Characteristics of aspiration pneumonia patients in acute care hospitals: A multicenter, retrospective survey in Northern Japan.
<h4>Background</h4>Pneumonia is a common cause of illness and death of the elderly in Japan. Its prevalence is escalating globally with the aging of population. To describe the latest trends in pneumonia hospitalizations, especially aspiration pneumonia (AP) cases, we assessed the clinic...
Guardado en:
| Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Public Library of Science (PLoS)
2021
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/3f036c3742b34b7689ba042bab7d3a0f |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:doaj.org-article:3f036c3742b34b7689ba042bab7d3a0f |
|---|---|
| record_format |
dspace |
| spelling |
oai:doaj.org-article:3f036c3742b34b7689ba042bab7d3a0f2021-12-02T20:08:50ZCharacteristics of aspiration pneumonia patients in acute care hospitals: A multicenter, retrospective survey in Northern Japan.1932-620310.1371/journal.pone.0254261https://doaj.org/article/3f036c3742b34b7689ba042bab7d3a0f2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254261https://doaj.org/toc/1932-6203<h4>Background</h4>Pneumonia is a common cause of illness and death of the elderly in Japan. Its prevalence is escalating globally with the aging of population. To describe the latest trends in pneumonia hospitalizations, especially aspiration pneumonia (AP) cases, we assessed the clinical records of pneumonia patients admitted to core acute care hospitals in Miyagi prefecture, Japan.<h4>Methods</h4>A retrospective multi-institutional joint research was conducted for hospitalized pneumonia patients aged ≥20 years from January 2019 to December 2019. Clinical data of patients were collected from the medical records of eight acute care hospitals.<h4>Results</h4>Out of the 1,800 patients included in this study, 79% of the hospitalized pneumonia patients were aged above 70 years. The most common age group was in the 80s. The ratio of AP to total pneumonia cases increased with age, and 692 out of 1,800 patients had AP. In univariate analysis, these patients had significantly older ages, lower body mass index (BMI), a lower ratio of normal diet intake and homestay before hospitalization, along with more AP recurrences and comorbidities. During hospitalization, AP patients had extended fasting periods, more swallowing assessments and interventions, longer hospitalization, and higher in-hospital mortality rate than non-AP patients. A total of 7% and 2% AP patients underwent video endoscopy and video fluorography respectively. In multivariate analysis, lower BMI, lower C-reactive protein, a lower ratio of homestay before hospitalization, a higher complication rate of cerebrovascular disease, dementia, and neuromuscular disease were noted as a characteristic of AP patients. Swallowing interventions were performed for 51% of the AP patients who had been hospitalized for more than two weeks. In univariate analysis, swallowing intervention improved in-hospital mortality. Lower AP recurrence before hospitalization and a lower ratio of homestay before hospitalization were indicated as characteristics of AP patients of the swallowing intervention group from multivariate analysis. Change in dietary pattern from normal to modified diet was observed more frequently in the swallowing intervention group.<h4>Conclusion</h4>AP accounts for 38.4% of all pneumonia cases in acute care hospitals in Northern Japan. The use of swallowing evaluations and interventions, which may reduce the risk of dysphagia and may associate with lowering mortality in AP patients, is still not widespread.Jun SuzukiRyoukichi IkedaKengo KatoRisako KakutaYuta KobayashiAkira OhkoshiRyo IshiiAi Hirano-KawamotoJun OhtaRei KawataTomonori KanbayashiMasaki HatanoTadahisa ShishidoYuya MiyakuraKento IshigakiYasunari YamauchiMiho NakazumiTakuya EndoHiroki TozukaShiori KitayaYuki NumanoShotaro KoizumiYutaro SaitoMutsuki UnumaKen HashimotoEiichi IshidaToshiaki KikuchiTakayuki KudoKenichi WatanabeMasaki OguraMasaru TatedaTakatsuna SasakiNobuo OhtaTatsuma OkazakiYukio KatoriPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254261 (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
Medicine R Science Q |
| spellingShingle |
Medicine R Science Q Jun Suzuki Ryoukichi Ikeda Kengo Kato Risako Kakuta Yuta Kobayashi Akira Ohkoshi Ryo Ishii Ai Hirano-Kawamoto Jun Ohta Rei Kawata Tomonori Kanbayashi Masaki Hatano Tadahisa Shishido Yuya Miyakura Kento Ishigaki Yasunari Yamauchi Miho Nakazumi Takuya Endo Hiroki Tozuka Shiori Kitaya Yuki Numano Shotaro Koizumi Yutaro Saito Mutsuki Unuma Ken Hashimoto Eiichi Ishida Toshiaki Kikuchi Takayuki Kudo Kenichi Watanabe Masaki Ogura Masaru Tateda Takatsuna Sasaki Nobuo Ohta Tatsuma Okazaki Yukio Katori Characteristics of aspiration pneumonia patients in acute care hospitals: A multicenter, retrospective survey in Northern Japan. |
| description |
<h4>Background</h4>Pneumonia is a common cause of illness and death of the elderly in Japan. Its prevalence is escalating globally with the aging of population. To describe the latest trends in pneumonia hospitalizations, especially aspiration pneumonia (AP) cases, we assessed the clinical records of pneumonia patients admitted to core acute care hospitals in Miyagi prefecture, Japan.<h4>Methods</h4>A retrospective multi-institutional joint research was conducted for hospitalized pneumonia patients aged ≥20 years from January 2019 to December 2019. Clinical data of patients were collected from the medical records of eight acute care hospitals.<h4>Results</h4>Out of the 1,800 patients included in this study, 79% of the hospitalized pneumonia patients were aged above 70 years. The most common age group was in the 80s. The ratio of AP to total pneumonia cases increased with age, and 692 out of 1,800 patients had AP. In univariate analysis, these patients had significantly older ages, lower body mass index (BMI), a lower ratio of normal diet intake and homestay before hospitalization, along with more AP recurrences and comorbidities. During hospitalization, AP patients had extended fasting periods, more swallowing assessments and interventions, longer hospitalization, and higher in-hospital mortality rate than non-AP patients. A total of 7% and 2% AP patients underwent video endoscopy and video fluorography respectively. In multivariate analysis, lower BMI, lower C-reactive protein, a lower ratio of homestay before hospitalization, a higher complication rate of cerebrovascular disease, dementia, and neuromuscular disease were noted as a characteristic of AP patients. Swallowing interventions were performed for 51% of the AP patients who had been hospitalized for more than two weeks. In univariate analysis, swallowing intervention improved in-hospital mortality. Lower AP recurrence before hospitalization and a lower ratio of homestay before hospitalization were indicated as characteristics of AP patients of the swallowing intervention group from multivariate analysis. Change in dietary pattern from normal to modified diet was observed more frequently in the swallowing intervention group.<h4>Conclusion</h4>AP accounts for 38.4% of all pneumonia cases in acute care hospitals in Northern Japan. The use of swallowing evaluations and interventions, which may reduce the risk of dysphagia and may associate with lowering mortality in AP patients, is still not widespread. |
| format |
article |
| author |
Jun Suzuki Ryoukichi Ikeda Kengo Kato Risako Kakuta Yuta Kobayashi Akira Ohkoshi Ryo Ishii Ai Hirano-Kawamoto Jun Ohta Rei Kawata Tomonori Kanbayashi Masaki Hatano Tadahisa Shishido Yuya Miyakura Kento Ishigaki Yasunari Yamauchi Miho Nakazumi Takuya Endo Hiroki Tozuka Shiori Kitaya Yuki Numano Shotaro Koizumi Yutaro Saito Mutsuki Unuma Ken Hashimoto Eiichi Ishida Toshiaki Kikuchi Takayuki Kudo Kenichi Watanabe Masaki Ogura Masaru Tateda Takatsuna Sasaki Nobuo Ohta Tatsuma Okazaki Yukio Katori |
| author_facet |
Jun Suzuki Ryoukichi Ikeda Kengo Kato Risako Kakuta Yuta Kobayashi Akira Ohkoshi Ryo Ishii Ai Hirano-Kawamoto Jun Ohta Rei Kawata Tomonori Kanbayashi Masaki Hatano Tadahisa Shishido Yuya Miyakura Kento Ishigaki Yasunari Yamauchi Miho Nakazumi Takuya Endo Hiroki Tozuka Shiori Kitaya Yuki Numano Shotaro Koizumi Yutaro Saito Mutsuki Unuma Ken Hashimoto Eiichi Ishida Toshiaki Kikuchi Takayuki Kudo Kenichi Watanabe Masaki Ogura Masaru Tateda Takatsuna Sasaki Nobuo Ohta Tatsuma Okazaki Yukio Katori |
| author_sort |
Jun Suzuki |
| title |
Characteristics of aspiration pneumonia patients in acute care hospitals: A multicenter, retrospective survey in Northern Japan. |
| title_short |
Characteristics of aspiration pneumonia patients in acute care hospitals: A multicenter, retrospective survey in Northern Japan. |
| title_full |
Characteristics of aspiration pneumonia patients in acute care hospitals: A multicenter, retrospective survey in Northern Japan. |
| title_fullStr |
Characteristics of aspiration pneumonia patients in acute care hospitals: A multicenter, retrospective survey in Northern Japan. |
| title_full_unstemmed |
Characteristics of aspiration pneumonia patients in acute care hospitals: A multicenter, retrospective survey in Northern Japan. |
| title_sort |
characteristics of aspiration pneumonia patients in acute care hospitals: a multicenter, retrospective survey in northern japan. |
| publisher |
Public Library of Science (PLoS) |
| publishDate |
2021 |
| url |
https://doaj.org/article/3f036c3742b34b7689ba042bab7d3a0f |
| work_keys_str_mv |
AT junsuzuki characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT ryoukichiikeda characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT kengokato characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT risakokakuta characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT yutakobayashi characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT akiraohkoshi characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT ryoishii characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT aihiranokawamoto characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT junohta characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT reikawata characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT tomonorikanbayashi characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT masakihatano characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT tadahisashishido characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT yuyamiyakura characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT kentoishigaki characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT yasunariyamauchi characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT mihonakazumi characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT takuyaendo characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT hirokitozuka characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT shiorikitaya characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT yukinumano characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT shotarokoizumi characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT yutarosaito characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT mutsukiunuma characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT kenhashimoto characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT eiichiishida characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT toshiakikikuchi characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT takayukikudo characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT kenichiwatanabe characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT masakiogura characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT masarutateda characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT takatsunasasaki characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT nobuoohta characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT tatsumaokazaki characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan AT yukiokatori characteristicsofaspirationpneumoniapatientsinacutecarehospitalsamulticenterretrospectivesurveyinnorthernjapan |
| _version_ |
1718375119121809408 |