2018 Volume 33 Issue 5 Pages 1133-1138
Objective: To examine the effects of early resumption of oral intake by an early comprehensive swallowing training by multidiciplinary team in patients with aspiration pneumonia.
Methods: We enrolled 139 patients aged 65 years or older who were admitted to our hospital due to aspiration pnemonia and had been instructed to take nothing by mouth until prescription of swallowing training. 52 patients with mean (SD) age of 85.6 (7.2) years admitted from September 2012 to February 2013 were enrolled as a control group; and 87 patinets with mean (SD) age of 86.5 (7.0) years adimitted from September 2013 to February 2014, who recieved an early comprehensive swallowing training, were enrolled as an early intervention group. The various outcomes were compared between these groups.
Results: Days from admission to resumption of oral intake, duration of antibiotic therapy were significantly shorter in the early intervention group compared with the control group (3/5, 8/11, P<0.05,median). The rate of patients with the pneumonia recurrence during hospital stay were smaller in the early intervention group compared with the contorl gourp (6.9%/19.2%, P<0.05) . Days from admission to resumption of oral intake was an independent factor on shortening of antibiotic therapy(P=0.012).
Conclusion: Early resumption of oral intake promoted recovery in patients with aspiration pneumonia and reduced pneumonia recurrence.
