A validation study using the case-control method of the nursing diagnosis high risk for aspiration.
OBJECTIVE
To develop further the nursing diagnosis risk for aspiration by determining risk factors present in patients who aspirated.


METHODS
The case-control design was used to compare cases (n = 131) and controls (n = 206) on past and present exposures thought to be risk factors for aspiration. Data were analyzed using univariate and multiple logistic regression.


RESULTS
The following risk factors were statistically significant and comprise the final model: altered level of consciousness, metoclopramide (known to accelerate gastric emptying), vomiting, seizures, and unable to change own position.


CONCLUSIONS
The risk factors of altered level of consciousness and delayed gastric emptying are currently included in the NANDA taxonomy for the nursing diagnosis risk for aspiration. These risk factors are not included in the taxonomy: vomiting, seizures, and unable to change own position. Results of the study have been submitted to the Diagnosis Review Committee for consideration to further develop this diagnosis.
Wooldridge
J
J
Johns Hopkins University School of Nursing, Baltimore, MD, USA.
Herman
J
J
Garrison
C
C
Haddock
S
S
Massey
J
J
Tavakoli
A
A
D000704:Analysis of Variance; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009733:Nursing Diagnosis / Q000592:standards*; D011015:Pneumonia, Aspiration / Q000209:etiology* / Q000451:nursing*; D015203:Reproducibility of Results; D012107:Research Design; D012307:Risk Factors