期刊
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
卷 16, 期 8, 页码 697-701出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jamda.2015.03.020
关键词
Dementia; dysphagia; nutrition; aspiration pneumonia
资金
- Max und Ingeburg Herz-Stiftung, Hamburg, Germany
Objectives: To evaluate influences of disease severity and food texture on prevalence and type of dysphagia in hospitalized geriatric patients. Design: We screened for dysphagia in 161 geriatric inpatients with different forms of dementia and 30 control patients. Measurements: Signs of aspiration were registered with 3 different food consistencies (water, apple puree, and slice of an apple) and the latency until the first swallow was documented. Setting: Geriatric department of an academic teaching hospital in Hamburg, Germany. Results: Compared with the controls, patients with dementia more often showed signs of aspiration. In the patients with dementia, signs of aspiration occurred more frequently with water (35.6%) than with a slice of an apple (15.1%) or apple puree (6.3%). We observed an inverse relationship between Mini-Mental State Examination score level and the suspected rate of aspiration, as well as with the length of latency until the first swallow of puree. Conclusions: The prevalence of dysphagia is high in patients with dementia, especially in patients with moderate to severe cognitive impairment. The relationships observed in this study encourage screening for dysphagia and adapting meal consistencies to prevent aspiration in patients with dementia. (C) 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据