Pneumonia, Depression, and Mortality are Impacted by Feeding Route in Patients With Dysphagia

Autor: Jennifer Hanners Gutierrez, Cathy Lazarus, Melinda Corwin, Paula Leslie
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Gerontology and Geriatric Medicine, Vol 10 (2024)
Druh dokumentu: article
ISSN: 2333-7214
23337214
DOI: 10.1177/23337214241269848
Popis: Background: Liquid nutrition delivered through a tube is often used amid difficulty swallowing. Tube feeding has been shown to have a relationship to pneumonia and mortality. Aim: Researchers investigated the relationship of feeding route (oral or tube) to patient outcomes. Design: Data were collected on outcomes (pneumonia, depression, mortality), feeding route, presence/absence of dysphagia, and covariates (chronic obstructive pulmonary disease [COPD], stroke, mortality risk, illness severity, sex, age). Researchers collected data over a 45-month period to ensure an adequate sample size for matching. The method of sampling was retrospective, archival data analysis. Propensity score analysis resulted in 94 matched, balanced pairs. Covariates were isolated from the treatment effect. Participants: The records of 2,180 inpatients treated by Palliative Medicine were considered, and 292 met the inclusion criteria. Results: Results revealed 10.14 times greater odds of pneumonia (OR = 10.14; p
Databáze: Directory of Open Access Journals