Aim: The aim of this study was to clarify the factors related to life prognosis of elderly patients with aspiration pneumonia. Patients were classified by age (over 90, 75‒89, 65‒74), and factors related to their physical condition and hospitalized days were examined. Methods: Medical records of 80 patients (median age: 87.0 years) living in Japan and hospitalized for aspiration pneumonia between December 2010 and December 2016 were reviewed retrospectively. Swallowing function, nutritional status, activities of daily living, pre-hospital residence, bed rest period, fasting period, hospitalized days and prognosis were also evaluated. Statistical analysis was performed between the over 90 group, the 75‒89 group, and the 65‒74 group. In addition, the life prognosis at discharge (survived/death) was compared between the over 90 group and the 75‒89 group. Fisher’s exact probability test was conducted between pre-hospital residence (other hospital/nursing home/home) and age group (over 90 group/75‒89 group/65‒74 group). Furthermore, multiple logistic regression analysis with life prognosis at discharge as a dependent variable was conducted in all patients, the over 90 group and the 75‒89 group. Results: In comparison between the over 90 group, 75‒89 group, 65‒74 group, the hospitalized days was significantly shorter in the over 90 group. In Fisher’s exact probability test, in comparison to the over 90 group and the 75‒89 group, significant differences in nursing home and home were found. In the over 90 group, the Mini-Nutritional Assessment Short Form (MNA-SF) scores were significantly higher in patients who survived. In the 75‒89 group, the bed rest period was significantly shorter in patients who survived. In all patients, multiple logistic regression analysis with life prognosis at discharge as a dependent variable showed that MNA-SF score and BMI were significant independent variables. Conclusion: Nutritional status was the factor most relevant to the life prognosis of elderly patients with aspiration pneumonia. In the over 90 group, the hospital days was significantly shorter, suggesting the relationship of pre-hospital residence.
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