The Experts below are selected from a list of 17508 Experts worldwide ranked by ideXlab platform
Ryo Momosaki - One of the best experts on this subject based on the ideXlab platform.
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Physical Therapy: Does Physical Therapy Have Therapeutic Roles in Aspiration Pneumonia?
Respiratory Disease Series: Diagnostic Tools and Disease Managements, 2020Co-Authors: Ryo MomosakiAbstract:Aspiration Pneumonia is a common disease that frequently occurs in older patients. Most patients with Aspiration Pneumonia have swallowing disability and develop hospital-acquired disability. Frequently, patients have difficulty returning home, and they often require long-term hospitalization. Recently, the effect of rehabilitative management including physical and pulmonary rehabilitation for Aspiration Pneumonia was reported. Several studies showed that early rehabilitation was associated with reduced mortality and early hospital discharge after Aspiration Pneumonia. Physical therapy is recommended to improve clinical outcomes, including physical and swallowing function in older patients with Aspiration Pneumonia.
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Rehabilitative management for Aspiration Pneumonia in elderly patients.
Journal of general and family medicine, 2017Co-Authors: Ryo MomosakiAbstract:Aspiration Pneumonia is a common disease that frequently occurs in elderly patients. Most patients with Aspiration Pneumonia have swallowing disability and develop hospital-acquired disability. Frequently, patients have difficulty returning home, and they often require long-term hospitalization. Recently, the effectiveness of rehabilitative management including physical, pulmonary, and dysphagia rehabilitation for Aspiration Pneumonia was reported. Several studies showed that early rehabilitation was associated with reduced mortality and early hospital discharge after Aspiration Pneumonia. Unnecessary "nil by mouth" directives associated with Aspiration Pneumonia at hospital admission resulted in adverse effects, including decline in swallowing ability and prolonged treatment duration. Rehabilitative management combined with appropriate nutrition is recommended to improve clinical outcomes, including physical and swallowing function in geriatric patients with Aspiration Pneumonia.
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Predictive factors for oral intake after Aspiration Pneumonia in older adults
Geriatrics & gerontology international, 2015Co-Authors: Ryo Momosaki, Hideo Yasunaga, Hiroki Matsui, Hiromasa Horiguchi, Kiyohide Fushimi, Masahiro AboAbstract:Aim The purpose of the present study was to clarify the predictive factors for achieving oral intake after Aspiration Pneumonia in elderly patients. Methods This retrospective observational study used data from the Japanese Diagnosis Procedure Combination inpatient database. We identified patients who were admitted to acute-care hospitals with Aspiration Pneumonia. The outcome was time to achieve total oral intake. We carried out Cox regression analysis to identify predictors for the early initiation of total oral intake. Results Of 66 611 elderly patients with Aspiration Pneumonia, 59% achieved total oral intake within 30 days. Cox regression analysis showed that early initiation of total oral intake was associated with female sex and higher Barthel Index. Delayed initiation of total oral intake was associated with underweight, higher scores of Pneumonia severity and comorbidities. Conclusion We clarified prognostic factors for total oral intake in elderly Aspiration Pneumonia patients. Our findings will be helpful in nutritional care planning for elderly Aspiration Pneumonia patients. Geriatr Gerontol Int 2016; 16: 556–560.
Nobuyuki Hizawa - One of the best experts on this subject based on the ideXlab platform.
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Risk Factors for Aspiration Pneumonia in Older Adults.
PloS one, 2015Co-Authors: Toshie Manabe, Shinji Teramoto, Nanako Tamiya, Jiro Okochi, Nobuyuki HizawaAbstract:Backgrounds Aspiration Pneumonia is a dominant form of community-acquired and healthcare-associated Pneumonia, and a leading cause of death among ageing populations. However, the risk factors for developing Aspiration Pneumonia in older adults have not been fully evaluated. The purpose of the present study was to determine the risk factors for Aspiration Pneumonia among the elderly.
Louise M. Waite - One of the best experts on this subject based on the ideXlab platform.
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Antibacterial treatment of Aspiration Pneumonia in older people: a systematic review.
Clinical interventions in aging, 2018Co-Authors: Timra J Bowerman, Jan Zhang, Louise M. WaiteAbstract:Background Aspiration Pneumonia is a common problem in older people with high mortality and increasing prevalence. Objective The aims of this paper were to systematically review the literature on the antibacterial treatment of Aspiration Pneumonia in elderly patients and identify the microbiology of Aspiration Pneumonia. Materials and methods EMBASE, MEDLINE, and Cochrane databases were systematically searched for studies that examined the clinical efficacy of antibiotic treatment in elderly patients with Aspiration Pneumonia. Information on study design, antibiotic treatment, study population, participants, microbiology, clinical outcomes, adverse events, and mortality was recorded. Results There were no definitive clinical trials, placebo-controlled trials, or meta-analyses. Of the eight studies selected for inclusion in the review, the majority utilized and/or compared broad-spectrum antibiotics. No specific antibacterial agent had evidence of superior efficacy. Broad-spectrum antibiotics resulted in the emergence of multiresistant organisms. Anaerobic bacteria were infrequently isolated, suggesting a less important role in the pathogenesis of Aspiration Pneumonia. Conclusion There is limited evidence with regard to the use of antibiotics in older patients with Aspiration Pneumonia. Research providing an evidence base for the treatment of Aspiration Pneumonia in older people is required.
Liron Sinvani - One of the best experts on this subject based on the ideXlab platform.
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Aspiration Pneumonia in Older Adults.
Journal of hospital medicine, 2019Co-Authors: Alex Makhnevich, Kenneth H. Feldhamer, Charles L Kast, Liron SinvaniAbstract:Aspiration Pneumonia refers to an infection of the lung parenchyma in an individual that has inhaled a bolus of endogenous flora that overwhelms the natural defenses of the respiratory system. While there are not universally agreed upon criteria, the diagnosis can be made in patients with the appropriate risk factors and clinical scenario, in addition to a radiographic or an ultrasonographic image of Pneumonia in the typical dependent lung segment. Treatment options for Aspiration Pneumonia vary based on the site of acquisition (community-acquired Aspiration Pneumonia [CAAP] versus healthcare-associated Aspiration Pneumonia [HCAAP]), the risk for multidrug-resistant (MDR) organisms, and severity of illness. Hospitalized CAAP patients without severe illness and with no risk for MDR organisms or Pseudomonas aeruginosa (PA) can be treated with standard inpatient community-acquired Pneumonia therapy covering anaerobes. Patients with CAAP and either of the following-risk factors for MDR pathogens, septic shock, need for an intensive care unit (ICU) admission, or mechanical ventilation-can be considered for broader coverage against anaerobes, methicillin-resistant Staphylococcus aureus (MRSA), and PA. Severe Aspiration Pneumonia that originates in a long-term care facility or HCAAP with one or more risk factors for MDR organisms should be considered for similar treatment. HCAAP with one or more risk factors for MDR organisms or PA, plus septic shock, need for ICU admission or mechanical ventilation should receive double coverage for PA in addition to coverage for MRSA and anaerobes. Multiple gaps in current understanding and management of Aspiration Pneumonia require future research, with a particular focus on antibiotic stewardship.
Toshie Manabe - One of the best experts on this subject based on the ideXlab platform.
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Risk Factors for Aspiration Pneumonia in Older Adults.
PloS one, 2015Co-Authors: Toshie Manabe, Shinji Teramoto, Nanako Tamiya, Jiro Okochi, Nobuyuki HizawaAbstract:Backgrounds Aspiration Pneumonia is a dominant form of community-acquired and healthcare-associated Pneumonia, and a leading cause of death among ageing populations. However, the risk factors for developing Aspiration Pneumonia in older adults have not been fully evaluated. The purpose of the present study was to determine the risk factors for Aspiration Pneumonia among the elderly.
