Cognitive impairment has no impact on hospital‐associated dysphagia in aspiration pneumonia patients

Maeda, Keisuke; Wakabayashi, Hidetaka; Shamoto, Hiroshi; Akagi, Junji

doi:10.1111/ggi.13164

Cited by 16 publications

(18 citation statements)

References 28 publications

(34 reference statements)

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“…however, those with head and neck cancer tended to exhibit poor FOIS scores, which was consistent with the ndings of previous studies [30,31]. satisfaction, type of housing, number of cohabitants, and perceived satisfaction with social support) and dental status [32][33][34][35][36][37].…”

Section: Generalizability From the Demographic Datasupporting

confidence: 88%

Relationship between the Functional Oral Intake Scale and Self-efficacy Scale among Patients with Cancer: A Cross-sectional study

Matsuda

Karino

Kanno

2020

Preprint

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Background: A few studies suggest that self-efficacy pertaining to swallowing ability can lead to dysphagia. Therefore, this cross-sectional study verified the relationship between oral health-related self-efficacy and dysphagia severity during cancer treatment. Methods: Participants included patients undergoing treatment for cancer at Shimane University Hospital, Shimane, Japan, and those receiving outpatient treatment at the hospital’s Oral Care Center between August 2018 and April 2019. In all, 203 participants enrolled in the study and completed the Functional Oral Intake Scale (FOIS), Self-efficacy Scale for Advanced Cancer (SEAC), and Oral Health-related Self-Efficacy Scale for Patients with Cancer (OSEC). Results: A multivariate analysis showed a statistically significant correlation between the low FOIS score category and the SEAC subscales of Activities of Daily Living Self-efficacy (ADE) (odds ratio 1.04, 95% confidence interval [CI] 1.00–1.07) and Symptom Coping Self-efficacy (SCE) (odds ratio 0.61, 95% [CI] 0.42–0.88). Based on the Jonckheere-Terpstra test, the SEAC and OSEC scores tended to increase as the FOIS category progressed. Conclusion: These findings suggest that self-efficacy played an important role in dysphagia and it may affect the severity of dysphagia.

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Section: Generalizability From the Demographic Datasupporting

confidence: 88%

Relationship between the Functional Oral Intake Scale and Self-efficacy Scale among Patients with Cancer: A Cross-sectional study

Matsuda

Karino

Kanno

2020

Preprint

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“…Activity-and nutrition-related unfavorable conditions were independently associated with swallowing disorder development, and in the subgroup analysis, the simplified diagnosis of sarcopenia also predicted the development of such a condition. The results indicated that hospital-associated dysphagia, referring to a swallowing disorder acquired during hospitalization [13], mostly seemed to be sarcopenic dysphagia. A previous study investigating older inpatients with were prohibited oral ingestion at admission to the hospital reported that only patients with sarcopenia developed swallowing disorders within two months, and lower muscle mass and poorer physical function were the predictors of sarcopenic dysphagia [12].…”

Section: Discussionmentioning

confidence: 96%

“…Hospitalization may accelerate the development of sarcopenic dysphagia, which is a swallowing disorder due to sarcopenia [13]. Several studies have reported that hospitalization reduces the muscle mass and strength of older inpatients [14,15], which could have resulted from insufficient nutrition, forced bedrest, and the presence of diseases causing sarcopenia during hospitalization.…”

Section: Introductionmentioning

confidence: 99%

Development and Predictors of Sarcopenic Dysphagia during Hospitalization of Older Adults

et al. 2019

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The study aimed to investigate the impact of sarcopenia and sarcopenia-related conditions on the development of swallowing disorders during hospitalization. Older adult inpatients (n = 8768) without swallowing disorders in the premorbid period were studied. Sarcopenia-related conditions were evaluated in terms of nutritional status, physical status, and ambulatory conditions as well as hand-grip strength and muscle mass assessed by calf circumference. Development of swallowing disorders was defined based on food texture at discharge from the hospital. The patients’ mean age was 76.1 ± 6.9 years. A total of 374 (4.3%) patients developed swallowing disorders during hospitalization. They were older, with poorer nutritional status, and had more decline of physical performance than those without swallowing disorders. Performance Status score (odds ratio (OR) = 1.28 (1.12–1.46) p < 0.001), ambulatory dependency (OR = 1.72 (1.09–2.71), p = 0.020), malnutrition score (OR = 0.92 (0.87–0.97), p = 0.002), insufficient nutritional intake (OR = 2.33 (1.60–3.40), p < 0.001), and length of stay (OR = 1.01 (1.00–1.01), p = 0.001) were independent contributing factors for swallowing disorder development in the multivariate analysis. The presence of possible sarcopenia was also a contributor to swallowing disorder development. In conclusion, swallowing disorders could develop in patients with possible sarcopenia and sarcopenia-related conditions during hospitalization. Clinicians should be aware of this risk and provide appropriate interventions to prevent sarcopenic dysphagia.

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“…Nine studies used the Mini‐Mental Status Examination (MMSE) to assess cognitive disorder, 7,10,16–22 and one study used the Montreal Cognitive Assessment 6 …”

Section: Resultsmentioning

confidence: 99%

Association between swallowing disorders and cognitive disorders in adults: a systematic review and meta‐analysis

2021

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There is no consensus regarding the association between dysphagia and cognition. The aim of this study was to quantitatively and qualitatively analyze the available evidence on the direction and strength of the association between dysphagia and cognition. PubMed, Scopus, Embase, and Web of Science were searched for studies about the association between dysphagia and cognition. A random effects model was used to determine weighted odds ratios and 95% confidence intervals. Sensitivity analysis was performed to determine the impact of each individual study on the pooled results. A total of 1427 participants showed that some cognitive disorders were significantly associated with dysphagia (odds ratio = 3.23, 95% confidence interval: 2.33–4.48). The association between cognition and swallowing disorders suggests that multiple neuroanatomical systems are involved in these two functions.

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Cognitive impairment has no impact on hospital‐associated dysphagia in aspiration pneumonia patients

Abstract: The severity of cognitive impairment has no impact on hospital-associated dysphagia in AP patients receiving dysphagia rehabilitation. A future interventional study will be expected to further validate our findings. Geriatr Gerontol Int 2018; 18: 233-239.

Cited by 16 publications

References 28 publications

Relationship between the Functional Oral Intake Scale and Self-efficacy Scale among Patients with Cancer: A Cross-sectional study

Relationship between the Functional Oral Intake Scale and Self-efficacy Scale among Patients with Cancer: A Cross-sectional study

Development and Predictors of Sarcopenic Dysphagia during Hospitalization of Older Adults

Association between swallowing disorders and cognitive disorders in adults: a systematic review and meta‐analysis

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