Physicians’ opinions regarding the criteria for resuming oral intake after aspiration pneumonia: A questionnaire survey and cluster analysis of hospitals across Japan

Abstract

Physicians consider several criteria during decision-making regarding oral intake resumption, which can be assigned to two clusters. Future studies are required to develop generalizable and objective criteria. Geriatr Gerontol Int 2017; 17: 810-818.

The Difference between Ideal and Actual Fasting Duration in the Treatment of Patients with Aspiration Pneumonia: A Nationwide Survey of Clinicians in Japan

“…We strongly agree with this result, and we believe that the fasting duration for aspiration pneumonia treatment should be as short as possible. In addition, in our previous study (Kenzaka et al 2016), we considered several criteria, including the level of consciousness, oxygen saturation (SpO 2 ), the discretion of the attending physician, body temperature, swallowing function test results, mental state, and respiratory rate, during decision-making regarding oral intake resumption.…”

“…However, to the best of our knowledge, there are few published English-or Japanese-language studies with regard to the fasting duration for the treatment of patients with aspiration pneumonia (Koyama et al 2015;Maeda et al 2016). Therefore, we conducted the present study to assess the opinions of clinicians regarding the fasting duration for the treatment of patients with aspiration pneumonia and the actual medical practice with regard to oral ingestion in hospitalized patients with aspiration pneumonia by using the same database as in our previous study (Kenzaka et al 2016).…”

A comparison of pneumonia care quality between general physicians and pulmonologists

“…Returning the administered questionnaire was considered as consent to participate by the participants. Details regarding fasting duration and resumption of oral intake following aspiration pneumonia have been published previously …”

Predictors for achieving oral intake in older patients with aspiration pneumonia: Videofluoroscopic evaluation of swallowing function

“…Given this, adequately predicting the acquisition of oral intake and appropriate management of hospitalized older patients with pneumonia are very important. However, there are no standard criteria for the decision regarding oral intake for patients with pneumonia, and the method of oral intake resumption is based on the attending clinician's judgment and experience . Few studies investigating the relationship between dysphagia and the achievement of oral intake in older hospitalized patients with pneumonia have been reported.…”

“…However, there are no standard criteria for the decision regarding oral intake for patients with pneumonia, and the method of oral intake resumption is based on the attending clinician's judgment and experience. 7 Few studies investigating the relationship between dysphagia and the achievement of oral intake in older hospitalized patients with pneumonia have been reported. Momosaki et al examined the predictors for the initiation of total oral intake after AP in older adults.…”