Effect of starting oral intake on weekends on the clinical course of patients with aspiration pneumonia

Tsuneaki Kenzaka,1,2 Ayako Kumabe,2 Koki Kosami,2 Yuki Ueda,2 Takeshi Takahashi,3 Yuya Yamamoto,4 Yurika Hayashi,4 Akihito Kitao,4 Masanobu Okayama5 1Division of Community Medicine and Career Development, Kobe University Graduate School of Medicine, Kobe, Japan; 2Division of General Medicine, Cente...

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Autores principales:	Kenzaka T, Kumabe A, Kosami K, Ueda Y, Takahashi T, Yamamoto Y, Hayashi Y, Kitao A, Okayama M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	discontinuation of oral intake hospital duration health economics weekend Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/329485d799f5412893582ae26d4ca17f
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spelling	oai:doaj.org-article:329485d799f5412893582ae26d4ca17f2021-12-02T05:34:34ZEffect of starting oral intake on weekends on the clinical course of patients with aspiration pneumonia1178-1998https://doaj.org/article/329485d799f5412893582ae26d4ca17f2018-05-01T00:00:00Zhttps://www.dovepress.com/effect-of-starting-oral-intake-on-weekends-on-the-clinical-course-of-p-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Tsuneaki Kenzaka,1,2 Ayako Kumabe,2 Koki Kosami,2 Yuki Ueda,2 Takeshi Takahashi,3 Yuya Yamamoto,4 Yurika Hayashi,4 Akihito Kitao,4 Masanobu Okayama5 1Division of Community Medicine and Career Development, Kobe University Graduate School of Medicine, Kobe, Japan; 2Division of General Medicine, Center for Community Medicine, Jichi Medical University School of Medicine, Shimotsuke, Japan; 3Department of Community and Family Medicine, Yuzawa Community Medical Center, Yuzawa, Japan; 4Department of General Medicine, Toyooka Public Hospital, Toyooka, Japan; 5Division of Community Medicine and Medical Education, Kobe University Graduate School of Medicine, Kobe, Japan Purpose: The aim of this study was to investigate whether the day of starting oral intake affects the clinical course of patients with aspiration pneumonia.Patients and methods: We conducted a retrospective cohort study of 392 patients who were hospitalized for aspiration pneumonia but tolerated oral intake. Patients were divided into two groups according to the day of starting oral intake: Monday to Friday (midweek group) and Saturday or Sunday (weekend group). Underlying diseases, severity of pneumonia, time to oral intake, hospital duration, discontinuation of oral intake, and death during hospitalization were compared between the groups. Multivariate analysis was performed using hospital duration and discontinuation of oral intake due to aspiration as the dependent variables.Results: The cohort comprised 244 men and 148 women with a mean age of 79.3 ± 13.1 years. The weekend (n = 98) and midweek (n = 294) groups exhibited similar age, sex, and underlying diseases. There were no significant differences in pneumonia-related factors, such as CURB-65 score, A-DROP score, extent of shadow on chest radiograph, incidence of bacteremia, and ventilator use. The weekend group exhibited a significantly shorter time to oral intake and hospital duration, as well as a significantly lower incidence of discontinuation of oral intake than the midweek group. Multivariate analysis revealed that starting oral intake on the weekend was independently associated with a lower incidence of discontinuation of oral intake due to aspiration. Conclusion: The weekend group exhibited a shorter total hospital duration and a lower incidence of discontinuation of oral intake due to aspiration. Keywords: discontinuation of oral intake, hospital duration, health economics, weekendKenzaka TKumabe AKosami KUeda YTakahashi TYamamoto YHayashi YKitao AOkayama MDove Medical Pressarticlediscontinuation of oral intakehospital durationhealth economicsweekendGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 895-901 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	discontinuation of oral intake hospital duration health economics weekend Geriatrics RC952-954.6
spellingShingle	discontinuation of oral intake hospital duration health economics weekend Geriatrics RC952-954.6 Kenzaka T Kumabe A Kosami K Ueda Y Takahashi T Yamamoto Y Hayashi Y Kitao A Okayama M Effect of starting oral intake on weekends on the clinical course of patients with aspiration pneumonia
description	Tsuneaki Kenzaka,1,2 Ayako Kumabe,2 Koki Kosami,2 Yuki Ueda,2 Takeshi Takahashi,3 Yuya Yamamoto,4 Yurika Hayashi,4 Akihito Kitao,4 Masanobu Okayama5 1Division of Community Medicine and Career Development, Kobe University Graduate School of Medicine, Kobe, Japan; 2Division of General Medicine, Center for Community Medicine, Jichi Medical University School of Medicine, Shimotsuke, Japan; 3Department of Community and Family Medicine, Yuzawa Community Medical Center, Yuzawa, Japan; 4Department of General Medicine, Toyooka Public Hospital, Toyooka, Japan; 5Division of Community Medicine and Medical Education, Kobe University Graduate School of Medicine, Kobe, Japan Purpose: The aim of this study was to investigate whether the day of starting oral intake affects the clinical course of patients with aspiration pneumonia.Patients and methods: We conducted a retrospective cohort study of 392 patients who were hospitalized for aspiration pneumonia but tolerated oral intake. Patients were divided into two groups according to the day of starting oral intake: Monday to Friday (midweek group) and Saturday or Sunday (weekend group). Underlying diseases, severity of pneumonia, time to oral intake, hospital duration, discontinuation of oral intake, and death during hospitalization were compared between the groups. Multivariate analysis was performed using hospital duration and discontinuation of oral intake due to aspiration as the dependent variables.Results: The cohort comprised 244 men and 148 women with a mean age of 79.3 ± 13.1 years. The weekend (n = 98) and midweek (n = 294) groups exhibited similar age, sex, and underlying diseases. There were no significant differences in pneumonia-related factors, such as CURB-65 score, A-DROP score, extent of shadow on chest radiograph, incidence of bacteremia, and ventilator use. The weekend group exhibited a significantly shorter time to oral intake and hospital duration, as well as a significantly lower incidence of discontinuation of oral intake than the midweek group. Multivariate analysis revealed that starting oral intake on the weekend was independently associated with a lower incidence of discontinuation of oral intake due to aspiration. Conclusion: The weekend group exhibited a shorter total hospital duration and a lower incidence of discontinuation of oral intake due to aspiration. Keywords: discontinuation of oral intake, hospital duration, health economics, weekend
format	article
author	Kenzaka T Kumabe A Kosami K Ueda Y Takahashi T Yamamoto Y Hayashi Y Kitao A Okayama M
author_facet	Kenzaka T Kumabe A Kosami K Ueda Y Takahashi T Yamamoto Y Hayashi Y Kitao A Okayama M
author_sort	Kenzaka T
title	Effect of starting oral intake on weekends on the clinical course of patients with aspiration pneumonia
title_short	Effect of starting oral intake on weekends on the clinical course of patients with aspiration pneumonia
title_full	Effect of starting oral intake on weekends on the clinical course of patients with aspiration pneumonia
title_fullStr	Effect of starting oral intake on weekends on the clinical course of patients with aspiration pneumonia
title_full_unstemmed	Effect of starting oral intake on weekends on the clinical course of patients with aspiration pneumonia
title_sort	effect of starting oral intake on weekends on the clinical course of patients with aspiration pneumonia
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/329485d799f5412893582ae26d4ca17f
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Effect of starting oral intake on weekends on the clinical course of patients with aspiration pneumonia

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