title: Swallowing rehabilitation with nutrition therapy improves clinical outcome in patients with dysphagia at an acute care hospital.
abstract: Dysphagia is associated with nutritional deficits and increased risk of aspiration pneumonia. The aim of the present study was to evaluate the impact of nutrition therapy for the patients with dysphagia at an acute care hospital. We also tried to clarify the factors which improve swallowing function in these patients. Seventy patients with dysphagia were included in the present study. Multidisciplinary nutrition support team evaluated swallowing function and nutrition status. Most patients were fed by parenteral or enteral nutrition at the time of the first round. Of these 70 patients, 36 became able to eat orally. The improvement of swallowing function was associated with higher BMI in both genders and higher AMC in men. Mortality was high in the patients with lower BMI and %AMC, suggesting importance of maintaining muscle mass. Thirteen (38.2%) of 34 patients who did not show any improvement in swallowing function died, but no patients who showed improvement died (p<0.001). In addition, the patients with nutrition intake about<22 kcal/kg/day during follow-up period, showed significantly poorer recovery from dysphagia and poor outcome, compared to those with about>22 kcal/kg/day. These results suggest that it is important to maintain nutritional status to promote rehabilitation in patients with dysphagia even in an acute care hospital.
authors.affiliation: Nutrition Management Department, Kobe City Medical Center General Hospital.
authors.forename: Masako
authors.initials: M
authors.lastname: Iwamoto
authors.forename: Naoki
authors.initials: N
authors.lastname: Higashibeppu
authors.forename: Yasutaka
authors.initials: Y
authors.lastname: Arioka
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Nakaya
mesh_terms: D000328:Adult; D000368:Aged; D015992:Body Mass Index; D003679:Deglutition; D003680:Deglutition Disorders / Q000503:physiopathology / Q000534:rehabilitation*; D004044:Dietary Proteins / Q000008:administration & dosage; D002149:Energy Intake; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009752:Nutritional Status; D012189:Retrospective Studies
chemical_list: D004044:Dietary Proteins