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The Safety of Oral Rehydration Solution Jelly for Water and Electrolyte Intake in Patients with Dysphagia

PURPOSE: Oral rehydration solutions (ORSs) are effective in replacing fluids and electrolytes and are widely used. OS-1 Jelly (Otsuka Pharmaceutical Factory, Tokushima, Japan) is a jelly drink corresponding to code 2-1 of the 2021 Japanese Dysphagia Diet. Although jelly drinks are less likely to be...

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Autores principales: Nakagawa, Kazuharu, Yoshimi, Kanako, Yoshizawa, Akira, Aritaki, Kota, Yamaguchi, Kohei, Nakane, Ayako, Tohara, Haruka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10010143/
https://www.ncbi.nlm.nih.gov/pubmed/36923730
http://dx.doi.org/10.2147/TCRM.S398281
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author Nakagawa, Kazuharu
Yoshimi, Kanako
Yoshizawa, Akira
Aritaki, Kota
Yamaguchi, Kohei
Nakane, Ayako
Tohara, Haruka
author_facet Nakagawa, Kazuharu
Yoshimi, Kanako
Yoshizawa, Akira
Aritaki, Kota
Yamaguchi, Kohei
Nakane, Ayako
Tohara, Haruka
author_sort Nakagawa, Kazuharu
collection PubMed
description PURPOSE: Oral rehydration solutions (ORSs) are effective in replacing fluids and electrolytes and are widely used. OS-1 Jelly (Otsuka Pharmaceutical Factory, Tokushima, Japan) is a jelly drink corresponding to code 2-1 of the 2021 Japanese Dysphagia Diet. Although jelly drinks are less likely to be aspirated than liquids, their physical properties vary depending on the product. Therefore, the severity of dysphagia may affect intake status. This study aimed to investigate the association between the intake status of ORS jelly and swallowing function. PATIENTS AND METHODS: Thirty-six patients with dysphagia who required videoendoscopic swallowing evaluation at our university hospital were enrolled. Videoendoscopic swallowing evaluation was performed, and each participant swallowed 5 mL of OS-1 Jelly or thickened water modified to International Dysphagia Diet Standardization Initiative (IDDSI) level 2 three times. Statistical analysis was performed to determine the difference in the number of swallows, time until the swallowing reflex, position for inducing the swallowing reflex, presence of pharyngeal residue, penetration, or aspiration between ORS jelly and thickened water. RESULTS: The time until the swallowing reflex was induced and the position of the swallowing reflex triggered were significantly earlier for ORS jelly (p=0.012, p=0.001). The incidence of pharyngeal residue was significantly lower with ORS jelly (p=0.002). The Penetration-Aspiration Scale score was similar for both samples (p=0.062), and no aspiration was observed in either sample. CONCLUSION: Patients with dysphagia who can swallow thickened water modified to IDDSI level 2 can consume ORS jelly. ORS jelly, which requires no thickening and can be easily and safely consumed, is effective for water and electrolyte intake in patients with dysphagia.
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spelling pubmed-100101432023-03-14 The Safety of Oral Rehydration Solution Jelly for Water and Electrolyte Intake in Patients with Dysphagia Nakagawa, Kazuharu Yoshimi, Kanako Yoshizawa, Akira Aritaki, Kota Yamaguchi, Kohei Nakane, Ayako Tohara, Haruka Ther Clin Risk Manag Original Research PURPOSE: Oral rehydration solutions (ORSs) are effective in replacing fluids and electrolytes and are widely used. OS-1 Jelly (Otsuka Pharmaceutical Factory, Tokushima, Japan) is a jelly drink corresponding to code 2-1 of the 2021 Japanese Dysphagia Diet. Although jelly drinks are less likely to be aspirated than liquids, their physical properties vary depending on the product. Therefore, the severity of dysphagia may affect intake status. This study aimed to investigate the association between the intake status of ORS jelly and swallowing function. PATIENTS AND METHODS: Thirty-six patients with dysphagia who required videoendoscopic swallowing evaluation at our university hospital were enrolled. Videoendoscopic swallowing evaluation was performed, and each participant swallowed 5 mL of OS-1 Jelly or thickened water modified to International Dysphagia Diet Standardization Initiative (IDDSI) level 2 three times. Statistical analysis was performed to determine the difference in the number of swallows, time until the swallowing reflex, position for inducing the swallowing reflex, presence of pharyngeal residue, penetration, or aspiration between ORS jelly and thickened water. RESULTS: The time until the swallowing reflex was induced and the position of the swallowing reflex triggered were significantly earlier for ORS jelly (p=0.012, p=0.001). The incidence of pharyngeal residue was significantly lower with ORS jelly (p=0.002). The Penetration-Aspiration Scale score was similar for both samples (p=0.062), and no aspiration was observed in either sample. CONCLUSION: Patients with dysphagia who can swallow thickened water modified to IDDSI level 2 can consume ORS jelly. ORS jelly, which requires no thickening and can be easily and safely consumed, is effective for water and electrolyte intake in patients with dysphagia. Dove 2023-03-09 /pmc/articles/PMC10010143/ /pubmed/36923730 http://dx.doi.org/10.2147/TCRM.S398281 Text en © 2023 Nakagawa et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Nakagawa, Kazuharu
Yoshimi, Kanako
Yoshizawa, Akira
Aritaki, Kota
Yamaguchi, Kohei
Nakane, Ayako
Tohara, Haruka
The Safety of Oral Rehydration Solution Jelly for Water and Electrolyte Intake in Patients with Dysphagia
title The Safety of Oral Rehydration Solution Jelly for Water and Electrolyte Intake in Patients with Dysphagia
title_full The Safety of Oral Rehydration Solution Jelly for Water and Electrolyte Intake in Patients with Dysphagia
title_fullStr The Safety of Oral Rehydration Solution Jelly for Water and Electrolyte Intake in Patients with Dysphagia
title_full_unstemmed The Safety of Oral Rehydration Solution Jelly for Water and Electrolyte Intake in Patients with Dysphagia
title_short The Safety of Oral Rehydration Solution Jelly for Water and Electrolyte Intake in Patients with Dysphagia
title_sort safety of oral rehydration solution jelly for water and electrolyte intake in patients with dysphagia
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10010143/
https://www.ncbi.nlm.nih.gov/pubmed/36923730
http://dx.doi.org/10.2147/TCRM.S398281
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