دورية أكاديمية
Predictors of Aspiration Pneumonia in the Elderly With Swallowing Dysfunction: Videofluoroscopic Swallowing Study
| العنوان: | Predictors of Aspiration Pneumonia in the Elderly With Swallowing Dysfunction: Videofluoroscopic Swallowing Study |
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| المؤلفون: | Joo Young Ko, Dae Youp Shin, Tae Uk Kim, Seo Young Kim, Jung Keun Hyun, Seong Jae Lee |
| المصدر: | Annals of Rehabilitation Medicine, Vol 45, Iss 2, Pp 99-107 (2021) |
| بيانات النشر: | Korean Academy of Rehabilitation Medicine, 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | aspiration pneumonia, aged, deglutition disorders, fluoroscopy, Medicine |
| الوصف: | Objective To identify the variables of videofluoroscopic swallowing study (VFSS) that are useful for predicting the risk of aspiration pneumonia in elderly patients with dysphagia. Methods A total of 251 patients (aged 65 years or more) were included and divided into a pneumonia group (n=133) and a non-pneumonia group (n=118). The pneumonia group included patients who had been diagnosed with aspiration pneumonia, and individuals in the non-pneumonia group did not have pneumonia but were referred for VFSS. The medical records and results of VFSS were reviewed and compared between the groups retrospectively. Results The pneumonia group exhibited a male preponderance and a higher 8-point Penetration-Aspiration Scale (8PPAS) score. The mean values of 8PPAS score for swallowing thick liquid and rice porridge was significantly higher in the pneumonia group. The pharyngeal delay time (PDT) and pharyngeal transit time (PTT) were significantly longer in the pneumonia group. The amounts of vallecular and pyriform sinus residue were increased in the pneumonia group. The delay in swallowing reflex and the decrease in laryngeal elevation were more frequently observed in the pneumonia group. Among those variables, PDT and PTT were identified as significant predictors of aspiration pneumonia based on logistic regression analysis. Conclusion The present study delineated the findings of VFSS, suggesting an increased risk of aspiration pneumonia in elderly patients with dysphagia. The results demonstrate that prolonged PDT and PTT are significant predictors of aspiration pneumonia. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2234-0645 2234-0653 |
| Relation: | http://www.e-arm.org/upload/pdf/arm-20180.pdf; https://doaj.org/toc/2234-0645; https://doaj.org/toc/2234-0653 |
| DOI: | 10.5535/arm.20180 |
| URL الوصول: | https://doaj.org/article/df8e9d7ad2e34ccca78108862808b179 |
| رقم الأكسشن: | edsdoj.f8e9d7ad2e34ccca78108862808b179 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 22340645 22340653 |
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| DOI: | 10.5535/arm.20180 |