“…Among NHCAP patients, elderly patients who are receiving nursing care with an Eastern Cooperative Oncology Group performance status (PS) of 3 (capable of only limited selfcare, confined to bed or a chair for more than 50% of waking hours) or 4 (completely disabled, unable to carry out any selfcare, totally confined to bed or a chair) [2] were more often seen in hospitals [3e8]. The most frequent cause of NHCAP in Japanese people is thought to be aspiration pneumonia [3e11], which is associated with poor outcomes [3,5,10].…”