Abstract
Mizokoshi E, Kagaya H, Oguchi K, Aoyagi Y, Shibata S, Inamoto Y, Hattori A, Yamamoto A, Ota N, Hota S, Kondo T, Saitoh E. Usefulness of swallowing rounds in acute general hospital. Jpn J Compr Rehabil Sci 2016; 7 : 73-79.
Objective: To investigate the usefulness of swallowing rounds using videoendoscopic evaluation of swallowing in patients with suspected dysphagia admitted to an acute general hospital.
Methods: 473 patients (mean age 79 years) in whom swallowing rounds were conducted in 2013 were analyzed retrospectively. The parameters analyzed were disease at admission, eating status scale (ESS) score, dysphagia severity scale (DSS) score, food texture, onset of pneumonia during hospitalization, discharge destination, and nutrition method at discharge.
Results: The most common diseases at admission were pneumonia (48%) and stroke (20%). Compared to the first swallowing round, significant (p < 0.001) improvements in ESS score, DSS score, and food texture were achieved at discharge or end of intervention in all patients, pneumonia patients, and stroke patients. The incidence of pneumonia onset during hospitalization was 4.9%. The incidence of pneumonia was significantly (p=0.045) higher in patients with respiratory diseases than in stroke patients.
Conclusion: In this study, significant improvements of ESS score, DSS score and food texture were achieved by conducting swallowing rounds, indicating their usefulness in acute general hospital.
