While studies of factors related to the outbreaks of aspiration pneumonia have been reported in the context of rehabilitation wards and long-term health care facilities for the elderly, they do not appear with reference to medical long-term care sanatoriums. Accordingly, by clarifying factors related to the outbreak of aspiration pneumonia in medical long-term care sanatoriums with Hospital A, this study seeks to help prevent outbreaks of aspiration pneumonia in a manner tailored to the characteristics of facilities.
In terms of method, information was retrospectively collected from medical records for the residents of the target facility and then studied with respect to their relevance to aspiration pneumonia. Thereafter, characteristic factors were extracted by comparison with other facilities.
Consequently, six items were extracted as related factors; namely, intensity of long-term care, history of respiratory illness, JCS dysphagia grade, the presence or absence of oral ingestion, and ADL category. In comparison with other facilities, three factors were extracted; namely, the history of respiratory illness, the presence or absence of oral ingestion, and JCS.
On the basis of this survey, it was suggested that the history of respiratory illness, the presence or absence of oral ingestion, and JCS represent characteristic factors for medical long-term care sanatoriums with Hospital A.
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