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Physicians’ opinions regarding the criteria for resuming oral intake after aspiration pneumonia: A questionnaire survey and cluster analysis of hospitals across Japan
Author(s) -
Kenzaka Tsuneaki,
Kumabe Ayako,
Kosami Koki,
Matsuoka Yasufumi,
Minami Kensuke,
Ninomiya Daisuke,
Noda Ayako,
Okayama Masanobu
Publication year - 2017
Publication title -
geriatrics and gerontology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 57
eISSN - 1447-0594
pISSN - 1444-1586
DOI - 10.1111/ggi.12792
Subject(s) - medicine , swallowing , cronbach's alpha , family medicine , pneumonia , cluster (spacecraft) , aspiration pneumonia , discretion , medical prescription , nursing , psychometrics , clinical psychology , surgery , computer science , political science , law , programming language
Abstract Aim To investigate the items that are considered by physicians when making decisions regarding the resumption of oral intake among patients with aspiration pneumonia who have undergone short‐term fasting. Methods We surveyed 2490 Japanese hospitals that had internal medicine and respiratory medicine departments. We mailed questionnaires that contained 24 items related to oral intake resumption after aspiration pneumonia to the head of the department at each hospital. Cronbach statistics, principal component analysis and cluster analysis were used to analyze the results. Results We received responses from 350 hospitals; 89.7% of the respondents answered that they “Strongly agree” that “level of consciousness” is a useful criterion for resuming oral intake. Furthermore, 66%, 66%, 63.4%, 58.5% and 51% of the respondents answered that they “strongly agree” regarding the use of SpO 2 , the discretion of the attending physician, body temperature, swallowing function test results, mental state and respiratory rate, respectively. In the cluster analysis, level of consciousness, body temperature, SpO 2 , respiratory rate, mental state and the discretion of the attending physician belonged to the first cluster. The second cluster consisted of the patient's request, the family's request, the opinions of the medical staff and non‐physician healthcare providers, and performance status. Conclusions Physicians consider several criteria during decision‐making regarding oral intake resumption, which can be assigned to two clusters. Future studies are required to develop generalizable and objective criteria. Geriatr Gerontol Int 2017; 17: 810–818.