Ono Hideya, Minakata Yoshiaki, Kawabe Kazumi, Sasaki Seigo, Murakami Yusuke, Sonoda Takeru
Department of Respirology, NHO Wakayama Hospital, 1138 Wada, Mihama-cho, Hidaka-gun, Wakayama 644-0044, Japan.
J Clin Med. 2025 Aug 22;14(17):5949. doi: 10.3390/jcm14175949.
Tuberculosis (TB) predominantly affects older adults in Japan, and prolonged hospitalization remains a challenge. This study evaluated both clinical and social factors influencing hospitalization duration. We retrospectively analyzed 203 patients with smear-positive pulmonary TB admitted to NHO Wakayama Hospital (2017-2022). Stepwise multiple regression was used to identify factors associated with hospitalization duration. Key factors included time to smear negativity, duration from isolation release to discharge, independence in daily life, and discharge destination. Prolonged stays were often due to social issues, such as difficulties in arranging transfers to long-term care homes or family acceptance. While Japan is developing new discharge criteria based on clinical indicators, our findings highlight the significant impact of non-clinical, social factors on hospitalization duration. Addressing these factors is essential for effective discharge planning.
在日本，结核病（TB）主要影响老年人，长期住院仍是一项挑战。本研究评估了影响住院时间的临床和社会因素。我们回顾性分析了203例入住和歌山县立医院（2017 - 2022年）的痰涂片阳性肺结核患者。采用逐步多元回归分析来确定与住院时间相关的因素。关键因素包括痰涂片转阴时间、从解除隔离到出院的时间、日常生活自理能力以及出院去向。住院时间延长往往是由于社会问题，比如安排转至长期护理机构困难或家人接纳问题。虽然日本正在根据临床指标制定新的出院标准，但我们的研究结果凸显了非临床、社会因素对住院时间的重大影响。解决这些因素对于有效的出院计划至关重要。
