8
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Assessment of the risk of malnutrition due to aspiration pneumonia and oral feeding difficulty Translated title: Evaluación del riesgo de desnutrición debido a neumonía por aspiración y dificultad para la alimentación oral

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Abstract Introduction: many patients with acute-phase swallowing disorders experience malnutrition, which can be caused by oral intake difficulties. Many diseases can cause swallowing difficulties such as aspiration pneumonia, and it is, therefore, necessary to consider the risk of malnutrition during oral feeding therapy in patients with aspiration pneumonia. Objectives: we aimed to evaluate the risk of malnutrition in patients with aspiration pneumonia and other diseases. Methods: the participants comprised 62 patients (45 males, 17 females) with acute-phase swallowing disorders who underwent speech therapy (ST) for swallowing rehabilitation. The patients were divided into four groups: 1) oral feeding with pneumonia, 2) parenteral feeding with pneumonia, 3) oral feeding without pneumonia, and 4) parenteral feeding without pneumonia. The serum albumin and total protein levels were measured to evaluate malnutrition, and swallowing ability was assessed using the Fujishima grade. Results: at the time of ST initiation, serum albumin levels were significantly higher in the oral feeding with pneumonia and oral feeding without pneumonia groups than in the parenteral feeding with pneumonia and parenteral feeding without pneumonia groups. The Fujishima grades differed significantly between the pneumonia/parenteral feeding group and the non-pneumonia/parenteral feeding group. Conclusions: patients with difficulty in swallowing due to aspiration pneumonia were at higher risk of malnutrition than were those without these difficulties. These findings suggest that the nutritional status of parenterally fed patients who developed pneumonia may be inherently poorer than that of orally fed patients.

          Translated abstract

          Resumen Introducción: muchos pacientes que padecen trastornos de la deglución en fase aguda experimentan desnutrición, que pueden estar causados por dificultades en la ingesta oral. Muchas enfermedades pueden causar dificultades de la deglución, incluida la neumonía por aspiración, y, por lo tanto, es necesario considerar el riesgo de desnutrición durante la terapia de alimentación oral en los pacientes que padecen neumonía por aspiración. Objetivos: nuestro objetivo fue evaluar el riesgo de desnutrición en pacientes que padecen neumonía por aspiración y otras enfermedades. Métodos: los participantes comprendían 62 pacientes (45 hombres, 17 mujeres) con trastornos de la deglución en fase aguda que se sometieron a tratamiento logopédico (speech therapy, ST) por rehabilitación de la deglución. Los pacientes se dividieron en cuatro grupos: 1) alimentación oral con neumonía, 2) alimentación parenteral con neumonía, 3) alimentación oral sin neumonía y 4) alimentación parenteral sin neumonía. La albúmina sérica y los niveles totales de proteínas se calcularon para evaluar la desnutrición, y la capacidad de deglución se evaluó usando el grado de Fujishima. Resultados: en el momento de iniciar el tratamiento logopédico (speech therapy, ST), los niveles de albúmina en suero fueron significativamente más altos en los grupos de alimentación oral con neumonía y alimentación oral sin neumonía que en los grupos de alimentación parenteral con neumonía y alimentación parenteral sin neumonía. Los grados de Fujishima difieren de forma significativa entre los grupos de alimentación oral/alimentación parenteral con neumonía y los grupos de alimentación oral/alimentación parenteral sin neumonía. Conclusiones: los pacientes que poseen dificultades de la deglución debido a neumonía por aspiración presentan un riesgo mayor de desnutrición que aquellos que no poseen estas dificultades. Estas conclusiones sugieren que el estado nutricional de los pacientes alimentados parenteralmente que desarrollaron una neumonía puede ser inherentemente más pobre que el de los pacientes alimentados oralmente.

          Related collections

          Most cited references21

          • Record: found
          • Abstract: found
          • Article: not found

          Consensus definition of sarcopenia, cachexia and pre-cachexia: joint document elaborated by Special Interest Groups (SIG) "cachexia-anorexia in chronic wasting diseases" and "nutrition in geriatrics".

          Chronic diseases as well as aging are frequently associated with deterioration of nutritional status, loss muscle mass and function (i.e. sarcopenia), impaired quality of life and increased risk for morbidity and mortality. Although simple and effective tools for the accurate screening, diagnosis and treatment of malnutrition have been developed during the recent years, its prevalence still remains disappointingly high and its impact on morbidity, mortality and quality of life clinically significant. Based on these premises, the Special Interest Group (SIG) on cachexia-anorexia in chronic wasting diseases was created within ESPEN with the aim of developing and spreading the knowledge on the basic and clinical aspects of cachexia and anorexia as well as of increasing the awareness of cachexia among health professionals and care givers. The definition, the assessment and the staging of cachexia, were identified as a priority by the SIG. This consensus paper reports the definition of cachexia, pre-cachexia and sarcopenia as well as the criteria for the differentiation between cachexia and other conditions associated with sarcopenia, which have been developed in cooperation with the ESPEN SIG on nutrition in geriatrics. Copyright 2009 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            Aspiration pneumonitis and aspiration pneumonia.

            P E Marik (2001)
              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              Ageing and infection

                Bookmark

                Author and article information

                Journal
                nh
                Nutrición Hospitalaria
                Nutr. Hosp.
                Grupo Arán (Madrid, Madrid, Spain )
                0212-1611
                1699-5198
                August 2020
                : 37
                : 4
                : 723-729
                Affiliations
                [2] Hidaka City Saitama Prefecture orgnameSaitama Medical University International Medical Center orgdiv1Department of Exercise and Respiratory Rehabilitation Japan
                [1] Sendai City Aoba Ward orgnameSendai Hospital orgdiv1Japan Community Health Care Organization orgdiv2Oral and Maxillofacial Surgery Japan
                Article
                S0212-16112020000500012 S0212-1611(20)03700400012
                10.20960/nh.03109
                32720506
                392e149a-df95-4a7f-b165-41b685d06ccc

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 13 April 2020
                : 16 May 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 21, Pages: 7
                Product

                SciELO Spain

                Categories
                Original Papers

                Neumonía por aspiración,Swallowing disorder,Nutrición parenteral,Deglución,Parenteral nutrition,Malnutrition,Aspiration pneumonia,Swallowing,Desnutrición,Trastorno de la deglución

                Comments

                Comment on this article