Peak Voluntary Cough Flow and Oropharyngeal Dysphagia as Risk Factors for Pneumonia
Objective To investigate the relationship between voluntary peak cough flow (PCF), oropharyngeal dysphagia, and pneumonia in patients who were evaluated with videofluoroscopic swallowing study (VFSS). Methods Patients who underwent both VFSS and PCF measurement on the same day were enrolled retrospe...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Korean Academy of Rehabilitation Medicine
2021-12-01
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| Series: | Annals of Rehabilitation Medicine |
| Subjects: | |
| Online Access: | http://e-arm.org/upload/pdf/arm-21068.pdf |
| _version_ | 1827880622369013760 |
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| author | Jayoon Choi Sora Baek Gowun Kim Hee-won Park |
| author_facet | Jayoon Choi Sora Baek Gowun Kim Hee-won Park |
| author_sort | Jayoon Choi |
| collection | DOAJ |
| description | Objective To investigate the relationship between voluntary peak cough flow (PCF), oropharyngeal dysphagia, and pneumonia in patients who were evaluated with videofluoroscopic swallowing study (VFSS). Methods Patients who underwent both VFSS and PCF measurement on the same day were enrolled retrospectively (n=821). Pneumonia (n=138) and control (n=683) groups were assigned based on presence of pneumonia within 1 month from the date of VFSS assessment. In addition, sex, age (<65 and ≥65 years), preceding conditions, modified Barthel Index (MBI), Mini-Mental State Examination (MMSE), PCF value (<160, ≥160 and <270, and ≥270 L/min), and presence of aspiration/penetration on VFSS were reviewed. Results Pneumonia group was more likely to be male (n=108; 78.3%), ≥65 years (n=121; 87.7%), with neurodegenerative (n=25; 18.1%) or other miscellaneous diseases (n=50; 36.2%), and in poor functional level with lower value of MBI (39.1±26.59). However, MMSE was not significantly different in comparison to that of the control group. The pneumonia group was also more likely to have dysphagia (82.6%) and lower value of PCF (<160 L/min, 70.3%). In multivariable logistic regression analysis, male sex (odd ratio [OR]=6.62; 95% confidence interval [CI], 2.70–16.26), other miscellaneous diseases as preceding conditions (OR=2.52; 95% CI, 1.14–5.58), dysphagia (OR=3.82; 95% CI, 1.42–10.23), and PCF <160 L/min (OR=14.34; 95% CI, 1.84–111.60) were factors significantly related with pneumonia. Conclusion Impaired swallowing and coughing function showed an independent association with the development of pneumonia. Patients with PCF <160 L/min require more attention with lung care and should be encouraged with voluntary coughing strategy to prevent possible pulmonary complications. |
| first_indexed | 2024-03-12T18:25:56Z |
| format | Article |
| id | doaj.art-4a70bb4ae19641af95a20becf558038a |
| institution | Directory Open Access Journal |
| issn | 2234-0645 2234-0653 |
| language | English |
| last_indexed | 2024-03-12T18:25:56Z |
| publishDate | 2021-12-01 |
| publisher | Korean Academy of Rehabilitation Medicine |
| record_format | Article |
| series | Annals of Rehabilitation Medicine |
| spelling | doaj.art-4a70bb4ae19641af95a20becf558038a2023-08-02T08:32:35ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06452234-06532021-12-0145643143910.5535/arm.210684245Peak Voluntary Cough Flow and Oropharyngeal Dysphagia as Risk Factors for PneumoniaJayoon Choi0Sora BaekGowun Kim1Hee-won Park2 Department of Rehabilitation Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, Korea Department of Rehabilitation Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, Korea Department of Rehabilitation Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, KoreaObjective To investigate the relationship between voluntary peak cough flow (PCF), oropharyngeal dysphagia, and pneumonia in patients who were evaluated with videofluoroscopic swallowing study (VFSS). Methods Patients who underwent both VFSS and PCF measurement on the same day were enrolled retrospectively (n=821). Pneumonia (n=138) and control (n=683) groups were assigned based on presence of pneumonia within 1 month from the date of VFSS assessment. In addition, sex, age (<65 and ≥65 years), preceding conditions, modified Barthel Index (MBI), Mini-Mental State Examination (MMSE), PCF value (<160, ≥160 and <270, and ≥270 L/min), and presence of aspiration/penetration on VFSS were reviewed. Results Pneumonia group was more likely to be male (n=108; 78.3%), ≥65 years (n=121; 87.7%), with neurodegenerative (n=25; 18.1%) or other miscellaneous diseases (n=50; 36.2%), and in poor functional level with lower value of MBI (39.1±26.59). However, MMSE was not significantly different in comparison to that of the control group. The pneumonia group was also more likely to have dysphagia (82.6%) and lower value of PCF (<160 L/min, 70.3%). In multivariable logistic regression analysis, male sex (odd ratio [OR]=6.62; 95% confidence interval [CI], 2.70–16.26), other miscellaneous diseases as preceding conditions (OR=2.52; 95% CI, 1.14–5.58), dysphagia (OR=3.82; 95% CI, 1.42–10.23), and PCF <160 L/min (OR=14.34; 95% CI, 1.84–111.60) were factors significantly related with pneumonia. Conclusion Impaired swallowing and coughing function showed an independent association with the development of pneumonia. Patients with PCF <160 L/min require more attention with lung care and should be encouraged with voluntary coughing strategy to prevent possible pulmonary complications.http://e-arm.org/upload/pdf/arm-21068.pdfcoughpeak expiratory flow ratedeglutition disorderspneumonia |
| spellingShingle | Jayoon Choi Sora Baek Gowun Kim Hee-won Park Peak Voluntary Cough Flow and Oropharyngeal Dysphagia as Risk Factors for Pneumonia Annals of Rehabilitation Medicine cough peak expiratory flow rate deglutition disorders pneumonia |
| title | Peak Voluntary Cough Flow and Oropharyngeal Dysphagia as Risk Factors for Pneumonia |
| title_full | Peak Voluntary Cough Flow and Oropharyngeal Dysphagia as Risk Factors for Pneumonia |
| title_fullStr | Peak Voluntary Cough Flow and Oropharyngeal Dysphagia as Risk Factors for Pneumonia |
| title_full_unstemmed | Peak Voluntary Cough Flow and Oropharyngeal Dysphagia as Risk Factors for Pneumonia |
| title_short | Peak Voluntary Cough Flow and Oropharyngeal Dysphagia as Risk Factors for Pneumonia |
| title_sort | peak voluntary cough flow and oropharyngeal dysphagia as risk factors for pneumonia |
| topic | cough peak expiratory flow rate deglutition disorders pneumonia |
| url | http://e-arm.org/upload/pdf/arm-21068.pdf |
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