直近一年間の累計
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ID 116605
タイトル別表記
長期療養病棟入院の摂食嚥下障害患者における嚥下反射と誤嚥性肺炎の発症率との関連性 : 60日間の前向きコホート研究
著者
大村, 智也 徳島大学大学院口腔科学教育部(口腔保健学専攻)
Nishioka, Shota Naruto-Yamakami Hospital
Sagawa, Shomu Naruto-Yamakami Hospital
Seto, Masaya Naruto-Yamakami Hospital
Naoe, Mitsugu Naruto-Yamakami Hospital
キーワード
Cohort studies
Deglutition disorders
Long-term care
Pneumonia, aspiration
Rehabilitation
資料タイプ
学位論文
抄録
Objective: To investigate the association between the Simple Swallowing Provocation Test (SSPT) and the incidence of aspiration pneumonia in patients with dysphagia in long-term care (LTC) wards.
Design: The study design was a prospective cohort study. Participants were followed for 60 days from admission.
Setting: LTC wards.
Participants: Study participants were patients with dysphagia aged ≥65 years who were admitted to LTC wards between August 2018 and August 2019. In total, 39 participants were included in the analysis (N=39; 20 male, 19 female; mean age, 83.8±8.5y). Participants were divided into 2 groups based on SSPT results: normal swallowing reflex (SSPT normal group) and abnormal swallowing reflex (SSPT abnormal group). The covariates were age and sex, primary disease, history of cerebrovascular disease, Glasgow Coma Scale, body mass index, Geriatric Nutritional Risk Index, the Mann Assessment of Swallowing Ability, Food Intake Level Scale, FIM, and Oral Health Assessment Tool.
Interventions: Not applicable.
Main Outcome Measures: The outcome was the incidence of aspiration pneumonia during the first 60 days of hospitalization, and the predictive factor was SSPT: 0.4 mL.
Results: The incidence of aspiration pneumonia was 33.3% in the SSPT normal group and 76.2% in the SSPT abnormal group. The φ coefficient (a measure of association for 2 binary variables) was 0.43, the risk ratio (the ratio of the probability of an outcome in an exposed group to the probability of an outcome in an unexposed group) was 2.29, and the 95% confidence interval was 1.14-4.58 for the SSPT abnormal group.
Conclusions: Our findings suggest that the SSPT provides a valid index for the development of aspiration pneumonia in older patients with dysphagia admitted to LTC wards.
掲載誌名
Archives of Physical Medicine and Rehabilitation
ISSN
00039993
cat書誌ID
AA00548606
AA1154005X
出版者
The American Congress of Rehabilitation Medicine|Elsevier
102
11
開始ページ
2165
終了ページ
2171
発行日
2021-07-10
備考
内容要旨・審査要旨・論文本文の公開
本論文は,著者Tomoya Omuraの学位論文として提出され,学位審査・授与の対象となっている。
EDB ID
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
博士論文全文を含む
文科省報告番号
甲第3563号
学位記番号
甲口保第6号
学位授与年月日
2021-12-09
学位名
博士(学術)
学位授与機関
徳島大学
部局
歯学系