Predictive factors for oral intake after aspiration pneumonia in older adults
Predictive factors for oral intake after aspiration pneumonia in older adults
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DOI：
10.1111/ggi.12506
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发表时间：
2016-05-01
影响因子：
3.3
通讯作者：
Abo, Masahiro
中科院分区：
文献类型：
--
作者：
Momosaki, Ryo;Yasunaga, Hideo;Abo, Masahiro
目的：本研究的目的是阐明老年患者吸入性肺炎后实现经口摄入的预测因素。方法：这项回顾性观察研究使用了日本诊断程序组合住院患者数据库的数据。我们确定了因吸入性肺炎而入住急症护理医院的患者。结果是达到总经口摄入量的时间。我们进行了 Cox 回归分析，以确定早期开始总经口摄入的预测因素。结果：在 66 611 名患有吸入性肺炎的老年患者中，59% 在 30 天内实现了总经口摄入。 Cox回归分析表明，早期开始总经口摄入量与女性性别和较高的巴塞尔指数相关。延迟开始总经口摄入量与体重不足、肺炎严重程度评分较高和合并症相关。结论：我们阐明了老年吸入性肺炎患者总经口摄入量的预后因素。我们的研究结果将有助于老年吸入性肺炎患者的营养护理计划。
Aim: The purpose of the present study was to clarify the predictive factors for achieving oral intake after aspiration pneumonia in elderly patients.Methods: This retrospective observational study used data from the Japanese Diagnosis Procedure Combination inpatient database. We identified patients who were admitted to acute-care hospitals with aspiration pneumonia. The outcome was time to achieve total oral intake. We carried out Cox regression analysis to identify predictors for the early initiation of total oral intake.Results: Of 66 611 elderly patients with aspiration pneumonia, 59% achieved total oral intake within 30 days. Cox regression analysis showed that early initiation of total oral intake was associated with female sex and higher Barthel Index. Delayed initiation of total oral intake was associated with underweight, higher scores of pneumonia severity and comorbidities.Conclusion: We clarified prognostic factors for total oral intake in elderly aspiration pneumonia patients. Our findings will be helpful in nutritional care planning for elderly aspiration pneumonia patients.