Tube feeding decreases pneumonia rate in patients with severe dementia: comparison between pre- and post-intervention
Abstract Background It is widely supposed that there is no benefit, including extended survival and decreased rate of pneumonia, in patients with severe dementia receiving enteral tube feeding (TF). However, there have been few studies comparing the frequency of pneumonia before and after TF in seve...
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| Format: | Article |
| Language: | English |
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BMC
2017-11-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12877-017-0662-6 |
| _version_ | 1818776078552924160 |
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| author | Shintaro Takenoshita Keiko Kondo Keiichi Okazaki Akihiko Hirao Keiko Takayama Keisuke Hirayama Hiroyuki Asaba Kenji Nakata Hideki Ishizu Hiromi Takahashi Hanae Nakashima-Yasuda Yasue Sakurada Kengo Fujikawa Osamu Yokota Norihito Yamada Seishi Terada Middle Western Japan-Dementia Study (mid-Dem study) |
| author_facet | Shintaro Takenoshita Keiko Kondo Keiichi Okazaki Akihiko Hirao Keiko Takayama Keisuke Hirayama Hiroyuki Asaba Kenji Nakata Hideki Ishizu Hiromi Takahashi Hanae Nakashima-Yasuda Yasue Sakurada Kengo Fujikawa Osamu Yokota Norihito Yamada Seishi Terada Middle Western Japan-Dementia Study (mid-Dem study) |
| author_sort | Shintaro Takenoshita |
| collection | DOAJ |
| description | Abstract Background It is widely supposed that there is no benefit, including extended survival and decreased rate of pneumonia, in patients with severe dementia receiving enteral tube feeding (TF). However, there have been few studies comparing the frequency of pneumonia before and after TF in severe dementia. Methods Nine psychiatric hospitals in Okayama Prefecture participated in this retrospective survey. All inpatients fulfilling the entry criteria were evaluated. All subjects suffered from difficulty in oral intake. Attending physicians thought that the patients could not live without long-term artificial nutrition, and they decided whether or not to make use of long-term artificial nutrition from January 1, 2014 to December 31, 2014. Results We evaluated 58 patients including 46 with TF and 12 without. The mean age of all patients was 79.6 ± 9.0 years old. Patients with probable Alzheimer’s disease (n = 38) formed the biggest group, and those with vascular dementia the second (n = 14). Median survival times were 23 months among patients with TF and two months among patients without TF. The start of TF decreased the frequency of pneumonia and the use of intravenous antibiotics. Conclusions TF decreased pneumonia and antibiotic use, even in patients with severe dementia. The results of this study do not necessarily indicate that we should administer TF to patients with severe dementia. We should consider the quality of life of patients carefully before deciding the use or disuse of TF for patients with severe dementia. |
| first_indexed | 2024-12-18T11:07:07Z |
| format | Article |
| id | doaj.art-5ca003b26ea44741acbb194c1331e2f4 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-12-18T11:07:07Z |
| publishDate | 2017-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-5ca003b26ea44741acbb194c1331e2f42022-12-21T21:10:03ZengBMCBMC Geriatrics1471-23182017-11-011711510.1186/s12877-017-0662-6Tube feeding decreases pneumonia rate in patients with severe dementia: comparison between pre- and post-interventionShintaro Takenoshita0Keiko Kondo1Keiichi Okazaki2Akihiko Hirao3Keiko Takayama4Keisuke Hirayama5Hiroyuki Asaba6Kenji Nakata7Hideki Ishizu8Hiromi Takahashi9Hanae Nakashima-Yasuda10Yasue Sakurada11Kengo Fujikawa12Osamu Yokota13Norihito Yamada14Seishi Terada15Middle Western Japan-Dementia Study (mid-Dem study)Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical SciencesDepartment of Psychiatry, Sekizen HospitalDepartment of Psychiatry, Hayashi HospitalDepartment of Psychiatry, Kawada HospitalDepartment of Psychiatry, Kibogaoka HospitalDepartment of Psychiatry, Momonosato HospitalDepartment of Psychiatry, Kohnan HospitalDepartment of Psychiatry, Taiyo Hills HospitalDepartment of Psychiatry, Zikei HospitalDepartment of Psychiatry, Mannari HospitalDepartment of Psychiatry, Mannari HospitalDepartment of Psychiatry, Mannari HospitalDepartment of Psychiatry, Kinoko Espoir HospitalDepartment of Psychiatry, Kinoko Espoir HospitalDepartment of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical SciencesDepartment of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical SciencesAbstract Background It is widely supposed that there is no benefit, including extended survival and decreased rate of pneumonia, in patients with severe dementia receiving enteral tube feeding (TF). However, there have been few studies comparing the frequency of pneumonia before and after TF in severe dementia. Methods Nine psychiatric hospitals in Okayama Prefecture participated in this retrospective survey. All inpatients fulfilling the entry criteria were evaluated. All subjects suffered from difficulty in oral intake. Attending physicians thought that the patients could not live without long-term artificial nutrition, and they decided whether or not to make use of long-term artificial nutrition from January 1, 2014 to December 31, 2014. Results We evaluated 58 patients including 46 with TF and 12 without. The mean age of all patients was 79.6 ± 9.0 years old. Patients with probable Alzheimer’s disease (n = 38) formed the biggest group, and those with vascular dementia the second (n = 14). Median survival times were 23 months among patients with TF and two months among patients without TF. The start of TF decreased the frequency of pneumonia and the use of intravenous antibiotics. Conclusions TF decreased pneumonia and antibiotic use, even in patients with severe dementia. The results of this study do not necessarily indicate that we should administer TF to patients with severe dementia. We should consider the quality of life of patients carefully before deciding the use or disuse of TF for patients with severe dementia.http://link.springer.com/article/10.1186/s12877-017-0662-6DementiaNasogastric tubePercutaneous endoscopic gastrostomyPneumoniaTube feeding |
| spellingShingle | Shintaro Takenoshita Keiko Kondo Keiichi Okazaki Akihiko Hirao Keiko Takayama Keisuke Hirayama Hiroyuki Asaba Kenji Nakata Hideki Ishizu Hiromi Takahashi Hanae Nakashima-Yasuda Yasue Sakurada Kengo Fujikawa Osamu Yokota Norihito Yamada Seishi Terada Middle Western Japan-Dementia Study (mid-Dem study) Tube feeding decreases pneumonia rate in patients with severe dementia: comparison between pre- and post-intervention BMC Geriatrics Dementia Nasogastric tube Percutaneous endoscopic gastrostomy Pneumonia Tube feeding |
| title | Tube feeding decreases pneumonia rate in patients with severe dementia: comparison between pre- and post-intervention |
| title_full | Tube feeding decreases pneumonia rate in patients with severe dementia: comparison between pre- and post-intervention |
| title_fullStr | Tube feeding decreases pneumonia rate in patients with severe dementia: comparison between pre- and post-intervention |
| title_full_unstemmed | Tube feeding decreases pneumonia rate in patients with severe dementia: comparison between pre- and post-intervention |
| title_short | Tube feeding decreases pneumonia rate in patients with severe dementia: comparison between pre- and post-intervention |
| title_sort | tube feeding decreases pneumonia rate in patients with severe dementia comparison between pre and post intervention |
| topic | Dementia Nasogastric tube Percutaneous endoscopic gastrostomy Pneumonia Tube feeding |
| url | http://link.springer.com/article/10.1186/s12877-017-0662-6 |
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