Incidence and patient characteristics of aspiration pneumonia using a nursing screening flowchart in an acute hospital

DOI
  • Yamasaki Miyo
    Department of Nursing, Fujita Health University Hospital
  • Kohta Masushi
    Research Center for Implementation Nursing Science Initiative, School of Health Sciences, Fujita Health University
  • Miki Tatsuto
    Department of Nursing, Fujita Health University Hospital
  • Tamura Shigeru
    Department of Nursing, Fujita Health University Hospital
  • Ishitani Tomonori
    Department of Nursing, Fujita Health University Hospital
  • Ikoma Toshihiro
    Department of Nursing, Fujita Health University Hospital
  • Ishiyama Yuki
    Department of Nursing, Fujita Health University Hospital
  • Kaigawa Mifuyu
    Department of Nursing, Fujita Health University Hospital
  • Sugama Junko
    Research Center for Implementation Nursing Science Initiative, School of Health Sciences, Fujita Health University
  • Mano Keiko
    Department of Nursing, Fujita Health University Hospital

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Other Title
  • 急性期病院における看護スクリーニングフローチャートを用いた 誤嚥性肺炎の発生率と患者特性

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The aim of this study was to investigate the incidence of aspiration pneumonia and the characteristics of patients with aspiration pneumonia after admission to an acute hospital using a nursing screening flowchart. A cross-sectional survey was conducted from October 2020 to January 2021. In this study, we used the Dysphagia and Aspiration Pneumonia Patients. Screening flowchart (DAS flowchart) we developed to identify hospitalized patients with aspiration pneumonia. Over the study period, 97 of 10,039 hospitalized patients were suspected to have or were diagnosed with pneumonia. Of these 97 patients, 73 (75.3%) patients had aspiration pneumonia. Thus, we determined that the incidence rate of aspiration pneumonia in this study was 0.73%. At least two of the following three physician.s diagnostic parameters were observed in 48 of the 73 patients (65.8%): body temperature .37.5℃, C-reactive protein level .20 mg/L, and white blood cell count .9,000/μL. The DAS flowchart may be used to identify patients with aspiration pneumonia. However, further research is needed to investigate the validity of the DAS flowchart.

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