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Decisions on eating and drinking in older adults admitted with pneumonia and referred for swallowing difficulties.
Yoshimatsu, Yuki; Hansjee, Dharinee; Markowski, Marianne; Essex, Ryan; Smithard, David G.
Afiliación
  • Yoshimatsu Y; Elderly Care, Queen Elizabeth Hospital, Lewisham and Greenwich NHS Trust, Stadium Rd, London, SE18 4QH, UK. yukitsukihana0105@gmail.com.
  • Hansjee D; Centre for Exercise Activity and Rehabilitation, School of Human Sciences, University of Greenwich, London, UK. yukitsukihana0105@gmail.com.
  • Markowski M; Speech and Language Therapy, School of Health Sciences, University of Greenwich, London, UK.
  • Essex R; The Institute for Lifecourse Development, University of Greenwich, London, UK.
  • Smithard DG; The Institute for Lifecourse Development, University of Greenwich, London, UK.
Eur Geriatr Med ; 15(3): 771-775, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38722516
ABSTRACT

PURPOSE:

Older patients with pneumonia are commonly restricted from oral intake due to concerns towards aspiration. Eating and drinking with acknowledged risks (EDAR) is a shared decision-making process emphasising patient comfort. As part of our project to find the barriers and facilitators of EDAR, we aimed for this initial study to see how frequently EDAR was selected in practice.

METHODS:

We performed a retrospective cohort study at an acute hospital where EDAR was initially developed, of patients aged ≥ 75 years-old admitted with pneumonia and referred to speech and language therapy.

RESULTS:

Out of 216 patients, EDAR decisions were made in 14.4%. The EDAR group had a higher 1-year mortality than the modified/normal diet groups (p < 0.001). Pneumonia recurrence rate did not differ significantly between the groups (p = 0.070).

CONCLUSION:

EDAR decisions were comparatively less common and most were associated with end-of-life care. Underlying reasons for the low EDAR application rate must be investigated to maximise patient autonomy and comfort as intended by EDAR while minimising staff burden.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neumonía / Trastornos de Deglución / Ingestión de Alimentos Límite: Aged / Aged80 / Female / Humans / Male Idioma: En Revista: Eur Geriatr Med Año: 2024 Tipo del documento: Article Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neumonía / Trastornos de Deglución / Ingestión de Alimentos Límite: Aged / Aged80 / Female / Humans / Male Idioma: En Revista: Eur Geriatr Med Año: 2024 Tipo del documento: Article Pais de publicación: Suiza