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Association between successful weaning from nasogastric tube feeding and thoracic muscle mass in patients with aspiration pneumonia
Nasogastric tube feeding is often used to provide optimal nutrition and hydration in patients with aspiration pneumonia. However, evidence regarding radiologic indicators for successful nasogastric tube weaning is lacking. We investigated whether thoracic skeletal muscle assessment can be useful for...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10378740/ https://www.ncbi.nlm.nih.gov/pubmed/37505164 http://dx.doi.org/10.1097/MD.0000000000034298 |
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author | Lee, Hyun Woo Kim, Dong Hyun Jin, Kwang Nam Lee, Hyo-Jin Lee, Jung-Kyu Park, Tae Yeon Kim, Deog Kyeom Heo, Eun Young |
author_facet | Lee, Hyun Woo Kim, Dong Hyun Jin, Kwang Nam Lee, Hyo-Jin Lee, Jung-Kyu Park, Tae Yeon Kim, Deog Kyeom Heo, Eun Young |
author_sort | Lee, Hyun Woo |
collection | PubMed |
description | Nasogastric tube feeding is often used to provide optimal nutrition and hydration in patients with aspiration pneumonia. However, evidence regarding radiologic indicators for successful nasogastric tube weaning is lacking. We investigated whether thoracic skeletal muscle assessment can be useful for predicting successful weaning from nasogastric tube feeding in patients with aspiration pneumonia. This longitudinal, observational study included subjects with aspiration pneumonia who underwent a videofluoroscopic swallowing study (VFSS) and chest computed tomography (CT) in Boramae Medical Center, from January 2012 to December 2019. We estimated the area under the receiver operating characteristics curve (AUC) to evaluate the predictive performance of skeletal muscle and visceral fat parameters and VFSS results for successful weaning from nasogastric tube feeding. A board-certified radiologist measured muscle and fat areas. Muscle and fat volumes were segmented and measured using an externally validated convolutional neural network model. Among the 146 included patients, nasogastric tube feeding was successfully transitioned to oral feeding in 46.6%. After adjusting for covariables related to successful weaning, skeletal muscle areas, indices, and volume indices were positively associated with successful nasogastric tube weaning. Although VFSS results and skeletal muscle parameters alone showed suboptimal performance for predicting successful weaning, a prediction model combining skeletal muscle index at the T4 level and VFSS results improved the prediction performance to an acceptable level (AUC ≥ 0.7). Skeletal muscle index measured at the T4 level may be a useful supplementary indicator for predicting successful weaning from nasogastric tube feeding in patients with aspiration pneumonia. |
format | Online Article Text |
id | pubmed-10378740 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-103787402023-07-29 Association between successful weaning from nasogastric tube feeding and thoracic muscle mass in patients with aspiration pneumonia Lee, Hyun Woo Kim, Dong Hyun Jin, Kwang Nam Lee, Hyo-Jin Lee, Jung-Kyu Park, Tae Yeon Kim, Deog Kyeom Heo, Eun Young Medicine (Baltimore) Research Article: Observational Study Nasogastric tube feeding is often used to provide optimal nutrition and hydration in patients with aspiration pneumonia. However, evidence regarding radiologic indicators for successful nasogastric tube weaning is lacking. We investigated whether thoracic skeletal muscle assessment can be useful for predicting successful weaning from nasogastric tube feeding in patients with aspiration pneumonia. This longitudinal, observational study included subjects with aspiration pneumonia who underwent a videofluoroscopic swallowing study (VFSS) and chest computed tomography (CT) in Boramae Medical Center, from January 2012 to December 2019. We estimated the area under the receiver operating characteristics curve (AUC) to evaluate the predictive performance of skeletal muscle and visceral fat parameters and VFSS results for successful weaning from nasogastric tube feeding. A board-certified radiologist measured muscle and fat areas. Muscle and fat volumes were segmented and measured using an externally validated convolutional neural network model. Among the 146 included patients, nasogastric tube feeding was successfully transitioned to oral feeding in 46.6%. After adjusting for covariables related to successful weaning, skeletal muscle areas, indices, and volume indices were positively associated with successful nasogastric tube weaning. Although VFSS results and skeletal muscle parameters alone showed suboptimal performance for predicting successful weaning, a prediction model combining skeletal muscle index at the T4 level and VFSS results improved the prediction performance to an acceptable level (AUC ≥ 0.7). Skeletal muscle index measured at the T4 level may be a useful supplementary indicator for predicting successful weaning from nasogastric tube feeding in patients with aspiration pneumonia. Lippincott Williams & Wilkins 2023-07-28 /pmc/articles/PMC10378740/ /pubmed/37505164 http://dx.doi.org/10.1097/MD.0000000000034298 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. |
spellingShingle | Research Article: Observational Study Lee, Hyun Woo Kim, Dong Hyun Jin, Kwang Nam Lee, Hyo-Jin Lee, Jung-Kyu Park, Tae Yeon Kim, Deog Kyeom Heo, Eun Young Association between successful weaning from nasogastric tube feeding and thoracic muscle mass in patients with aspiration pneumonia |
title | Association between successful weaning from nasogastric tube feeding and thoracic muscle mass in patients with aspiration pneumonia |
title_full | Association between successful weaning from nasogastric tube feeding and thoracic muscle mass in patients with aspiration pneumonia |
title_fullStr | Association between successful weaning from nasogastric tube feeding and thoracic muscle mass in patients with aspiration pneumonia |
title_full_unstemmed | Association between successful weaning from nasogastric tube feeding and thoracic muscle mass in patients with aspiration pneumonia |
title_short | Association between successful weaning from nasogastric tube feeding and thoracic muscle mass in patients with aspiration pneumonia |
title_sort | association between successful weaning from nasogastric tube feeding and thoracic muscle mass in patients with aspiration pneumonia |
topic | Research Article: Observational Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10378740/ https://www.ncbi.nlm.nih.gov/pubmed/37505164 http://dx.doi.org/10.1097/MD.0000000000034298 |
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