Effect of dysphagia rehabilitation in patients receiving enteral nutrition at home nursing care: A retrospective cohort study

Furuya, Hiroyasu; Kikutani, Takeshi; Igarashi, Kumi; Sagawa, Keiichiro; Yajima, Yuri; Machida, Reiko; Tohara, Takashi; Takahashi, Noriaki; Tamura, Fumio

doi:10.1111/joor.13030

Cited by 8 publications

(3 citation statements)

References 32 publications

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“…In addition to the score from the SARC-F questionnaire, this method also takes into account whether the patient is 75 years or older and whether the BMI is less than 21 kg/m 2 (33). Elderly people requiring care with a low BMI show a decline in ADL, swallowing function, and cognitive function, and often consume foods that do not require chewing ability (34). When validated in 959 patients with musculoskeletal diseases, the sensitivity, specificity, and AUC of the SARC-F+EBM diagnostic method were 0.778, 0.696, and 0.824, respectively, for the diagnosis of sarcopenia.…”

Section: Sarcopenia Detection Power Of the Sarc-f The Sarc-calf And The Sarc-ebmmentioning

confidence: 99%

Screening Tools for Sarcopenia

Nishikawa

Asai

Fukunishi

et al. 2021

In Vivo

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The elderly people are characterized by multiple comorbidities, dementia, and are at risk of developing sarcopenia and frailty. Sarcopenia is defined by loss of muscle mass and muscle strength or physical decline. Sarcopenia is a main component of physical frailty. Screening tools for sarcopenia that can be easily determined in daily practice are useful and include the SARC-F screening tool. SARC-F is a questionnaire consisting of five questions: Strength (S), Assistance walking (A), Rising from a chair (R), Climbing stairs (C), and Falls (F) on a scale of 0 to 2. The recommended cutoff value is ≥4 points. The SARC-F has been shown to correlate well with clinical outcomes in the elderly and various underlying diseases, while it is also true that the SARC-F has its shortcomings such as low sensitivity for sarcopenia. In this review, we mainly outline the SARC-F and mention other screening tools for sarcopenia.The aging of Japan's population continues to accelerate (1). According to the Japanese government report, the aging rate (65 years old or older) was 15.1% of the total population in 1996, but it increased significantly to 28.4% in 2019 (2). In addition, the estimated aging rate as of January 1997 is projected to be 27.4% in 2025, but as of 2019, it has already exceeded the projection. The number of people aged 65 or older will continue to increase, and is estimated to reach 33.3% in 2036 and 38.4% in 2065. In order to improve the quality of life (QOL) of the increasing number of elderly people, efforts have been made in the fields of health, medical care, and welfare to extend healthy life expectancy (the period of time during which there are no limitations in daily life), but there are still many issues to be addressed. The elderly people are characterized by multiple comorbidities, dementia, and risk of sarcopenia and frailty (3). In 2019, the Ministry of Health, Labour and Welfare (MHLW) in Japan published the "Guidelines for Health Services Based on the Characteristics of the Elderly, Version 2", and announced the strengthening of measures against frailty, especially for elderly people aged 75 or older. The guidelines newly added the implementation of "health checkups for frailty" with the aim of integrating health guidance and care prevention. Specifically, the report has recommended the use of a "questionnaire for the elderly aged 75 or older" focusing on frailty in health checkups and other examinations conducted by municipalities since fiscal 2020. This questionnaire is expected to help prevent and raise awareness of frailty among many elderly people. Early intervention through such efforts will lead to a prolongation in healthy life expectancy. In addition, sarcopenia is a condition that forms the basis of physical frailty (4). Sarcopenia leads to decreased physical activity, and decreased physical activity leads to sarcopenia. Both are involved in frailty, forming the so-called "frailty cycle" (4). On the other hand, the number of people aged 60 or older in the world was estimated to be 600 million ...

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Section: Sarcopenia Detection Power Of the Sarc-f The Sarc-calf And The Sarc-ebmmentioning

confidence: 99%

Screening Tools for Sarcopenia

Nishikawa

Asai

Fukunishi

et al. 2021

In Vivo

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“…Dysphagia is generally chronic but deteriorates with the worsening of cognition and functions in the progression of dementia or other neurological disorders [5,6]. Therefore, continuous monitoring or assessment could be necessary to identify the stage at high risk of choking or aspiration for timely management and rehabilitation [7,8]. In addition, dysphagia patients may be reluctant to eat due to the fear of choking, pain, or difficulty that causes malnutrition, dehydration, depression, and anorexia [9].…”

Section: Introductionmentioning

confidence: 99%

Swallow Detection with Acoustics and Accelerometric-Based Wearable Technology: A Scoping Review

Chan

Liu

et al. 2022

IJERPH

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Swallowing disorders, especially dysphagia, might lead to malnutrition and dehydration and could potentially lead to fatal aspiration. Benchmark swallowing assessments, such as videofluoroscopy or endoscopy, are expensive and invasive. Wearable technologies using acoustics and accelerometric sensors could offer opportunities for accessible and home-based long-term assessment. Identifying valid swallow events is the first step before enabling the technology for clinical applications. The objective of this review is to summarize the evidence of using acoustics-based and accelerometric-based wearable technology for swallow detection, in addition to their configurations, modeling, and assessment protocols. Two authors independently searched electronic databases, including PubMed, Web of Science, and CINAHL. Eleven (n = 11) articles were eligible for review. In addition to swallowing events, non-swallowing events were also recognized by dry (saliva) swallowing, reading, yawning, etc., while some attempted to classify the types of swallowed foods. Only about half of the studies reported that the device attained an accuracy level of >90%, while a few studies reported poor performance with an accuracy of <60%. The reviewed articles were at high risk of bias because of the small sample size and imbalanced class size problem. There was high heterogeneity in assessment protocol that calls for standardization for swallowing, dry-swallowing and non-swallowing tasks. There is a need to improve the current wearable technology and the credibility of relevant research for accurate swallowing detection before translating into clinical screening for dysphagia and other swallowing disorders.

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“…The increase in the older adult population made it necessary to turn an analytical eye on the aspects of aging 1 , particularly the feeding issues. During a hospital stay, the older adult can have difficulties ingesting food [2][3][4] . Hence, the conditions found in the literature [5][6][7] for the indication of alternative feeding routes (AFR) in older adults are decreased consciousness level, neurologic and/or respiratory changes, food refusal, and dementia.…”

Section: Introductionmentioning

confidence: 99%

Medical criteria to indicate and remove alternative feeding routes in hospitalized older adults

et al. 2020

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Purpose: to describe the medical criteria and the role of the speech therapist’s procedure in indicating and removing alternative feeding routes in older adults. Methods: a cross-sectional study conducted with the medical team of a public hospital. A questionnaire was administered with items on the medical criteria to indicate and remove alternative feeding routes and on the speech therapist’s work. Descriptive statistics were used for categorical variables in relative and absolute frequencies. Results: the data obtained from the participation of the 59 physicians enabled the main criteria for the indication of an alternative feeding route to be defined as follows: consciousness level, clinical condition, nutritional status, respiratory condition, and dysphagia assessment by a speech therapist. The main criteria for the removal of the alternative feeding route were the stable clinical and respiratory conditions, adequate nutritional support, and recommendation by a speech therapist. Conclusion: the clinical and respiratory conditions, nutritional status, and the speech therapist’s procedure were the main criteria considered by the medical team in the decisions to indicate and remove the alternative feeding route. The work of the speech therapist was relevant in both medical decisions, regarding the alternative feeding route in older patients.

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Effect of dysphagia rehabilitation in patients receiving enteral nutrition at home nursing care: A retrospective cohort study

Cited by 8 publications

References 32 publications

Screening Tools for Sarcopenia

Screening Tools for Sarcopenia

Swallow Detection with Acoustics and Accelerometric-Based Wearable Technology: A Scoping Review

Medical criteria to indicate and remove alternative feeding routes in hospitalized older adults

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