The effectiveness of the complete lateral position method in elderly patients with severe dysphagia
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- Kudo Hiroshi
- Department of Internal Medicine, Hida City Hospital
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- Ide Hiroki
- Department of Swallowing, Medical Corporation Sansetsukai
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- Nakabayashi Motokazu
- Department of Pediatrics, Hida City Hospital
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- Goto Takahiro
- Department of Internal Medicine, Hida City Hospital
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- Wakakuri Akira
- Department of Internal Medicine, Hida City Hospital
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- Iwata Naohiro
- Department of Surgery, Hida City Hospital
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- Kuroki Yoshito
- Department of Surgery, Hida City Hospital
Bibliographic Information
- Other Title
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- 重度嚥下機能障害を有する高齢者診療における完全側臥位法の有用性
- ジュウドエンカ キノウ ショウガイ オ ユウスル コウレイシャ シンリョウ ニ オケル カンゼン ソクガイホウ ノ ユウヨウセイ
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Abstract
<p>Aim: This study aimed to clarify the effectiveness of using the complete lateral position method to treat elderly patients with severe dysphagia.</p><p>Methods: We enrolled 47 patients >65 years of age who had been diagnosed with severe dysphagia using a video endoscopic examination of swallowing at Hida City Hospital between February 1, 2015, and October 31, 2017. We collected and analyzed data pertaining to patient characteristics, the onset of aspiration pneumonia, and treatment outcomes.</p><p>Results: Although all patients had severe dysphagia, adopting the complete lateral position method enabled 25 patients (53.2%) to safely perform oral ingestion and be discharged home or to a nursing home. Thirteen (52.0%) of the patients who were discharged were able to safely receive oral intake in the sitting position again. In addition, the serum albumin level and Barthel index were significantly improved. In the patients whose condition worsened due to senility, the fasting period in the complete lateral potion group was significantly shorter than in the control group (7.3 days vs. 17.3 days).</p><p>Conclusions: The present study showed that the complete lateral position method enabled safe oral ingestion in elderly patients with severe dysphagia. Safe oral ingestion contributed to improved nutrition and rehabilitation. The complete lateral position method is easy to assume and does not require the use of special appliances or techniques. We believe that the complete lateral position method will prove to be a breakthrough approach in the care of elderly patients with severe dysphagia.</p>
Journal
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- Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
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Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics 56 (1), 59-66, 2019-01-25
The Japan Geriatrics Society
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Details 詳細情報について
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- CRID
- 1390845713053277952
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- NII Article ID
- 130007591330
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- NII Book ID
- AN00199010
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- NDL BIB ID
- 029521219
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- ISSN
- 03009173
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- PubMed
- 30760684
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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- Abstract License Flag
- Disallowed