Survival period after tube feeding in bedridden older patients

Kosaka, Yoshihiro; Nakagawa-Satoh, Takuma; Ohrui, Takashi; Fujii, Masahiko; Arai, Hiroyuki; Sasaki, Hidetada

doi:10.1111/j.1447-0594.2011.00805.x

Cited by 13 publications

(12 citation statements)

References 21 publications

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“…In vitro studies suggested an alternative mechanism of diminished neutrophil bactericidal activity by omeprazole . Elderly bedridden patients receiving tube feeding were shown to have high mortality due to pneumonia, and the present study shows that PPI can increase the risk of and mortality due to pneumonia in this high‐risk patient population.…”

Section: Discussionsupporting

confidence: 53%

“…Nasogastric tube (NGT) and gastrostomy tube placement are useful to maintain enteral access for nutrition, hydration and medication for patients with dysphagia due to stroke, brain injury, neurodegenerative diseases and obstruction due to cancer. However, previous studies reported a poor prognosis in elderly patients with tube feeding, mainly due to complications of aspiration pneumonia . Furthermore, elderly tube‐fed patients might have several risk factors for gastrointestinal bleeding, such as aging, history of esophagitis and peptic ulcer, antiplatelet and anticoagulant therapy, and gastrostomy tube placement, and are often treated with acid‐suppressive medications.…”

Section: Introductionmentioning

confidence: 99%

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Use of proton pump inhibitors is associated with increased mortality due to nosocomial pneumonia in bedridden patients receiving tube feeding

Hamai

Iwamoto

Ohshimo

et al. 2018

Geriatrics Gerontology Int

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Section: Discussionsupporting

confidence: 53%

Section: Introductionmentioning

confidence: 99%

Use of proton pump inhibitors is associated with increased mortality due to nosocomial pneumonia in bedridden patients receiving tube feeding

Hamai

Iwamoto

Ohshimo

et al. 2018

Geriatrics Gerontology Int

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“…Elderly patients who eat little, cannot give meaningful spoken responses, and are bedridden with three episodes of pneumonia have a mean survival of 6 months, even when tube-fed during the end stage of life (Kosaka et al 2012). In aged-care facilities, when the initiation of tube feeding was being discussed, if the question was phrased as, "Ninety percent of people say they would not want this procedure; do you want to go ahead with it?"…”

Section: How To Prevent the Need For Nursing Carementioning

confidence: 99%

New Lessons of Nurturing Life for Geriatric Patients

Butler

Fujii²,

Sasaki³

2012

Tohoku J. Exp. Med.

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Our new lessons of nurturing life to make happiness and well-being of geriatric patients suggest comprise several important steps. First, geriatric patient care should not be delegated to specialists who focus on individual organ system. Instead, we should respond to the patient's condition based on comprehensive assessment to identify the single pathogenesis. Second, we should appreciate that the behavioral and psychological symptoms of dementia (BPSD) often reflect the behavioral and psychological symptoms of the caregiver (BPSC), and in particular the caregiver's attitude. Third, pleasant stimulations to the limbic system should receive more emphasis than attempting brain training in atrophied portions of the neocortex. Fourth, we should aim not for "successful aging," but for "balanced aging." Fifth, we should rely less on drug-based therapy and utilize more non-pharmacologic approaches to appropriate therapy. Geriatric patients should be cared for based on our new lessons of nurturing life rather than the heavily medicalized treatment modalities that are in wide use today.

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“…In particular, a large number of residents of institutions are bed-confined. A survey of the causes of death of bedridden patients found that 68.1% died of pneumonia1 ) . As a consequence, pneumonia overtook cerebrovascular disease in 2011 to become the third most common cause of death in Japan.…”

Section: Introductionmentioning

confidence: 99%

Effect of exercise therapy on cytokine secretion in the saliva of bedridden patients

et al. 2016

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[Purpose] The number of bedridden patients requiring nursing care in Japan has increased sharply in recent years because of its aging population and advances in medical care and has become a major social issue. Because bedridden patients are susceptible to nursing and healthcare-associated pneumonia, it is very important to improve their immunocompetence. Therefore, the effect of exercise therapy on stimulation of cytokine secretion in the saliva of bedridden patients was investigated. [Subjects and Methods] The subjects of this study were bedridden patients admitted to nursing care facilities. They were instructed to perform active assistive movement in the supine and sitting positions, with vital signs used as an index of the exercise load. Thirty-five patients fulfilled the inclusion criteria, which included cerebrovascular disease as the main cause of being bedridden and at least 6 months since onset. Interleukins were measured by enzyme-linked immunosorbent assay as immune mediators. [Results] Vital signs improved significantly after therapeutic exercise intervention, and the IL-6, IL-8, IL-15, and IL-17 levels also increased significantly after the intervention. [Conclusion] The results demonstrated that measurement of saliva samples may offer a safe minimally invasive method of measuring immune response in bedridden patients. This study suggests that exercise therapy may hold promise as an effective means of improving immunity in bedridden patients and may contribute to preventing aspiration pneumonia and promoting spontaneous recovery.

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Survival period after tube feeding in bedridden older patients

Abstract: Survival periods after tube feeding for less than 1 year were primarily determined by being bedridden for more than half a year without tube feeding and once pneumonia occurred; patients who were tube fed did not survive for more than half a year.

Cited by 13 publications

References 21 publications

Use of proton pump inhibitors is associated with increased mortality due to nosocomial pneumonia in bedridden patients receiving tube feeding

Use of proton pump inhibitors is associated with increased mortality due to nosocomial pneumonia in bedridden patients receiving tube feeding

New Lessons of Nurturing Life for Geriatric Patients

Effect of exercise therapy on cytokine secretion in the saliva of bedridden patients

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