The Contribution of Temporal Flat Lateral Position on the Mortality and Discharge Rates of Older Patients with Severe Dysphagia
Abstract
:1. Introduction
2. Materials and Methods
2.1. Setting
2.2. Participants
2.3. Measurements
2.4. Analysis
2.5. Ethical Consideration
3. Results
3.1. The Demographics of the Participants
3.2. Differences in the Duration of Hospitalization, Mortality, and Discharge Rates
3.3. The Diseases as Reasons for Admission among the Participants
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Factor | Intervention (n = 26) | Control (n = 53) | p-Value |
---|---|---|---|
Age, mean (SD) | 87.04 (8.30) | 87.91 (7.64) | 0.646 |
Male sex (%) | 18 (69.2) | 40 (75.5) | 0.595 |
Albumin, mean (SD) | 3.10 (0.49) | 3.21 (0.66) | 0.471 |
BMI, mean(SD) | 19.11 (3.78) | 18.73 (3.25) | 0.643 |
Hemoglobin, g/dL (SD) | 11.52 (1.32) | 11.93 (1.97) | 0.339 |
Creatinine, mg/dL (SD) | 0.85 (0.41) | 0.99 (0.76) | 0.403 |
eGFR, mL/min 1.73 m2 (SD) | 65.26 (20.09) | 61.95 (23.04) | 0.533 |
Care level (%) | |||
0 | 3 (11.5) | 7 (13.2) | 0.931 |
1 | 2 (7.7) | 4 (7.5) | |
2 | 6 (23.1) | 9 (17.0) | |
3 | 3 (11.5) | 10 (18.9) | |
4 | 7 (26.9) | 16 (30.2) | |
5 | 5 (19.2) | 7 (13.2) | |
Coming from home (%) | 13 (50.0) | 21 (39.6) | 0.47 |
FIM score at admission | |||
Cognitive domain | 20.08 (10.54) | 15.48 (10.89) | 0.08 |
Motor domain | 45.92 (30.92) | 38.29 (26.40) | 0.259 |
CCI. (%) | |||
Score = 4 | 6 (23.1) | 7 (13.2) | 0.702 |
Score = 5 | 9 (34.6) | 14 (26.4) | |
Score = 6 | 5 (19.2) | 13 (24.5) | |
Score = 7 | 4 (15.4) | 9 (17.0) | |
Score = 8 | 1 (3.8) | 7 (13.2) | |
Score = 9 | 1 (3.8) | 3 (5.7) | |
Dementia (%) | 9 (34.6) | 24 (45.3) | |
Diabetes (%) | 6 (23.1) | 10 (18.9) | |
Heart failure (%) | 3 (11.5) | 9 (17.0) | |
Brain stroke (%) | 10 (38.5) | 19 (35.8) | |
Hemiplegia (%) | 5 (19.2) | 12 (22.6) | |
Asthma (%) | 5 (19.2) | 5 (9.4) | |
Others (%) | 8 (30.7) | 30 (56.6) |
Outcome | Intervention | Control | p-Value |
---|---|---|---|
Admission duration, days (interquartile) | 61.50 (11.00, 480.00) | 30.00 (4.00, 422.00) | 0.008 |
Discharge from the hospital (%) | 15 (57.7) | 14 (26.4) | 0.012 |
Death at the hospital (%) | 9 (34.6) | 38 (71.7) | 0.003 |
No | Disease | n | Percentage | No | Disease | n | Percentage |
---|---|---|---|---|---|---|---|
1 | Aspiration pneumonia | 21 | 26.58% | 5 | Heart failure | 2 | 2.53% |
2 | Bacterial pneumonia | 20 | 25.32% | 5 | Brain stroke | 2 | 2.53% |
3 | Urinary tract infection | 13 | 16.47% | 5 | Dehydration | 2 | 2.53% |
4 | Femoral neck fracture | 3 | 3.80% | 5 | Appetite loss | 2 | 2.53% |
5 | Acute respiratory distress syndrome | 2 | 2.53% | 6 | Others | 27 | 34.18% |
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Shimizu, A.; Ohta, R.; Otani, H.; Sano, C. The Contribution of Temporal Flat Lateral Position on the Mortality and Discharge Rates of Older Patients with Severe Dysphagia. Int. J. Environ. Res. Public Health 2021, 18, 8443. https://doi.org/10.3390/ijerph18168443
Shimizu A, Ohta R, Otani H, Sano C. The Contribution of Temporal Flat Lateral Position on the Mortality and Discharge Rates of Older Patients with Severe Dysphagia. International Journal of Environmental Research and Public Health. 2021; 18(16):8443. https://doi.org/10.3390/ijerph18168443
Chicago/Turabian StyleShimizu, Akiko, Ryuichi Ohta, Hana Otani, and Chiaki Sano. 2021. "The Contribution of Temporal Flat Lateral Position on the Mortality and Discharge Rates of Older Patients with Severe Dysphagia" International Journal of Environmental Research and Public Health 18, no. 16: 8443. https://doi.org/10.3390/ijerph18168443