Screening tests for predicting the prognosis of oral intake in elderly patients with acute pneumonia
Screening tests for predicting the prognosis of oral intake in elderly patients with acute pneumonia
复制标题
预测老年急性肺炎患者经口摄入预后的筛查试验
DOI：
10.1007/s10266-016-0238-5
复制
发表时间：
2016
期刊：
影响因子：
2.5
通讯作者：
H. Uematsu
中科院分区：
文献类型：
--
作者：
Shoko Oba;H. Tohara;A. Nakane;M. Tomita;S. Minakuchi;H. Uematsu
许多老年肺炎患者有吸入性肺炎。因此，他们必须暂时放弃口服摄入。然而，很难预测他们是否能够开始口服摄入。其原因是目前还没有一个标准的方法来评价肺炎患者的吞咽功能。在这项研究中，我们的目的是开发一种简单方便的方法来预测急性期肺炎老年患者口服营养品的预后。参与者是77名因吸入风险而禁食的急性肺炎住院患者。(86.0± 7.7岁;范围68 - 105岁;男性：n = 34，女性：n = 43）。采用格拉斯哥昏迷量表（GCS）评定患者的意识状态，采用重复唾液吞咽试验（RSST）、改良水吞咽试验、简单吞咽激发试验和咳嗽试验评定患者的吞咽功能和咳嗽反射。出院时的口服摄入状态被认为是客观变量，这些测试被认为是解释变量。分别绘制受试者工作特征（ROC）曲线和曲线下面积（AUC）。根据ROC曲线分析，GCS ≥ 14具有最大AUC（0.79），灵敏度和特异性分别为0.71和0.80。其次是RSST ≥ 1，AUC（0.77），敏感性和特异性分别为0.81和0.67。这些结果表明，GCS和RSST可能是有用的筛选试验，预测口服摄入能力的老年急性肺炎患者的预后。
Many elderly patients with pneumonia have aspiration pneumonia. Therefore they must temporarily abstain from oral intake. However, it is difficult to predict whether or not they will be able to start oral intake. The reason is the standard method to evaluate deglutition about pneumonia patients has not been established. In this study we aimed to develop a simple and convenient method that predicts the prognosis of oral intake as nutrition among elderly patients with acute stage pneumonia. Participants were 77 inpatients fasting due to aspiration risk with acute pneumonia. (86.0 ± 7.7 years; range 68–105 years; men: n = 34, women: n = 43) during September 2011 and August 2013. Their consciousness levels were determined by Glasgow coma scale (GCS) and swallowing function and cough reflex were evaluated by repetitive saliva swallowing test (RSST), modified water swallow test, simple swallowing provocation test and cough test. Oral intake status at discharge was considered as the objective variable, and these tests were considered as explanatory variables. Then receiver operating characteristic (ROC) curve and the area under the curve (AUC) for each was done. From the ROC curve analysis, GCS ≥14 had the largest AUC (0.79) with a sensitivity and specificity of 0.71 and 0.80. That was followed by RSST ≥1, AUC (0.77) with a sensitivity and specificity of 0.81 and 0.67. These results suggest that GCS and RSST could be useful screening tests for prognostic prediction of oral intake capability in elderly patients with acute pneumonia.
用于筛查无声误吸的简化咳嗽测试。
影响因子：
4.3
作者：
Mitsuyasu Sato;Haruka Tohara;Takatoshi Iida;Satoko Wada;Motoharu Inoue;Koichiro Ueda
通讯作者：
Koichiro Ueda
DOI：
--
发表时间：
2008
期刊：
J Am Geriaty soc 56
影响因子：
--
作者：
Teramoto S;Sasaki H;et al
通讯作者：
et al