Prediction of oral intake recovery for inpatients with aspiration pneumonia by videoendoscopic evaluation using the Hyodo-Komagane score in Japan.
Prediction of oral intake recovery for inpatients with aspiration pneumonia by videoendoscopic evaluation using the Hyodo-Komagane score in Japan.
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日本利用 Hyodo-Komagane 评分进行视频内窥镜评估，预测吸入性肺炎住院患者的口腔摄入恢复情况。
DOI：
10.1111/joor.13108
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Ueda K
中科院分区：
文献类型：
--
作者：
Kimura M;Nakayama E;Ogawa Y;Sato M;Inagawa M;Watanabe M;Sato M;Naganuma A;Ogawa T;Ueda K
目的验证Hyodo-Komagane评分预测吸入性肺炎患者口服功能恢复的有效性。预测吞咽功能是否会恢复到足以在出院时实现口服摄取是制定治疗策略的重要因素。目前尚无研究探讨视频内窥镜检查对口腔摄入量恢复的预测。方法研究对象为65名因吸入性肺炎而住进急诊医院的患者。根据患者出院或转运时的口腔摄入情况，将患者分为两组：口服喂养组和管饲组。以不需管饲为客观变量，以两组间有显著差异的项目为解释变量，进行Logistic回归分析。结果Hyodo-Komagane评分和咽部清扫评分的优势比分别为1.485和3.379。以Hyodo-Komagane评分和咽清除评分为6和1为界值时，敏感性分别为0.88和0.91，特异性分别为0.64和0.70。结论Hyodo-Komagane评分特别是咽清除评分是预测吸入性肺炎患者口腔摄食恢复的有用指标。
ObjectiveTo verify the validity of the prediction of oral intake recovery for inpatients with aspiration pneumonia using the Hyodo‐Komagane score.BackgroundPatients admitted for treatment of aspiration pneumonia sometimes have difficulty in resuming oral intake due to decreased swallowing function. Predicting whether the swallowing function will recover enough to achieve oral ingestion at discharge is an important factor in developing a treatment strategy. No studies have investigated the prediction of oral intake recovery using videoendoscopic examination.MethodsSubjects were 65 patients who were admitted to an acute care hospital for the treatment of aspiration pneumonia. The patients were divided into two groups, the oral feeding group and the tube feeding group, according to their oral intake status at discharge or transfer. Logistic regression analysis was performed using the condition that tube feeding was not required as an objective variable and the items with significant differences between the two groups as explanatory variables. Additionally, the receiver operating characteristic curve was used to identify patients who could take food orally at discharge.ResultsThe odds ratios for the Hyodo‐Komagane score and the pharyngeal clearance score were 1.485 and 3.379, respectively. When the cut‐off values of the Hyodo‐Komagane score and the pharyngeal clearance score were 6 and 1, the sensitivity was 0.88 and 0.91, and the specificity was 0.64 and 0.70, respectively.ConclusionThe Hyodo‐Komagane score and especially the pharyngeal clearance score are useful indices to predict oral intake recovery for inpatients with aspiration pneumonia.
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