Swallowing dysfunction and the onset of fever in older residents with special care needs: a thirteen-month longitudinal prospective study
Swallowing dysfunction and the onset of fever in older residents with special care needs: a thirteen-month longitudinal prospective study
复制标题
有特殊护理需求的老年居民吞咽功能障碍和发烧：一项为期十三个月的纵向前瞻性研究
DOI：
10.1007/s10266-021-00626-z
复制
发表时间：
2022
期刊：
影响因子：
2.5
通讯作者：
Akifusa Sumio
中科院分区：
文献类型：
--
作者：
Izumi Maya;Sonoki Kazuo;Ohta Yuko;Fukuhara Masayo;Nagata Masaharu;Akifusa Sumio
吞咽功能的下降经常在养老院的老年居民中观察到。我们调查了吞咽功能障碍是否与这些人的发热有关。这项前瞻性研究纳入了来自三家养老院的年龄≥ 65岁的老年居民，研究时间为2017年7月至2019年5月。随访时间为13个月。结果是与吞咽功能障碍有关的发热发生率。收集日常生活活动、认知功能、吞咽功能、呼吸功能、舌压和合并症的基线数据。还记录了随访期间参与者腋窝温度测量值> 37.5 °C的日期。对于统计分析，使用改良的吞咽试验（MWST）评分评估吞咽功能，将参与者分为三组：评分≤ 3、4和5。共入组52名受试者[中位年龄，89.5岁（67-104）]。Kaplan-Meier分析显示，MWST评分≤ 3、4和5分的受试者至发热发作的平均时间分别为8.0（6.0-11.0）、10.0（7.0-12.0）和12.0（10.0-13.0）个月。考克斯比例风险回归模型显示，MWST评分≤ 3的受试者比MWST评分为5的受试者发热的风险更高（风险比11.5，95%置信区间1.5-63.4，调整可能的混杂因素）。吞咽功能障碍与养老院老年居民的发热风险相关。
A decline in swallowing function is frequently observed among older residents in nursing homes. We investigated whether swallowing dysfunction was related to the onset of fever in such individuals. Older residents aged ≥ 65 years from three nursing homes were included in this prospective study conducted from July 2017 to May 2019. The follow-up period was 13 months. The outcome was fever incidence in relation to the swallowing dysfunction. Baseline data on the activities of daily living, cognitive function, swallowing function, respiratory function, tongue pressure, and comorbidity conditions were collected. Dates on which the axillary temperature measured ay of participants was > 37.5 °C during the follow-up period were also recorded. For the statistical analyses, swallowing function assessed by the modified water swallow test (MWST) score was used to divide the participants into three groups: scores ≤ 3, 4, and 5. A total of 52 participants [median age, 89.5 years (67–104)] were enrolled. Kaplan–Meier analysis showed that the average periods until onset of fever in participants with MWST scores of ≤ 3, 4, and 5 were 8.0 (6.0–11.0), 10.0 (7.0–12.0), and 12.0 (10.0–13.0) months, respectively. Cox’s proportional hazards regression model revealed that participants with an MWST score ≤ 3 were at a higher risk of fever than those with an MWST score of 5 (hazard ratio 11.5, 95% confidence interval 1.5–63.4, adjusted for possible confounders. The swallowing dysfunction correlated with the risk of fever in older residents of nursing homes.
登录
查看更多内容
最大呼吸压：正常值以及与年龄和性别的关系。
DOI：
--
发表时间：
1969
期刊：
American Review of Respiratory Disease
影响因子：
--
作者：
L. F. Black;R. Hyatt
通讯作者：
R. Hyatt
DOI：
--
发表时间：
2010
期刊：
影响因子：
--
作者：
Tsuga Kazuhiro;Oue Hiroshi;Okazaki Youhei;Tsuchioka Hirokazu;Maruyama Mariko;Yoshikawa Mineka;Akagawa Yasumasa
通讯作者：
Akagawa Yasumasa
影响因子：
3.3
作者：
Mitani, Yuji;Oki, Yutaro;Ishikawa, Akira
通讯作者：
Ishikawa, Akira
老年人的误吸和感染
影响因子：
2.8
作者：
M. Kikawada;T. Iwamoto;M. Takasaki
通讯作者：
M. Takasaki
老年住院患者发热——住院发热原因一年调查[J].
DOI：
10.11150/kansenshogakuzasshi1970.72.493
发表时间：
1998
期刊：
Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases
影响因子：
--
作者：
K. Ueno;Jun Hayashi;S. Yamaga;H. Ikematsu;A. Nabeshima;Hiroshi Hara;Seizaburo Kashiwagi
通讯作者：
Seizaburo Kashiwagi