Dysphagia

, Volume 11, Issue 2, pp 104–109 | Cite as

Prandial aspiration and pneumonia in an elderly population followed over 3 years

  • Michael J. Feinberg
  • Janice Knebl
  • Joann Tully
Article

Abstract

The purpose of our study was to prospectively determine pneumonia frequency and correlate it with prandial liquid aspiration and feeding status in frail elderly nursing home residents. Initially, 152 patients had video swallowing examinations (81 oropharyngeal dysphagia, 19 thoracic dysphagia, 52 without dysphagia). Those diagnosed with oropharyngeal impairment were subsequently managed with swallowing therapy or artificial feeding modalities. Patients were followed for 3 years (unless they expired earlier) and clinical courses were categorized according to the degree of prandial aspiration and feeding (PAF) status. Subjects with new lung infiltrates persisting for at least 5 days with appropriate clinical findings were diagnosed as having pneumonia and were classified according to the PAF status months in which these findings occurred. Fifty-six pneumonias were diagnosed during 4,280 months with the following frequencies: no aspiration months 0.6%; minor aspiration months 0.9%; major aspiration/oral feeding months 1,3%; major aspiration/artificial feeding months 4.4%, p<0.001. Our results indicate that there is not a simple and obvious relation between prandial liquid aspiration and pneumonia. Artificial feeding does not seem to be a satisfactory solution for preventing pneumonia in elderly prandial aspirators.

Key words

Prandial aspiration Aspiration pneumonia Deglutition Deglutition disorders Geriatrics 

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Copyright information

© Springer-Verlag New York Inc. 1996

Authors and Affiliations

  • Michael J. Feinberg
    • 1
    • 3
  • Janice Knebl
    • 1
    • 3
  • Joann Tully
    • 2
    • 3
  1. 1.Department of Radiology and MedicinePhiladelphiaUSA
  2. 2.Department of Physical Medicare and RehabilitationPhiladelphiaUSA
  3. 3.Philadelphia Geriatric CenterPhiladelphiaUSA
  4. 4.North Shore University Hospital-Cornell University Medical CollegeManhassetUSA

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