of Health and Welfare in Japan in 1992, is useful for the prediction of advisability of home care. Methods. Subjects living at home and in assisted-living facilities were analyzed. Binominal logistic regression analyses, using age, sex, the functional independence measure score, and the HCS, along with receiver operating characteristic curve analyses, were conducted. Findings/Conclusions. Only HCS was selected for the regression equation. Receiver operating characteristic curve analysis revealed that the area under the curve (0.9), sensitivity (0.82), specificity (0.83), and positive predictive value (0.84) for HCS were higher than those for the functional independence measure, indicating that the HCS is a powerful predictor for advisability of home care. Clinical Relevance. Comprehensive measurements of the condition of provided care and the activities of daily living of the subjects, which are included in the HCS, are required for the prediction of advisability of home care.