Impact of Living Setting on Nutrition in Older Adults with Aspiration Pneumonia
Author Information
Author(s): Yamaguchi Kohei, Miyagami Taiju, Imada Ryoko, Yanagida Ryosuke, Kushiro Seiko, Morikawa Toru, Nakagawa Kazuharu, Yoshimi Kanako, Naito Toshio, Tohara Haruka
Primary Institution: Juntendo Tokyo Koto Geriatric Medical Centre
Hypothesis
Older patients with aspiration pneumonia who were admitted from nursing facilities would be more likely to require tube feeding upon discharge.
Conclusion
The pre-hospital living setting is a significant predictor of the nutritional intake route upon discharge for older patients with aspiration pneumonia.
Supporting Evidence
- Patients from nursing facilities had 7.72 times higher odds of requiring alternative nutrition upon discharge compared to those from home.
- 39.3% of patients experienced pneumonia recurrence during hospitalization.
- Patients admitted from nursing facilities had higher pneumonia severity index scores.
Takeaway
Where older patients lived before going to the hospital can affect how they eat when they leave. Those from nursing homes might need special feeding methods.
Methodology
This was a prospective cohort study that included patients aged 65 years or older diagnosed with aspiration pneumonia, assessing their nutritional intake route upon discharge.
Potential Biases
Unmeasured environmental factors may have influenced the outcomes.
Limitations
The study had a small sample size and did not collect detailed information about the type of nursing facilities or staffing levels.
Participant Demographics
The study included 89 patients, with a mean age of 84.8 years, and 58.4% were male.
Statistical Information
P-Value
0.008
Confidence Interval
95% CI: 1.70–35.1
Statistical Significance
p=0.008
Digital Object Identifier (DOI)
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