Association Between the Swallowing Reflex and the Incidence of Aspiration Pneumonia in Patients With Dysphagia Admitted to Long-term Care Wards : A Prospective Cohort Study of 60 Days

• 資料種別: 博士論文
• ISSN: 0003-9993
• タイトル: Association Between the Swallowing Reflex and the Incidence of Aspiration Pneumonia in Patients With Dysphagia Admitted to Long-term Care Wards : A Prospective Cohort Study of 60 Days
• 巻次・部編番号: 102 11
• 著者・編者: Omura, Tomoya; Matsuyama, Miwa; Nishioka, Shota; Sagawa, Shomu; Seto, Masaya; Naoe, Mitsugu
• 著者標目: Omura, Tomoya; Matsuyama, Miwa; Nishioka, Shota; Sagawa, Shomu; Seto, Masaya; Naoe, Mitsugu
• 出版事項: The American Congress of Rehabilitation Medicine|Elsevier
• 出版年月日等: 2021-07-10
• 出版年（W3CDTF）: 2021-07-10
• 並列タイトル等: 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
• タイトル（掲載誌）: Archives of Physical Medicine and Rehabilitation
• 授与機関名: 徳島大学
• 授与年月日: 2021-12-09
• 授与年月日（W3CDTF）: 2021-12-09
• 報告番号: 甲第3563号
• 学位: 博士（学術）
• 博論授与番号: 甲第3563号
• 本文の言語コード: eng
• 件名標目: Cohort studies; Deglutition disorders; Long-term care; Pneumonia, aspiration; Rehabilitation
• 対象利用者: 一般
• 一般注記: 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.
• DOI: info:doi/10.1016/j.apmr.2021.06.012; https://doi.org/info:doi/10.1016/j.apmr.2021.06.012
• 国立国会図書館永続的識別子: info:ndljp/pid/11976974; https://dl.ndl.go.jp/pid/11976974
• コレクション（共通）: 障害者向け資料
• コレクション（障害者向け資料：レベル1）: テキストデータ
• コレクション（個別）: 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• 収集根拠: 博士論文（自動収集）
• 受理日（W3CDTF）: 2022-01-10T16:22:37+09:00
• 記録形式（IMT）: PDF
• オンライン閲覧公開範囲: 国立国会図書館内限定公開
• デジタル化資料送信: 図書館・個人送信対象外
• 遠隔複写可否（NDL）: 可
• 掲載誌（URI）: http://repo.lib.tokushima-u.ac.jp/116605
• 連携機関・データベース: 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp