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Effect of weekend hospitalization on the duration of fasting in patients with aspiration pneumonia

BACKGROUND: Decreased swallowing function is an important risk factor for the development of aspiration pneumonia. A previous study reported that a long duration of fasting decreased swallowing function and increased mortality. The purpose of this study is to clarify the relationship between weekend...

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Autores principales: Hasumi, Yuki, Hirota, Yoshito, Nishimura, Masahiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9444014/
https://www.ncbi.nlm.nih.gov/pubmed/36093219
http://dx.doi.org/10.1002/jgf2.564
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author Hasumi, Yuki
Hirota, Yoshito
Nishimura, Masahiro
author_facet Hasumi, Yuki
Hirota, Yoshito
Nishimura, Masahiro
author_sort Hasumi, Yuki
collection PubMed
description BACKGROUND: Decreased swallowing function is an important risk factor for the development of aspiration pneumonia. A previous study reported that a long duration of fasting decreased swallowing function and increased mortality. The purpose of this study is to clarify the relationship between weekend hospitalization and fasting duration in older patients with aspiration pneumonia. METHODS: In this retrospective cohort study using hospital claims data and electronic medical record data between April 1, 2018, and March 31, 2020, 238 patients hospitalized for aspiration pneumonia were enrolled. Patients admitted from Monday to Friday were defined as the weekday admission group, and patients admitted on Saturday, Sunday, and holidays were defined as the weekend admission group. The primary endpoint was the duration of fasting. Multiple regression analysis was performed with age, gender, place of living, Functional Oral Intake Scale before admission, severity of pneumonia, and weekend admission as the independent variables. RESULTS: There were 41 patients in the weekend admission group and 103 patients in the weekday admission group. The baseline characteristics of the two groups were similar. There was a median difference in the fasting duration of 23.3 h; the fasting duration in the weekend admission group was significantly longer than the weekday admission group by 20.03 h (95% confidence interval: 2.81–37.25) in the multiple regression analysis. CONCLUSIONS: Weekend hospitalization was significantly associated with a longer fasting duration in patients hospitalized for aspiration pneumonia. There is a need to establish a system to enable early meal initiation for patients admitted on weekends.
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spelling pubmed-94440142022-09-09 Effect of weekend hospitalization on the duration of fasting in patients with aspiration pneumonia Hasumi, Yuki Hirota, Yoshito Nishimura, Masahiro J Gen Fam Med Original Articles BACKGROUND: Decreased swallowing function is an important risk factor for the development of aspiration pneumonia. A previous study reported that a long duration of fasting decreased swallowing function and increased mortality. The purpose of this study is to clarify the relationship between weekend hospitalization and fasting duration in older patients with aspiration pneumonia. METHODS: In this retrospective cohort study using hospital claims data and electronic medical record data between April 1, 2018, and March 31, 2020, 238 patients hospitalized for aspiration pneumonia were enrolled. Patients admitted from Monday to Friday were defined as the weekday admission group, and patients admitted on Saturday, Sunday, and holidays were defined as the weekend admission group. The primary endpoint was the duration of fasting. Multiple regression analysis was performed with age, gender, place of living, Functional Oral Intake Scale before admission, severity of pneumonia, and weekend admission as the independent variables. RESULTS: There were 41 patients in the weekend admission group and 103 patients in the weekday admission group. The baseline characteristics of the two groups were similar. There was a median difference in the fasting duration of 23.3 h; the fasting duration in the weekend admission group was significantly longer than the weekday admission group by 20.03 h (95% confidence interval: 2.81–37.25) in the multiple regression analysis. CONCLUSIONS: Weekend hospitalization was significantly associated with a longer fasting duration in patients hospitalized for aspiration pneumonia. There is a need to establish a system to enable early meal initiation for patients admitted on weekends. John Wiley and Sons Inc. 2022-06-13 /pmc/articles/PMC9444014/ /pubmed/36093219 http://dx.doi.org/10.1002/jgf2.564 Text en © 2022 The Authors. Journal of General and Family Medicine published by John Wiley & Sons Australia, Ltd on behalf of Japan Primary Care Association. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Hasumi, Yuki
Hirota, Yoshito
Nishimura, Masahiro
Effect of weekend hospitalization on the duration of fasting in patients with aspiration pneumonia
title Effect of weekend hospitalization on the duration of fasting in patients with aspiration pneumonia
title_full Effect of weekend hospitalization on the duration of fasting in patients with aspiration pneumonia
title_fullStr Effect of weekend hospitalization on the duration of fasting in patients with aspiration pneumonia
title_full_unstemmed Effect of weekend hospitalization on the duration of fasting in patients with aspiration pneumonia
title_short Effect of weekend hospitalization on the duration of fasting in patients with aspiration pneumonia
title_sort effect of weekend hospitalization on the duration of fasting in patients with aspiration pneumonia
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9444014/
https://www.ncbi.nlm.nih.gov/pubmed/36093219
http://dx.doi.org/10.1002/jgf2.564
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