A Simple Assessment of the Eating and Swallowing Functions in Elderly Patients with Pneumonia
It is important to assess the eating and swallowing functions of elderly people because they often develop aspiration pneumonia due to dysphagia. The most reliable modalities for assessing the eating and swallowing functions are videofluoroscopic examinations and videoendoscopic evaluations; however...
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| Published in | Journal of UOEH Vol. 41; no. 3; pp. 283 - 294 |
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| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
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The University of Occupational and Environmental Health, Japan
01.09.2019
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| Online Access | Get full text |
| ISSN | 0387-821X 2187-2864 |
| DOI | 10.7888/juoeh.41.283 |
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| Abstract | It is important to assess the eating and swallowing functions of elderly people because they often develop aspiration pneumonia due to dysphagia. The most reliable modalities for assessing the eating and swallowing functions are videofluoroscopic examinations and videoendoscopic evaluations; however, these diagnostic modalities often cannot be performed in elderly people. Therefore, we established the Assessment of Swallowing Ability for Pneumonia (ASAP), which is an assessment of eating and swallowing functions in elderly patients with pneumonia that can be conducted by all health care professionals, and examined the usefulness thereof. The subjects included 130 patients with pneumonia (58 males, 72 females, average age: 82.2 ± 13.0) who had been admitted to the internal medicine department at our hospital between January 2016 and June 2016. The coefficient of correlation between ASAP and the Mann Assessment of Swallowing Ability (MASA) was 0.97, indicating a strong correlation, and the area under the curves (AUC) between the ASAP and the degrees of severity were 0.98, 0.95, and 0.94, respectively. We suggest that ASAP can be useful as a modality for assessing the eating and swallowing functions in elderly patients with pneumonia. |
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| AbstractList | It is important to assess the eating and swallowing functions of elderly people because they often develop aspiration pneumonia due to dysphagia. The most reliable modalities for assessing the eating and swallowing functions are videofluoroscopic examinations and videoendoscopic evaluations; however, these diagnostic modalities often cannot be performed in elderly people. Therefore, we established the Assessment of Swallowing Ability for Pneumonia (ASAP), which is an assessment of eating and swallowing functions in elderly patients with pneumonia that can be conducted by all health care professionals, and examined the usefulness thereof. The subjects included 130 patients with pneumonia (58 males, 72 females, average age: 82.2 ± 13.0) who had been admitted to the internal medicine department at our hospital between January 2016 and June 2016. The coefficient of correlation between ASAP and the Mann Assessment of Swallowing Ability (MASA) was 0.97, indicating a strong correlation, and the area under the curves (AUC) between the ASAP and the degrees of severity were 0.98, 0.95, and 0.94, respectively. We suggest that ASAP can be useful as a modality for assessing the eating and swallowing functions in elderly patients with pneumonia. It is important to assess the eating and swallowing functions of elderly people because they often develop aspiration pneumonia due to dysphagia. The most reliable modalities for assessing the eating and swallowing functions are videofluoroscopic examinations and videoendoscopic evaluations; however, these diagnostic modalities often cannot be performed in elderly people. Therefore, we established the Assessment of Swallowing Ability for Pneumonia (ASAP), which is an assessment of eating and swallowing functions in elderly patients with pneumonia that can be conducted by all health care professionals, and examined the usefulness thereof. The subjects included 130 patients with pneumonia (58 males, 72 females, average age: 82.2 ± 13.0) who had been admitted to the internal medicine department at our hospital between January 2016 and June 2016. The coefficient of correlation between ASAP and the Mann Assessment of Swallowing Ability (MASA) was 0.97, indicating a strong correlation, and the area under the curves (AUC) between the ASAP and the degrees of severity were 0.98, 0.95, and 0.94, respectively. We suggest that ASAP can be useful as a modality for assessing the eating and swallowing functions in elderly patients with pneumonia.It is important to assess the eating and swallowing functions of elderly people because they often develop aspiration pneumonia due to dysphagia. The most reliable modalities for assessing the eating and swallowing functions are videofluoroscopic examinations and videoendoscopic evaluations; however, these diagnostic modalities often cannot be performed in elderly people. Therefore, we established the Assessment of Swallowing Ability for Pneumonia (ASAP), which is an assessment of eating and swallowing functions in elderly patients with pneumonia that can be conducted by all health care professionals, and examined the usefulness thereof. The subjects included 130 patients with pneumonia (58 males, 72 females, average age: 82.2 ± 13.0) who had been admitted to the internal medicine department at our hospital between January 2016 and June 2016. The coefficient of correlation between ASAP and the Mann Assessment of Swallowing Ability (MASA) was 0.97, indicating a strong correlation, and the area under the curves (AUC) between the ASAP and the degrees of severity were 0.98, 0.95, and 0.94, respectively. We suggest that ASAP can be useful as a modality for assessing the eating and swallowing functions in elderly patients with pneumonia. |
| Author | CHOJIN, Yasuo HASHIKI, Satomi KAWANISHI, Miki KOJIRO, Misato KATO, Tatsuji RIKIHISA, Mariko OMORI, Masami |
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| CitedBy_id | crossref_primary_10_1016_j_resinv_2021_06_012 crossref_primary_10_3390_nursrep12020025 crossref_primary_10_1016_j_resinv_2023_06_008 |
| Cites_doi | 10.1016/j.jcrc.2014.07.011 10.1007/BF02414428 10.1044/1058-0360(2011/10-0082) 10.1093/gerona/glt099 10.1016/j.clnu.2008.06.011 10.14336/AD.2017.0102 10.1111/ggi.12755 10.1007/BF02493526 10.1016/S0167-4943(09)00302-1 10.1159/000348683 10.1016/j.apmr.2004.11.049 10.1046/j.1365-2702.2001.00501.x 10.1161/STROKEAHA.107.510370 10.1378/chest.124.1.328 10.1016/S0140-6736(09)61460-4 |
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| References | 12. Mann G (2002): MASA: The Mann assessment of swallowing ability. Thomson Learning Inc, NY 56 pp 14. González Fernández M, Sein MT & Palmer JB (2011): Clinical experience using the Mann assessment of swallowing ability for identification of patients at risk for aspiration in a mixed-disease population. Am J Speech Lang Pathol 20: 331–336 17. The Japanese Respiratory Society (2017): The JRS Guidelines for the Management of Pneumonia in Adults. Medical Review, Tokyo 175 pp (in Japanese) 3. Leopold NA & Kagel MC (1983): Swallowing, ingestion and dysphagia: A reappraisal. Arch Phys Med Rehabil 64: 371–373 7. DiBardino DM & Wunderink RG (2015): Aspiration pneumonia: A review of modern trends. J Crit Care 30: 40–48 9. Osawa A, Maeshima S & Tanahashi N (2013): Water-swallowing test: Screening for aspiration in stroke patients. Cerebrovasc Dis 35: 276–281 11. Martino R, Silver F, Teasell R, Bayley M, Nicholson G, Streiner DL & Diamant NE (2009): The Toronto Bedside Swallowing Screening Test (TOR-BSST): Development and validation of a dysphagia screening tool for patients with stroke. Stroke 40: 555–561 13. Clavé P, Arreola V, Romea M, Medina L, Palomera E & Serra-Prat M (2008): Accuracy of the volume-viscosity swallow test for clinical screening of oropharyngeal dysphagia and aspiration. Clin Nutr 27: 806–815 1. Christensen K, Doblhammer G, Rau R & Vaupel JW (2009): Ageing populations: The challenges ahead. Lancet 374: 1196–1208 6. Tibbling L & Gustafsson B (1991): Dysphagia and its consequences in the elderly. Dysphagia 6: 200–202 4. Marik PE & Kaplan D (2003): Aspiration pneumonia and dysphagia in the elderly. Chest 124: 328–336 5. Sheth N & Diner WC (1988): Swallowing problems in the elderly. Dysphagia 2: 209–215 8. Cabré M, Serra-Prat M, Force L, Almirall J, Palomera E & Clavé P (2014): Oropharyngeal dysphagia is a risk factor for readmission for pneumonia in the very elderly persons: Observational prospective study. J Gerontol A Biol Sci Med Sci 69: 330–337 15. Ohira M, Ishida R, Maki Y, Ohkubo M, Sugiyama T, Sakayori T & Sato T (2017): Evaluation of a dysphagia screening system based on the Mann Assessment of Swallowing Ability for use in dependent older adults. Geriatr Gerontol Int 17: 561–567 16. Crary MA, Mann GD & Groher ME (2005): Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Arch Phys Med Rehabil 86: 1516–1520 2. Arai H (2009): Geriatrics in the most aged country, Japan. Arch Gerontol Geriatr 49: S1–S2 10. Perry L (2001): Screening swallowing function of patients with acute stroke. Part one: Identification, implementation and initial evaluation of a screening tool for use by nurses. J Clin Nurs 10: 463–473 18. Chojin Y, Kato T, Rikihisa M, Omori M, Noguchi S, Akata K, Ogoshi T, Yatera K & Mukae H (2017): Evaluation of the Mann Assessment of Swallowing Ability in elderly patients with pneumonia. Aging Dis 8: 420–433 11 12 13 14 15 16 17 1 2 3 4 5 6 7 8 9 10 |
| References_xml | – reference: 14. González Fernández M, Sein MT & Palmer JB (2011): Clinical experience using the Mann assessment of swallowing ability for identification of patients at risk for aspiration in a mixed-disease population. Am J Speech Lang Pathol 20: 331–336 – reference: 16. Crary MA, Mann GD & Groher ME (2005): Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Arch Phys Med Rehabil 86: 1516–1520 – reference: 1. Christensen K, Doblhammer G, Rau R & Vaupel JW (2009): Ageing populations: The challenges ahead. Lancet 374: 1196–1208 – reference: 4. Marik PE & Kaplan D (2003): Aspiration pneumonia and dysphagia in the elderly. Chest 124: 328–336 – reference: 2. Arai H (2009): Geriatrics in the most aged country, Japan. Arch Gerontol Geriatr 49: S1–S2 – reference: 3. Leopold NA & Kagel MC (1983): Swallowing, ingestion and dysphagia: A reappraisal. Arch Phys Med Rehabil 64: 371–373 – reference: 11. Martino R, Silver F, Teasell R, Bayley M, Nicholson G, Streiner DL & Diamant NE (2009): The Toronto Bedside Swallowing Screening Test (TOR-BSST): Development and validation of a dysphagia screening tool for patients with stroke. Stroke 40: 555–561 – reference: 7. DiBardino DM & Wunderink RG (2015): Aspiration pneumonia: A review of modern trends. J Crit Care 30: 40–48 – reference: 15. Ohira M, Ishida R, Maki Y, Ohkubo M, Sugiyama T, Sakayori T & Sato T (2017): Evaluation of a dysphagia screening system based on the Mann Assessment of Swallowing Ability for use in dependent older adults. Geriatr Gerontol Int 17: 561–567 – reference: 8. Cabré M, Serra-Prat M, Force L, Almirall J, Palomera E & Clavé P (2014): Oropharyngeal dysphagia is a risk factor for readmission for pneumonia in the very elderly persons: Observational prospective study. J Gerontol A Biol Sci Med Sci 69: 330–337 – reference: 9. Osawa A, Maeshima S & Tanahashi N (2013): Water-swallowing test: Screening for aspiration in stroke patients. Cerebrovasc Dis 35: 276–281 – reference: 10. Perry L (2001): Screening swallowing function of patients with acute stroke. Part one: Identification, implementation and initial evaluation of a screening tool for use by nurses. J Clin Nurs 10: 463–473 – reference: 17. The Japanese Respiratory Society (2017): The JRS Guidelines for the Management of Pneumonia in Adults. Medical Review, Tokyo 175 pp (in Japanese) – reference: 13. Clavé P, Arreola V, Romea M, Medina L, Palomera E & Serra-Prat M (2008): Accuracy of the volume-viscosity swallow test for clinical screening of oropharyngeal dysphagia and aspiration. Clin Nutr 27: 806–815 – reference: 18. Chojin Y, Kato T, Rikihisa M, Omori M, Noguchi S, Akata K, Ogoshi T, Yatera K & Mukae H (2017): Evaluation of the Mann Assessment of Swallowing Ability in elderly patients with pneumonia. Aging Dis 8: 420–433 – reference: 5. Sheth N & Diner WC (1988): Swallowing problems in the elderly. Dysphagia 2: 209–215 – reference: 6. Tibbling L & Gustafsson B (1991): Dysphagia and its consequences in the elderly. Dysphagia 6: 200–202 – reference: 12. Mann G (2002): MASA: The Mann assessment of swallowing ability. Thomson Learning Inc, NY 56 pp – ident: 7 doi: 10.1016/j.jcrc.2014.07.011 – ident: 3 – ident: 5 doi: 10.1007/BF02414428 – ident: 12 – ident: 14 doi: 10.1044/1058-0360(2011/10-0082) – ident: 8 doi: 10.1093/gerona/glt099 – ident: 13 doi: 10.1016/j.clnu.2008.06.011 – ident: 17 doi: 10.14336/AD.2017.0102 – ident: 15 doi: 10.1111/ggi.12755 – ident: 6 doi: 10.1007/BF02493526 – ident: 2 doi: 10.1016/S0167-4943(09)00302-1 – ident: 9 doi: 10.1159/000348683 – ident: 16 doi: 10.1016/j.apmr.2004.11.049 – ident: 10 doi: 10.1046/j.1365-2702.2001.00501.x – ident: 11 doi: 10.1161/STROKEAHA.107.510370 – ident: 4 doi: 10.1378/chest.124.1.328 – ident: 1 doi: 10.1016/S0140-6736(09)61460-4 |
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| Title | A Simple Assessment of the Eating and Swallowing Functions in Elderly Patients with Pneumonia |
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