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Asphyxia risk factors in adult psychiatric wards
Author(s) -
Sugisawa Satoru,
Nozue Shinji,
Kurihara Tatsuya,
Koya Hiroaki,
Tsuneoka Toshiaki,
Nagai Tsutomu,
Kurata Naomi,
Inamoto Atsuko,
Takahashi Koji,
Sasaki Tadanori
Publication year - 2020
Publication title -
perspectives in psychiatric care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.538
H-Index - 35
eISSN - 1744-6163
pISSN - 0031-5990
DOI - 10.1111/ppc.12487
Subject(s) - choking , medicine , asphyxia , swallowing , psychiatry , tolerability , pediatrics , adverse effect , surgery , anatomy
Purpose To identify factors for choking in psychiatric wards that can be easily screened. Design and Methods Data were collected from patients admitted to the acute phase psychiatric wards who were assessed for swallowing function by dentists. We defined 47 and 102 patients of choking in the high‐ and low‐risk groups, respectively. Findings Through multivariate analysis, we identified basal metabolic index and two Drug‐induced Extra‐pyramidal Symptoms Scale items, bradykinesia and tremor, as independent choking factors. Practice Implications Choking risk is related to patient tolerability rather than to the absolute severity of psychiatric symptoms or psychotropic dose.