Premature oral pre-shaping for feeding in elderly population with risk of aspiration pneumonia

Tamaru, Yoshiki; Matsugi, Akiyoshi; Masaki, Shinzo; Tsubouchi, Yoshihito; Yanagawa, Akiyoshi

doi:10.1371/journal.pone.0246804

Cited by 3 publications

(1 citation statement)

References 37 publications

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“…Finally, previous reports have shown an association between assisted feeding and aspiration and the importance of the caregiver's approach. 28,29 It has been suggested that abnormal preparation of mouth shape and movement time of the hand before actual swallowing in both self and assisted feeding may exist in older adults with previous experience of AP, 30 and placing food in a patient's mouth before sufficient preparation is considered to increase the incidence of aspiration.…”

Section: Discussionmentioning

confidence: 99%

Validation of the applicability of the mealtime observation checklist in predicting the risk of aspiration pneumonia in older adults receiving oral intake support: A retrospective cohort study of four long‐term care facilities

Nishioka

Iwata²,

Kumai

et al. 2023

Geriatrics Gerontology Int

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In Japan, a 24-item mealtime observation checklist (MOCL) was developed in 2015 to support oral intake and prevent aspiration in older adults. The MOCL consists of signs/ symptoms/conditions that reflect eating and swallowing functions and oral conditions. This study aimed to examine the association between each MOCL item and the onset of aspiration pneumonia (AP).Methods: This retrospective cohort study included 199 older adults with difficulties in oral intake residing in four long-term care facilities. The association between the time to the onset of AP (6 months follow-up) and each MOCL item was examined using Cox proportional hazards models. Results:The median (25th, 75th percentiles) age of the participants was 87 (82, 91.5) years; 131 (65.8%) were women; and 24 developed AP during the study period. After adjusting for the characteristics of participants, six items were significantly associated with the onset of AP: "Has difficulty maintaining a sitting position" (hazard ratio [HR] = 3.29, 95% confidence interval [CI]: 1.37-7.88), "Sleep while eating" (HR = 3.45, 95% CI: 1.12-10.59), "Has difficulty starting to eat, frequently interrupts eating even after starting to eat, and has difficulty concentrating on eating" (HR = 2.51, 95% CI: 1.10-5.72), "Has fatigue because additional time is needed to eat" (HR = 3.08, 95% CI: 1.32-7.20), "Dry mouth" (HR = 2.84, 95% CI: 1.21-6.67), and "Assisted feeding is required" (HR = 2.90, 95% CI: 1.21-6.93).Conclusions: Of the 24 items on the MOCL, we found six items that might contribute to screening older adults at a high risk of AP onset.

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Section: Discussionmentioning

confidence: 99%

Validation of the applicability of the mealtime observation checklist in predicting the risk of aspiration pneumonia in older adults receiving oral intake support: A retrospective cohort study of four long‐term care facilities

Nishioka

Iwata²,

Kumai

et al. 2023

Geriatrics Gerontology Int

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The Impact of Modifiable Preoral Factors on Swallowing and Nutritional Outcomes in Healthy Adults: A Scoping Review

Burdick,

Bayne,

Hitchcock

et al. 2023

J Speech Lang Hear Res

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Purpose: Swallowing has previously been characterized as consisting of four phases; however, it has become apparent that these four phases are not truly discrete and may be influenced by factors occurring prior to bolus entrance into the oral cavity (i.e., preoral factors). Still, the relationship between these factors and swallowing remains poorly understood. The aim of this review was to synthesize and characterize the literature pertaining to the influence of preoral factors on swallowing and nutritional outcomes in healthy individuals. Method: We performed a scoping review, searching the databases of PubMed, CINAHL, Cochrane, and Scopus. Search terms included those related to swallowing, experience of preoral factors, and exclusionary terminology to reduce animal and pediatric literature. Our initial search revealed 5,560 unique articles, of which 153 met our inclusionary criteria and were accepted into the review. Results: Of the accepted articles, 78% were focused exclusively on nutritional outcomes, 17% were focused on both swallowing and nutritional outcomes, and 5% were focused on solely swallowing outcomes. Of the preoral factors examined, 99% were exteroceptive in nature (17% olfactory, 44% visual, 21% auditory, 7% tactile, 11% other), while 1% were proprioceptive in nature. Conclusions: This review supports the influence of preoral factors on swallowing and nutritional outcomes. However, there is a large emphasis on the visual modality and on nutritional outcomes. Nearly none of the literature found in this review directly measured swallowing safety, efficiency, or physiology. Future work will benefit from a larger focus on proprioceptive preoral factors as they relate to swallowing outcomes.

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Measuring mealtime performance in older adults with suspected oropharyngeal dysphagia: an updated systematic review of psychometric properties

Hansen

Rasmussen

Fabricius

et al. 2023

Disability and Rehabilitation

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Psychometric propertiesResults: 9,573,420 #4 "instrumentation"[MeSH Subheading] OR "methods"[MeSH Subheading] OR "psychometrics"[MeSH Terms] OR "psychometr*"[Title/Abstract] OR "clinimetr*"[Text Word] OR "clinometr*"[Text Word] OR "outcome assessment, health care"[MeSH Terms] OR "outcome assessment"[Title/Abstract] OR "outcome measure*"[Text Word] OR "observer variation"[MeSH Terms] OR "observer variation"[Title/Abstract] OR "Health Status Indicators"[MeSH Terms] OR "reproducibility of results"[MeSH Terms] OR "reproducib*"[Title/Abstract] OR "discriminant analysis"[MeSH Terms] OR "reliab*"

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Premature oral pre-shaping for feeding in elderly population with risk of aspiration pneumonia

Cited by 3 publications

References 37 publications

Validation of the applicability of the mealtime observation checklist in predicting the risk of aspiration pneumonia in older adults receiving oral intake support: A retrospective cohort study of four long‐term care facilities

Validation of the applicability of the mealtime observation checklist in predicting the risk of aspiration pneumonia in older adults receiving oral intake support: A retrospective cohort study of four long‐term care facilities

The Impact of Modifiable Preoral Factors on Swallowing and Nutritional Outcomes in Healthy Adults: A Scoping Review

Measuring mealtime performance in older adults with suspected oropharyngeal dysphagia: an updated systematic review of psychometric properties

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