PDF(Pubmed)
Abstract：
This 1-year multicenter prospective cohort study aimed to determine the association between observable eating and swallowing function factors and outcomes (death/hospitalization or survival) among elderly persons in long-term care insurance facilities in Japan. Baseline assessments of factors, such as language, drooling, halitosis, hypersalivation, tongue movement, perioral muscle function, coughing, respiration after swallowing, rinsing, and oral residue, among others, were conducted. A score of 0 was considered positive, and a score of 1 or 2 was considered negative. Patient age, sex, body mass index, Barthel index, and Clinical Dementia Rating were recorded. The death/hospitalization or survival rates over 1 year were recorded, and patients were allocated into groups depending on the respective outcome (death/hospitalization group or survival group) and baseline characteristics. A total of 986 residents from 32 facilities were included, with 216 in the death/hospitalization group and 770 in the survival group. Language, salivation, halitosis, perioral muscle, coughing, respiration after swallowing, rinsing, and oral residue were significantly associated with the outcomes (p < 0.05). Therefore, routine performance of these simple assessments by caregivers may allow early detection and treatment to prevent death, pneumonia, aspiration, and malnutrition in elderly persons.
摘要：
这项为期1年的多中心前瞻性队列研究旨在确定日本长期护理保险机构中老年人可观察到的进食和吞咽功能因素与结果（死亡/住院或生存）之间的关系。因素的基线评估，如语言，流口水,口臭,唾液分泌过多,舌头运动,口周肌肉功能，咳嗽,吞咽后的呼吸，冲洗,和口腔残留物，其中,进行了。0分被认为是积极的，1分或2分被认为是阴性.患者年龄,性别,身体质量指数,Barthel指数,记录临床痴呆评分。记录1年以上的死亡/住院或生存率，根据各自的结局(死亡/住院组或生存组)和基线特征将患者分组.共包括来自32个设施的986名居民，死亡/住院组216例，存活组770例。语言,流涎,口臭,口周肌,咳嗽,吞咽后的呼吸，冲洗,和口服残留与结局显着相关（p<0.05）。因此,照护者进行这些简单评估的常规表现可能有助于早期发现和治疗以预防死亡，肺炎,抽吸,老年人营养不良。
