Effect of dysphagia rehabilitation on oral intake in elderly patients with aspiration pneumonia
Effect of dysphagia rehabilitation on oral intake in elderly patients with aspiration pneumonia
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DOI：
10.1111/ggi.12333
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发表时间：
2015-06-01
影响因子：
3.3
通讯作者：
Abo, Masahiro
中科院分区：
文献类型：
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作者：
Momosaki, Ryo;Yasunaga, Hideo;Abo, Masahiro
目的探讨吞咽困难康复治疗对老年吸入性肺炎患者口服摄入量的影响。方法采用日本诊断程序联合住院患者数据库中的数据进行回顾性观察研究。我们确定了因吸入性肺炎而被送入急诊医院的患者。患者被细分为吞咽困难康复组和非康复组。主要结果变量是出院时的总口服摄入量。我们进行了多变量Logistic回归分析，以评估吞咽困难康复治疗对预后的影响，并调整了患者的背景。我们还根据肺炎的严重程度、吞咽困难康复的时间和持续时间进行了分析。结果我们确定了22819名吞咽困难康复患者和75555名没有吞咽困难康复的患者。出院时口服总摄入量分别为78.0%和75.2%。多因素回归模型显示，吞咽障碍康复组出院时口服总摄入量占总摄入量的比例明显高于对照组(优势比1.32；P
AimTo clarify the effects of dysphagia rehabilitation on oral intake after aspiration pneumonia in older adults.MethodsThe present 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. Patients were subdivided into those with and without dysphagia rehabilitation. The main outcome variable was total oral intake on discharge. We carried out multivariate logistic regression analysis to assess the effect of dysphagia rehabilitation on the outcome, with adjustment for patient backgrounds. We also carried out analyses based on pneumonia severity, and the timing and duration of dysphagia rehabilitation.ResultsWe identified 22819 patients with dysphagia rehabilitation and 75555 patients without dysphagia rehabilitation. The rates of total oral intake on discharge were 78.0 and 75.2%, respectively. The multivariate regression model showed that the dysphagia rehabilitation group had a significantly higher proportion of total oral intake on discharge (odds ratio 1.32; P