PhilSPEN Online Journal of Parenteral and Enteral Nutrition

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(Article 90 | POJ_0084)

Submitted Abstracts

PENSA 2017 Congress

Submitted: August 15, 2017

Abstract ID = 54 | Classification: (7) - Nutrition team including nutrition team process

Title: The dysphagia rehabilitation team rounds for 7 years in an acute-phase hospital

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

Institution where study was conducted:

  1. Nutrition Support Team, Takasaki General Medical Center, National Hospital Organization
  2. Department of Prosthodontic Dentistry for Function of TMJ and Occlusion, Kanagawa Dental University

Keywords: dysphagia, nutrition support team,

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

Objectives: The numbers of rounds had been increasing, we were concerned about lower quality of our team rounds. So we tried to evaluate the effectiveness of our activity.

Methods: We had gathered 2 groups (group A: 120 cases from 2017, group B: 132 cases from 2012), and compared group A with group B from each points of their age, sex, outcome, primary diseases, average days of hospital stay, transitions of feeding situations.

Results: In group A, average days of hospital stay ran 30.1 +/- 22.2 days, while 59.6 +/- 21.2 days in group B. In group A improvements of feeding situations observed almost 70% while 44% in group B.

Conclusion: In an acute-phase hospital, durations 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 dysphagia rehabilitation team rounds must be effective to improve dysphagia and to act as an intermediary between an acute-phase hospital and next facilities for patients.