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Extremely Poor Post-discharge Prognosis in Aspiration Pneumonia and Its Prognostic Factors: A Retrospective Cohort Study.
http://hdl.handle.net/10271/0002000475
http://hdl.handle.net/10271/0002000475e96e364c-8a76-413c-a314-b73faa78dfe1
| 名前 / ファイル | ライセンス | アクション |
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Dysphagia-39-837.pdf (422 KB)
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| Item type | 共通アイテムタイプ / Common item types(1) | |||||||||||||||||
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| 公開日 | 2025-10-22 | |||||||||||||||||
| タイトル | ||||||||||||||||||
| タイトル | Extremely Poor Post-discharge Prognosis in Aspiration Pneumonia and Its Prognostic Factors: A Retrospective Cohort Study. | |||||||||||||||||
| 言語 | ||||||||||||||||||
| 言語 | eng | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 主題 | aspiration pneumonia | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 主題 | pneumonia | |||||||||||||||||
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| 主題 | dysphagia | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 主題 | alternative nutrition | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 主題 | terminal care | |||||||||||||||||
| 資源タイプ | ||||||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||
| 資源タイプ | journal article | |||||||||||||||||
| アクセス権 | ||||||||||||||||||
| アクセス権 | open access | |||||||||||||||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||||||||||||
| 著者 |
Honda, Yuki
× Honda, Yuki
× Homma, Yoichiro
× Nakamura, Mieko
× Ojima, Toshiyuki
× Saito, Kazuhito
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| 著者情報 |
本田, 優希
× 本田, 優希
× 尾島, 俊之
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| 書誌情報 |
en : Dysphagia 巻 39, 号 5, p. 837-845, 発行日 2024-10 |
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| 出版者 | ||||||||||||||||||
| 出版者 | Springer Nature | |||||||||||||||||
| 権利 | ||||||||||||||||||
| 権利情報 | This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: https://doi.org/10.1007/s00455-023-10665-z | |||||||||||||||||
| 抄録 | ||||||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||||||
| 内容記述 | Aim There is little evidence regarding the long-term prognosis of patients with aspiration pneumonia. This study aimed to investigate post-discharge survival time and prognostic factors in older patients hospitalized for aspiration pneumonia. Methods This retrospective cohort study included patients aged ≥65 years hospitalized for aspiration pneumonia and discharged alive from a tertiary care hospital in Japan between April 2009 and September 2014. Candidate prognostic factors were patient’s age, sex, body mass index (BMI), performance status, chronic conditions, CURB-65 score, serum albumin level, hematocrit concentration, nutritional pathway at discharge, and discharge location. Kaplan–Meier curves were determined, and multivariable survival analysis using Cox regression model was performed to analyze the effect of each factor on mortality. Results In total, 209 patients were included in this study. The median age was 85 years, 58% of the patients were males, 33% had a performance status of 4, and 34% were discharged home. Among the patients, 65% received oral intake, 23% received tube feeding, and 21% received parenteral nutrition at discharge. During the follow-up period, 77% of the patients died, and the median post-discharge survival time was 369 days. Besides male sex and low BMI, tube feeding (adjusted hazard ratio [aHR]= 1.70, 95% confidence interval [CI]:1.11–2.59) and parenteral nutrition (aHR= 4.42, 95% CI:2.57–7.60) were strongly associated with mortality. Conclusions Long-term prognosis of patients hospitalized for aspiration pneumonia was extremely poor. The nutritional pathway at discharge was a major prognostic factor. These results may be useful for future care and research. |
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| PISSN | ||||||||||||||||||
| 収録物識別子 | 0179-051X | |||||||||||||||||
| EISSN | ||||||||||||||||||
| 収録物識別子 | 1432-0460 | |||||||||||||||||
| NII書誌ID (NCID) | ||||||||||||||||||
| 収録物識別子 | AA10674017 | |||||||||||||||||
| PubMed番号 (PMID) | ||||||||||||||||||
| 関連識別子 | 38388805 | |||||||||||||||||
| 出版社DOI | ||||||||||||||||||
| 関連識別子 | https://doi.org/10.1007/s00455-023-10665-z | |||||||||||||||||
| 出版タイプ | ||||||||||||||||||
| 出版タイプ | AM | |||||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||||||||||||||
