Japan Digestive Disease Week 2016
International Poster Session(JDDW)
November 4 (Fri.), 9:30–10:10, Room 16 (Kobe International Exhibition Hall No. 2 Building Hall (North) Digital Poster Session)
IP-3_E
THE CLINICAL EFFICACY OF SWALLOWING ASSESSMENT FOR PREDICTION OF THE LEVEL OF ORAL INTAKE AND THE INCIDENCE OF ASPIRATION PNEUMONIA
- 1
- Kyoto Prefectural University of Medicine
- 2
- Kyoto Ohara Memorial Hospital
- 3
- Gosho-minami Rehabilitation Clinic
- 4
- Aiseikai Yamashina Hospital
- 5
- Kyoto Gakuen University
- 6
- Okano Clinic
PurposeSome patients with dysphasia can improve their oral intake function while holding a feeding tube: percutaneous endoscopic gastrostomy tube (PEG) and naso-gastric tube (NG). We retrospectively investigated the relationship between clinical parameters before swallowing training with tubes and improvement of ingestion.
Methods42 patients (median age of 80, 23 males (54.8%) ) were divided based on their level of ingestion after training: oral intake group (OI), which contained 26 cases (61.9%) who could eat food and nothing by mouth group (NM). We assessed their swallowing function using endoscopic and radiographic procedures before training and compared clinical information retrospectively between groups.
ResultMore patients in OI had better function (25 cases 96.2%vs10 cases 62.5%,p<0.01) and higher T-Cholesterol value (198±44vs161±31mg/dl,p<0.01) than NM. Multivariate analysis showed that these factors are significant independent determinants of ingestion after training (p<0.05, odds ratio 166.7, 95%confident interval 1.548-18990,p<0.05,1.028, 1.002-1.055). Although we could not find differences in the rate of ingestion after training and onset of pneumonia during training between PEG and NG (50%vs66.7%,50%vs40%), patients without pneumonia had better pre-training function (91.7%vs66.7%,p<0.05).
ConclusionEvaluation of swallowing function is useful for selecting patients suited for more effective and safer training regardless of the types of feeding tube.
Methods42 patients (median age of 80, 23 males (54.8%) ) were divided based on their level of ingestion after training: oral intake group (OI), which contained 26 cases (61.9%) who could eat food and nothing by mouth group (NM). We assessed their swallowing function using endoscopic and radiographic procedures before training and compared clinical information retrospectively between groups.
ResultMore patients in OI had better function (25 cases 96.2%vs10 cases 62.5%,p<0.01) and higher T-Cholesterol value (198±44vs161±31mg/dl,p<0.01) than NM. Multivariate analysis showed that these factors are significant independent determinants of ingestion after training (p<0.05, odds ratio 166.7, 95%confident interval 1.548-18990,p<0.05,1.028, 1.002-1.055). Although we could not find differences in the rate of ingestion after training and onset of pneumonia during training between PEG and NG (50%vs66.7%,50%vs40%), patients without pneumonia had better pre-training function (91.7%vs66.7%,p<0.05).
ConclusionEvaluation of swallowing function is useful for selecting patients suited for more effective and safer training regardless of the types of feeding tube.
- Index Term 1: PEG
- Index Term 2: swallowing evaluation