Association between Death or Hospitalization and Observable Variables of Eating and Swallowing Function among Elderly Residents in Long-Term Care Facilities: A Multicenter Prospective Cohort Study
This 1-year multicenter prospective cohort study aimed to determine the association between observable eating and swallowing function factors and outcomes (death/hospitalization or survival) among elderly persons in long-term care insurance facilities in Japan. Baseline assessments of factors, such...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-06-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/13/1827 |
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| author | Maaya Takeda Yutaka Watanabe Kenshu Taira Kazuhito Miura Yuki Ohara Masanori Iwasaki Kayoko Ito Junko Nakajima Yasuyuki Iwasa Masataka Itoda Yasuhiro Nishi Yoshihiko Watanabe Masako Kishima Hirohiko Hirano Maki Shirobe Shunsuke Minakuchi Mitsuyoshi Yoshida Yutaka Yamazaki |
| author_facet | Maaya Takeda Yutaka Watanabe Kenshu Taira Kazuhito Miura Yuki Ohara Masanori Iwasaki Kayoko Ito Junko Nakajima Yasuyuki Iwasa Masataka Itoda Yasuhiro Nishi Yoshihiko Watanabe Masako Kishima Hirohiko Hirano Maki Shirobe Shunsuke Minakuchi Mitsuyoshi Yoshida Yutaka Yamazaki |
| author_sort | Maaya Takeda |
| collection | DOAJ |
| description | This 1-year multicenter prospective cohort study aimed to determine the association between observable eating and swallowing function factors and outcomes (death/hospitalization or survival) among elderly persons in long-term care insurance facilities in Japan. Baseline assessments of factors, such as language, drooling, halitosis, hypersalivation, tongue movement, perioral muscle function, coughing, respiration after swallowing, rinsing, and oral residue, among others, were conducted. A score of 0 was considered positive, and a score of 1 or 2 was considered negative. Patient age, sex, body mass index, Barthel index, and Clinical Dementia Rating were recorded. The death/hospitalization or survival rates over 1 year were recorded, and patients were allocated into groups depending on the respective outcome (death/hospitalization group or survival group) and baseline characteristics. A total of 986 residents from 32 facilities were included, with 216 in the death/hospitalization group and 770 in the survival group. Language, salivation, halitosis, perioral muscle, coughing, respiration after swallowing, rinsing, and oral residue were significantly associated with the outcomes (<i>p</i> < 0.05). Therefore, routine performance of these simple assessments by caregivers may allow early detection and treatment to prevent death, pneumonia, aspiration, and malnutrition in elderly persons. |
| first_indexed | 2024-03-11T01:41:32Z |
| format | Article |
| id | doaj.art-da001874dca3433fa4787ca48e7b6c32 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T01:41:32Z |
| publishDate | 2023-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-da001874dca3433fa4787ca48e7b6c322023-11-18T16:35:40ZengMDPI AGHealthcare2227-90322023-06-011113182710.3390/healthcare11131827Association between Death or Hospitalization and Observable Variables of Eating and Swallowing Function among Elderly Residents in Long-Term Care Facilities: A Multicenter Prospective Cohort StudyMaaya Takeda0Yutaka Watanabe1Kenshu Taira2Kazuhito Miura3Yuki Ohara4Masanori Iwasaki5Kayoko Ito6Junko Nakajima7Yasuyuki Iwasa8Masataka Itoda9Yasuhiro Nishi10Yoshihiko Watanabe11Masako Kishima12Hirohiko Hirano13Maki Shirobe14Shunsuke Minakuchi15Mitsuyoshi Yoshida16Yutaka Yamazaki17Gerodontology, Department of Oral Health Science, Faculty of Dental Medicine, Hokkaido University, Sapporo 060-8586, JapanGerodontology, Department of Oral Health Science, Faculty of Dental Medicine, Hokkaido University, Sapporo 060-8586, JapanGerodontology, Department of Oral Health Science, Faculty of Dental Medicine, Hokkaido University, Sapporo 060-8586, JapanGerodontology, Department of Oral Health Science, Faculty of Dental Medicine, Hokkaido University, Sapporo 060-8586, JapanTokyo Metropolitan Institute for Geriatrics and Gerontology, Itabashi-ku 173-0015, JapanTokyo Metropolitan Institute for Geriatrics and Gerontology, Itabashi-ku 173-0015, JapanOral Rehabilitation, Niigata University Medical and Dental Hospital, Niigata 951-8520, JapanDepartment of Oral Medicine and Hospital Dentistry, Tokyo Dental College, Ichikawa 272-8513, JapanDepartment of Dentistry, Haradoi Hospital, Fukuoka 813-8588, JapanDepartment of Oral Rehabilitation, Osaka Dental University Hospital, Osaka 573-1144, JapanDepartment of Oral and Maxillofacial Prosthodontics, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima 890-8544, JapanDepartment of Healthcare Management, Tohoku Fukushi University, Sendai 981-8522, JapanDepartment of Dentistry, Wakakusa-Tatsuma Rehabilitation Hospital, Daito 574-0012, JapanTokyo Metropolitan Institute for Geriatrics and Gerontology, Itabashi-ku 173-0015, JapanTokyo Metropolitan Institute for Geriatrics and Gerontology, Itabashi-ku 173-0015, JapanGerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku 113-8549, JapanDepartment of Dentistry and Oral-Maxillofacial Surgery, School of Medicine, Fujita Health University, Toyoake 470-1192, JapanGerodontology, Department of Oral Health Science, Faculty of Dental Medicine, Hokkaido University, Sapporo 060-8586, JapanThis 1-year multicenter prospective cohort study aimed to determine the association between observable eating and swallowing function factors and outcomes (death/hospitalization or survival) among elderly persons in long-term care insurance facilities in Japan. Baseline assessments of factors, such as language, drooling, halitosis, hypersalivation, tongue movement, perioral muscle function, coughing, respiration after swallowing, rinsing, and oral residue, among others, were conducted. A score of 0 was considered positive, and a score of 1 or 2 was considered negative. Patient age, sex, body mass index, Barthel index, and Clinical Dementia Rating were recorded. The death/hospitalization or survival rates over 1 year were recorded, and patients were allocated into groups depending on the respective outcome (death/hospitalization group or survival group) and baseline characteristics. A total of 986 residents from 32 facilities were included, with 216 in the death/hospitalization group and 770 in the survival group. Language, salivation, halitosis, perioral muscle, coughing, respiration after swallowing, rinsing, and oral residue were significantly associated with the outcomes (<i>p</i> < 0.05). Therefore, routine performance of these simple assessments by caregivers may allow early detection and treatment to prevent death, pneumonia, aspiration, and malnutrition in elderly persons.https://www.mdpi.com/2227-9032/11/13/1827eatingswallowing functionlong-term care facilitydroolinghalitosisrinsing |
| spellingShingle | Maaya Takeda Yutaka Watanabe Kenshu Taira Kazuhito Miura Yuki Ohara Masanori Iwasaki Kayoko Ito Junko Nakajima Yasuyuki Iwasa Masataka Itoda Yasuhiro Nishi Yoshihiko Watanabe Masako Kishima Hirohiko Hirano Maki Shirobe Shunsuke Minakuchi Mitsuyoshi Yoshida Yutaka Yamazaki Association between Death or Hospitalization and Observable Variables of Eating and Swallowing Function among Elderly Residents in Long-Term Care Facilities: A Multicenter Prospective Cohort Study Healthcare eating swallowing function long-term care facility drooling halitosis rinsing |
| title | Association between Death or Hospitalization and Observable Variables of Eating and Swallowing Function among Elderly Residents in Long-Term Care Facilities: A Multicenter Prospective Cohort Study |
| title_full | Association between Death or Hospitalization and Observable Variables of Eating and Swallowing Function among Elderly Residents in Long-Term Care Facilities: A Multicenter Prospective Cohort Study |
| title_fullStr | Association between Death or Hospitalization and Observable Variables of Eating and Swallowing Function among Elderly Residents in Long-Term Care Facilities: A Multicenter Prospective Cohort Study |
| title_full_unstemmed | Association between Death or Hospitalization and Observable Variables of Eating and Swallowing Function among Elderly Residents in Long-Term Care Facilities: A Multicenter Prospective Cohort Study |
| title_short | Association between Death or Hospitalization and Observable Variables of Eating and Swallowing Function among Elderly Residents in Long-Term Care Facilities: A Multicenter Prospective Cohort Study |
| title_sort | association between death or hospitalization and observable variables of eating and swallowing function among elderly residents in long term care facilities a multicenter prospective cohort study |
| topic | eating swallowing function long-term care facility drooling halitosis rinsing |
| url | https://www.mdpi.com/2227-9032/11/13/1827 |
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