SHM Converge Scientific Abstract ePoster Gallery-Association Between Multimorbidity Patterns and Oral Intake in Aspiration Pneumonia

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This retrospective study examined older adults hospitalized for aspiration pneumonia in Japan to identify common multimorbidity patterns and determine whether these patterns were associated with being discharged with oral intake. The sample included 269 patients aged 65 years or older admitted between April 2009 and September 2014.<br /><br />Using 15 chronic conditions and hierarchical cluster analysis, the researchers identified three main multimorbidity patterns:<br />1. Cardiac<br />2. Dementia/Musculoskeletal/Esophageal reflux<br />3. Stroke/Diabetes/Kidney<br /><br />To assess outcomes, the authors used modified Poisson regression adjusted for age and sex. They found that patients in the Stroke/Diabetes/Kidney pattern were more likely to be discharged with oral intake than patients without this pattern. This suggests that, despite having multiple chronic illnesses, these patients may have a better chance of recovering swallowing and oral feeding ability after hospitalization.<br /><br />The study concludes that multimorbidity patterns differ among older patients with aspiration pneumonia and may influence recovery outcomes. In particular, patients with the Stroke/Diabetes/Kidney pattern may be good candidates for nutrition support and rehabilitation aimed at restoring oral intake.<br /><br />Overall, the findings highlight the importance of considering combinations of chronic diseases, not just individual conditions, when planning care for patients with aspiration pneumonia.

Asset Subtitle

Yuki Honda

Meta Tag

Author List Kazuhito Saitoh, Mieko Nakamura, Takuya Aoki, Toshiyuki Ojima, Yoichiro Homma, Yuki Honda

Category Research

Concept Aspiration Pneumonia

Concept Oral Intake

Concept Multimorbidity

Concept Older Adults

Concept Hospitalization

Distinguished Non-Finalist

Presenter Organization Department of General Internal Medicine, Seirei Hamamatsu General Hospital

Presenting Author Yuki Honda

Track Geriatrics

Keywords

aspiration pneumonia

older adults

multimorbidity patterns

Japan

hierarchical cluster analysis

stroke diabetes kidney

oral intake

hospital discharge

nutrition support

rehabilitation

Aspiration Pneumonia

Oral Intake

Multimorbidity

Older Adults

Hospitalization