Ryo Momosaki1,2, Hideo Yasunaga2, Hiroki Matsui2, Hiromasa Horiguchi3, Kiyohide Fushimi4, Masahiro Abo1. 1. Department of Rehabilitation Medicine, The Jikei University School of Medicine, Tokyo, Japan. 2. Department of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, Tokyo, Japan. 3. Department of Clinical Data Management and Research, Clinical Research Center, National Hospital Organization Headquarters, Tokyo, Japan. 4. Department of Health Policy and Informatics, Tokyo Medical and Dental University Graduate School of Medicine, Tokyo, Japan.
Abstract
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. Geriatr Gerontol Int 2016; 16: 556-560.
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 pneumoniapatients. Our findings will be helpful in nutritional care planning for elderly aspiration pneumoniapatients. Geriatr Gerontol Int 2016; 16: 556-560.
Authors: Lee Hooper; Asmaa Abdelhamid; Sarah M Ajabnoor; Chizoba Esio-Bassey; Julii Brainard; Tracey J Brown; Diane Bunn; Eve Foster; Charlotte C Hammer; Sarah Hanson; Florence O Jimoh; Hassan Maimouni; Manraj Sandhu; Xia Wang; Lauren Winstanley; Jane L Cross; Ailsa A Welch; Karen Rees; Carl Philpott Journal: Clin Nutr ESPEN Date: 2021-11-19