Evidence-Based Measures for Preventing Aspiration Pneumonia in Patients with Dysphagia

Dysphagia increases the risk of aspiration pneumonia with resultant morbidity and recurrent hospital admissions. With a rapidly ageing population and an increasing complex chronic disease burden, the prevalence of patients with dysphagia will increase. Family physicians will encounter more patients...

Full description

Bibliographic Details
Main Authors: Wei Yi Tay MMed (Fam Med), MCFP, Lian Leng Low MMed (Fam Med), MCFP, Shu Yun Tan MMed (Fam Med), FCFP(S), Farhad Fakhrudin Vasanwala MRCP(UK), FCFP(S)
Format: Article
Language:English
Published: SAGE Publishing 2014-06-01
Series:Proceedings of Singapore Healthcare
Online Access:https://doi.org/10.1177/201010581402300210
_version_ 1818990160172285952
author Wei Yi Tay MMed (Fam Med), MCFP
Lian Leng Low MMed (Fam Med), MCFP
Shu Yun Tan MMed (Fam Med), FCFP(S)
Farhad Fakhrudin Vasanwala MRCP(UK), FCFP(S)
author_facet Wei Yi Tay MMed (Fam Med), MCFP
Lian Leng Low MMed (Fam Med), MCFP
Shu Yun Tan MMed (Fam Med), FCFP(S)
Farhad Fakhrudin Vasanwala MRCP(UK), FCFP(S)
author_sort Wei Yi Tay MMed (Fam Med), MCFP
collection DOAJ
description Dysphagia increases the risk of aspiration pneumonia with resultant morbidity and recurrent hospital admissions. With a rapidly ageing population and an increasing complex chronic disease burden, the prevalence of patients with dysphagia will increase. Family physicians will encounter more patients with dysphagia in various practice settings of primary, intermediate long term care and tertiary settings. We conducted a comprehensive literature review on the latest established evidence on measures to prevent aspiration pneumonia in patients with dysphagia. We found that many studies involved only small numbers of patients and lacked the methodological quality of well-conducted randomised contolled trials. Interventions that showed strongest evidence in preventing aspiration pneumonia were good oral health and the use of Angiotensin Converting Enzyme (ACE) inhibitor. We have provided a summary of key recommendations for family physicians, based on the Scottish Intercollegiate Guidelines Network (SIGN) framework in order to reflect the latest evidence-based strategies on measures to prevent aspiration pneumonia in patients with dysphagia.
first_indexed 2024-12-20T19:49:57Z
format Article
id doaj.art-93cdbd2ff8154e96b7db1426d23469fd
institution Directory Open Access Journal
issn 2010-1058
2059-2329
language English
last_indexed 2024-12-20T19:49:57Z
publishDate 2014-06-01
publisher SAGE Publishing
record_format Article
series Proceedings of Singapore Healthcare
spelling doaj.art-93cdbd2ff8154e96b7db1426d23469fd2022-12-21T19:28:20ZengSAGE PublishingProceedings of Singapore Healthcare2010-10582059-23292014-06-012310.1177/201010581402300210Evidence-Based Measures for Preventing Aspiration Pneumonia in Patients with DysphagiaWei Yi Tay MMed (Fam Med), MCFPLian Leng Low MMed (Fam Med), MCFPShu Yun Tan MMed (Fam Med), FCFP(S)Farhad Fakhrudin Vasanwala MRCP(UK), FCFP(S)Dysphagia increases the risk of aspiration pneumonia with resultant morbidity and recurrent hospital admissions. With a rapidly ageing population and an increasing complex chronic disease burden, the prevalence of patients with dysphagia will increase. Family physicians will encounter more patients with dysphagia in various practice settings of primary, intermediate long term care and tertiary settings. We conducted a comprehensive literature review on the latest established evidence on measures to prevent aspiration pneumonia in patients with dysphagia. We found that many studies involved only small numbers of patients and lacked the methodological quality of well-conducted randomised contolled trials. Interventions that showed strongest evidence in preventing aspiration pneumonia were good oral health and the use of Angiotensin Converting Enzyme (ACE) inhibitor. We have provided a summary of key recommendations for family physicians, based on the Scottish Intercollegiate Guidelines Network (SIGN) framework in order to reflect the latest evidence-based strategies on measures to prevent aspiration pneumonia in patients with dysphagia.https://doi.org/10.1177/201010581402300210
spellingShingle Wei Yi Tay MMed (Fam Med), MCFP
Lian Leng Low MMed (Fam Med), MCFP
Shu Yun Tan MMed (Fam Med), FCFP(S)
Farhad Fakhrudin Vasanwala MRCP(UK), FCFP(S)
Evidence-Based Measures for Preventing Aspiration Pneumonia in Patients with Dysphagia
Proceedings of Singapore Healthcare
title Evidence-Based Measures for Preventing Aspiration Pneumonia in Patients with Dysphagia
title_full Evidence-Based Measures for Preventing Aspiration Pneumonia in Patients with Dysphagia
title_fullStr Evidence-Based Measures for Preventing Aspiration Pneumonia in Patients with Dysphagia
title_full_unstemmed Evidence-Based Measures for Preventing Aspiration Pneumonia in Patients with Dysphagia
title_short Evidence-Based Measures for Preventing Aspiration Pneumonia in Patients with Dysphagia
title_sort evidence based measures for preventing aspiration pneumonia in patients with dysphagia
url https://doi.org/10.1177/201010581402300210
work_keys_str_mv AT weiyitaymmedfammedmcfp evidencebasedmeasuresforpreventingaspirationpneumoniainpatientswithdysphagia
AT lianlenglowmmedfammedmcfp evidencebasedmeasuresforpreventingaspirationpneumoniainpatientswithdysphagia
AT shuyuntanmmedfammedfcfps evidencebasedmeasuresforpreventingaspirationpneumoniainpatientswithdysphagia
AT farhadfakhrudinvasanwalamrcpukfcfps evidencebasedmeasuresforpreventingaspirationpneumoniainpatientswithdysphagia