PhilSPEN Online Journal of Parenteral and Enteral Nutrition

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(Article 86 | POJ_0080)

Submitted Abstracts

PENSA 2017 Congress

Submitted: August 15, 2017

Abstract ID = 52 | Classification: (10) - Others

Title: The dysphasia rehabilitation team rounds in an acute-phase hospital

Author(s): Motoaki Inagawa (1), Takatoshi Iida (1,2), Yusuke Ogawa (1), Testuya Yoshida (1), Tomohiro Kudo (1), Astushi Naganuma (1), Toshiyuki Tanaka (1), Testushi Ogawa (1)

Institution where study was conducted: Nutrition Support Team, Takasaki General Medical Center, National Hospital Organization (1), Department of Prosthodontic Dentistry for Function of TMJ and Occlusion, Kanagawa Dental University (2)

Keywords: dysphasia, nutrition support team, videoenndoscopy

Background: Takasaki general medical center is one of acute-phase hospitals in Japan, with 29 clinical departments and 451 beds. We launched Dysphasia rehabilitation team under our nutritional support team in 2011.

Objectives: We tried to evaluate the effectiveness of our activity, with reporting some impressive cases.

Methods: We extracted age, sex, outcome, primary diseases, and durations we had intervened in from patients' records, videofluoroscopic (VF) and videoendoscopic (VE) examinations records for swallowing between January 2011 and December 2014.

Results: We had had 710 new patients for four years, 468 patients were men(65.9%), and made dysphasia rehabilitation team rounds to 2447 patients. The average age of patients was 78.8 +/- 15.5 years old. The average duration we had intervened in was 34.0 +/- 30.2 days. 1820 VE and 24 VF examinations had been performed. Some patients’ dysphasia was further aggravated by inappropriate internal uses of anxiolytic or losses of dental occlusions without wearing dentures.

Conclusion: In an acute-phase hospital, lengths of hospital stay were tend to be shorter than facilities such as chronic-phase hospitals, therefore it seemed to be difficult to evaluate patients' prognosis. However, earlier and proper assessments for swallowing function by dysphasia rehabilitation team rounds must be effective to improve dysphasia and to act as an intermediary between an acute-phase hospital and next facilities for patients.