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The Multidisciplinary Swallowing Team Approach Decreases Pneumonia Onset in Acute Stroke Patients

Author

Listed:
  • Shiro Aoki
  • Naohisa Hosomi
  • Junko Hirayama
  • Masahiro Nakamori
  • Mineka Yoshikawa
  • Tomohisa Nezu
  • Satoshi Kubo
  • Yuka Nagano
  • Akiko Nagao
  • Naoya Yamane
  • Yuichi Nishikawa
  • Megumi Takamoto
  • Hiroki Ueno
  • Kazuhide Ochi
  • Hirofumi Maruyama
  • Hiromi Yamamoto
  • Masayasu Matsumoto
  • Hiroshima University Hospital Stroke Swallowing Team

Abstract

Dysphagia occurs in acute stroke patients at high rates, and many of them develop aspiration pneumonia. Team approaches with the cooperation of various professionals have the power to improve the quality of medical care, utilizing the specialized knowledge and skills of each professional. In our hospital, a multidisciplinary participatory swallowing team was organized. The aim of this study was to clarify the influence of a team approach on dysphagia by comparing the rates of pneumonia in acute stroke patients prior to and post team organization. All consecutive acute stroke patients who were admitted to our hospital between April 2009 and March 2014 were registered. We analyzed the difference in the rate of pneumonia onset between the periods before team organization (prior period) and after team organization (post period). Univariate and multivariate analyses were performed using a Cox proportional hazards model to determine the predictors of pneumonia. We recruited 132 acute stroke patients from the prior period and 173 patients from the post period. Pneumonia onset was less frequent in the post period compared with the prior period (6.9% vs. 15.9%, respectively; p = 0.01). Based on a multivariate analysis using a Cox proportional hazards model, it was determined that a swallowing team approach was related to pneumonia onset independent from the National Institutes of Health Stroke Scale score on admission (adjusted hazard ratio 0.41, 95% confidence interval 0.19–0.84, p = 0.02). The multidisciplinary participatory swallowing team effectively decreased the pneumonia onset in acute stroke patients.

Suggested Citation

  • Shiro Aoki & Naohisa Hosomi & Junko Hirayama & Masahiro Nakamori & Mineka Yoshikawa & Tomohisa Nezu & Satoshi Kubo & Yuka Nagano & Akiko Nagao & Naoya Yamane & Yuichi Nishikawa & Megumi Takamoto & Hir, 2016. "The Multidisciplinary Swallowing Team Approach Decreases Pneumonia Onset in Acute Stroke Patients," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-8, May.
  • Handle: RePEc:plo:pone00:0154608
    DOI: 10.1371/journal.pone.0154608
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    Cited by:

    1. Stéphanie Bibert & Mathieu Quinodoz & Sylvain Perriot & Fanny S. Krebs & Maxime Jan & Rita C. Malta & Emilie Collinet & Mathieu Canales & Amandine Mathias & Nicole Faignart & Eliane Roulet-Perez & Pas, 2024. "Herpes simplex encephalitis due to a mutation in an E3 ubiquitin ligase," Nature Communications, Nature, vol. 15(1), pages 1-14, December.
    2. Michiyo Aoyagi & Junichi Furuya & Chiaki Matsubara & Kanako Yoshimi & Ayako Nakane & Kazuharu Nakagawa & Motoki Inaji & Yuji Sato & Haruka Tohara & Shunsuke Minakuchi & Taketoshi Maehara, 2021. "Association between Improvement of Oral Health, Swallowing Function, and Nutritional Intake Method in Acute Stroke Patients," IJERPH, MDPI, vol. 18(21), pages 1-11, October.

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