Dysphagia worsens short-term outcomes in patients with acute exacerbation of heart failure

Yokota, Jun‐Ichi; Ogawa, Yoshiko; Takahashi, Yusuke; Yamada, Nobuhiro; Onoue, Noriko; Shinozaki, Tsuyoshi; Kohzuki, Masahiro

doi:10.1007/s00380-020-01617-w

Cited by 10 publications

(4 citation statements)

References 31 publications

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“…All data are reported as medians and interquartile ranges for continuous variables and as counts and percentages for categorical variables. Oral intake impairment at the start of cardiac rehabilitation was defined by a FOIS score of ≤ 5 11,12,22 . Based on whether oral intake improved, the patients were categorized into the improvement group (FOIS score = 6-7) or the non-improvement group (FOIS score = 1-5) for further analysis.…”

Section: Discussionmentioning

confidence: 99%

“…Onset of dysphagia during acute care of patients with HF has been shown to hinder improvements in the activities of daily living (ADL) 11 and lead to poorer outcomes throughout hospitalization 12 and after discharge 13 . Therefore, to improve the prognosis of patients with HF, reducing the incidence of dysphagia and delivering appropriate treatment to those who develop it during hospitalization is important.…”

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confidence: 99%

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Physical performance and maximum tongue pressure associated with oral intake independence: a retrospective study on hospitalized patients with heart failure

Yokota

Takahashi

Endo

et al. 2022

Sci Rep

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Dysphagia in patients with heart failure leads to poorer outcomes during hospitalization and after discharge. Therefore, addressing dysphagia is critical for improving patient prognosis. This retrospective observational study aimed to evaluate associations between improvements in swallowing dysfunction at the time of hospital discharge and the physical function, cognitive function, nutritional status, and maximum tongue pressure (MTP). Overall, 111 patients who underwent cardiac rehabilitation and were deemed to have oral intake impairment were included. The exclusion criteria comprised the following: pre-admission diagnosis of dysphagia, in-hospital death, and missing data. Patients were categorized based on whether they did (n = 65) or did not (n = 46) exhibit improvements in oral intake impairment, which were determined from the functional oral intake scale (FOIS) score at discharge. Associations between potential explanatory variables and the FOIS score at discharge were assessed using a linear regression model. After adjusting for covariates, such as age, sex, heart failure severity, short physical performance battery score, Mini-Mental State Examination score, transthyretin level, and provision of swallowing therapy, the FOIS score at discharge was significantly associated with the MTP (P = 0.024, confidence interval: 0.006–0.046). In conclusion, the MTP was independently associated with improvements in FOIS in patients with heart failure.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Physical performance and maximum tongue pressure associated with oral intake independence: a retrospective study on hospitalized patients with heart failure

Yokota

Takahashi

Endo

et al. 2022

Sci Rep

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“…2,3 Dysphagia is a serious condition that impairs quality of life and causes nutritional and respiratory complications associated with poor prognosis and high mortality rates. [4][5][6][7] Its severity has been reported to be positively correlated with the risk of aspiration pneumonia and death. 8 A recent meta-analysis reported the overall prevalence of dysphagia to be 36% for patients with IIMs, most notably it was 56% for IBM.…”

Section: Introductionmentioning

confidence: 99%

“…Dysphagia is a serious condition that impairs quality of life and causes nutritional and respiratory complications associated with poor prognosis and high mortality rates 4–7 . Its severity has been reported to be positively correlated with the risk of aspiration pneumonia and death 8 .…”

Section: Introductionmentioning

confidence: 99%

Impact of dysphagia and its severity on long‐term survival and swallowing function outcomes in patients with idiopathic inflammatory myopathies other than inclusion body myositis

et al. 2022

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ObjectiveTo investigate the impact of dysphagia on long‐term survival and swallowing function outcomes in patients with idiopathic inflammatory myopathy other than inclusion body myositis.MethodsWe retrospectively evaluated consecutive patients with idiopathic inflammatory myopathy other than inclusion body myositis to investigate the impact of dysphagia and its severity assessed using the Food Intake LEVEL Scale on survival and swallowing function outcomes. Time‐to‐event analyses were used, including Kaplan‐Meier curves with log‐rank (trend) test, cumulative incidence with Gray’s test, and Cox proportional hazards models.ResultsOf the 254 patients, 26 were dysphagic, including eight severe (Food Intake LEVEL Scale [FILS] score 2, 3) and six most severe (FILS score 1) cases; 210 were non‐dysphagic, and 18 were indeterminate cases. During the 5 years after myositis diagnosis, 15 (57.7%) dysphagic and 31 (14.8%) non‐dysphagic patients died, and dysphagic patients had significantly shorter survival. However, multivariate analysis showed that shorter survival was significantly associated with baseline age‐adjusted Charlson Comorbidity Index (hazard ratio [HR] 1.57, 95% confidence interval [CI] 1.36‐1.82]), but not with dysphagia (HR 1.46, 95% CI 0.69‐3.10). Dysphagia severity was significantly associated with delayed recovery of dysphagia. In 20 non‐severe or severe dysphagic cases, 19 restored swallowing function within 1 year. The most severe cases had a significantly higher cumulative probability of death before recovery from dysphagia than severe cases.ConclusionThe poor survival of dysphagic myositis patients was largely confounded by advanced age and comorbid malignancies. However, patients with the most severe dysphagia had a significantly worse swallowing function and survival prognosis than those with milder dysphagia.

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Dysphagia and malnutrition limit activities of daily living improvement in phase i cardiac rehabilitation: a prospective cohort study for acute phase heart failure patients

et al. 2021

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Dysphagia worsens short-term outcomes in patients with acute exacerbation of heart failure

Cited by 10 publications

References 31 publications

Physical performance and maximum tongue pressure associated with oral intake independence: a retrospective study on hospitalized patients with heart failure

Physical performance and maximum tongue pressure associated with oral intake independence: a retrospective study on hospitalized patients with heart failure

Impact of dysphagia and its severity on long‐term survival and swallowing function outcomes in patients with idiopathic inflammatory myopathies other than inclusion body myositis

Dysphagia and malnutrition limit activities of daily living improvement in phase i cardiac rehabilitation: a prospective cohort study for acute phase heart failure patients

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