The Kuchi‐kara Taberu index as a predictive marker of oral intake recovery in patients with aspiration pneumonia
Aim In recent years, the Kuchi‐kara Taberu (KT) index has been used as a new tool for the evaluation of dysphagia; however, its predictive ability remains unknown. This study was conducted to examine the validity of oral intake recovery prediction using the KT index in patients with aspiration pneum...
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| Veröffentlicht in: | Geriatrics & gerontology international 2023-03, Vol.23 (3), p.221-226 |
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| creator | Otsubo, Hisanori Okita, Ikumi Suzuki, Madoka Nakanishi, Sayaka Asai, Hitoshi Inaoka, Pleiades T. |
| description | Aim
In recent years, the Kuchi‐kara Taberu (KT) index has been used as a new tool for the evaluation of dysphagia; however, its predictive ability remains unknown. This study was conducted to examine the validity of oral intake recovery prediction using the KT index in patients with aspiration pneumonia.
Methods
The subjects were older inpatients admitted to an acute‐care hospital for the treatment of aspiration pneumonia. A logistic regression analysis was conducted to clarify factors significantly associated with oral intake recovery. In addition, cut‐off values of the predictors were calculated using a receiver operating characteristic curve analysis with the area under the curve (P |
| doi_str_mv | 10.1111/ggi.14551 |
| format | Article |
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In recent years, the Kuchi‐kara Taberu (KT) index has been used as a new tool for the evaluation of dysphagia; however, its predictive ability remains unknown. This study was conducted to examine the validity of oral intake recovery prediction using the KT index in patients with aspiration pneumonia.
Methods
The subjects were older inpatients admitted to an acute‐care hospital for the treatment of aspiration pneumonia. A logistic regression analysis was conducted to clarify factors significantly associated with oral intake recovery. In addition, cut‐off values of the predictors were calculated using a receiver operating characteristic curve analysis with the area under the curve (P < 0.05).
Results
A total of 124 patients (mean age 84.3 ± 7.9 years old, 70 males, 54 females) were enrolled in this study and divided into two groups at discharge: the oral intake group (62.1%) and the non‐oral intake group (37.9%). The significant predictors of the recovery of oral intake were the pre‐treatment period, treatment period, and the total score of the KT index; the respective odds ratios were 1.082 (95% confidence interval [CI] 1.013–1.156), 1.018 (1.003–1.033) and 0.850 (0.780–0.927), and the respective areas under the curve were 0.407 (95% CI 0.300–0.515), 0.304 (0.208–0.399), and 0.732 (0.640–0.824). The cut‐off value of the total score of the KT index was 30. The model showed 85.7% sensitivity and 57.4% specificity.
Conclusion
The KT index is suggested to be a valid variable for predicting whether or not a patient with aspiration pneumonia can recover their oral intake ability during acute‐care hospitalization. Geriatr Gerontol Int 2023; 23: 221–226.
Older patients often face dysphagia owing to aspiration pneumonia. The prediction validity for oral intake recovery was examined in this study. The pre‐treatment period, treatment period, and KT total score were associated with the recovery of oral intake during acute‐care hospitalization.</description><identifier>ISSN: 1444-1586</identifier><identifier>EISSN: 1447-0594</identifier><identifier>DOI: 10.1111/ggi.14551</identifier><identifier>PMID: 36748651</identifier><language>eng</language><publisher>Kyoto, Japan: John Wiley & Sons Australia, Ltd</publisher><subject>Aged ; Aged, 80 and over ; aspiration pneumonia ; Deglutition Disorders - therapy ; dysphagia ; Female ; Hospitalization ; Humans ; Inpatients ; KT index ; Male ; older adult ; oral intake ; Patient Discharge ; Pneumonia ; Pneumonia, Aspiration - therapy ; Retrospective Studies</subject><ispartof>Geriatrics & gerontology international, 2023-03, Vol.23 (3), p.221-226</ispartof><rights>2023 Japan Geriatrics Society.</rights><rights>2023 Japan Geriatrics Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3371-965a73fd4ed8e8aff8ad9c8943859ffceaca18527892711cd4fa8a89283ef21f3</cites><orcidid>0000-0002-1469-2381</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fggi.14551$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fggi.14551$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27922,27923,45572,45573</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36748651$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Otsubo, Hisanori</creatorcontrib><creatorcontrib>Okita, Ikumi</creatorcontrib><creatorcontrib>Suzuki, Madoka</creatorcontrib><creatorcontrib>Nakanishi, Sayaka</creatorcontrib><creatorcontrib>Asai, Hitoshi</creatorcontrib><creatorcontrib>Inaoka, Pleiades T.</creatorcontrib><title>The Kuchi‐kara Taberu index as a predictive marker of oral intake recovery in patients with aspiration pneumonia</title><title>Geriatrics & gerontology international</title><addtitle>Geriatr Gerontol Int</addtitle><description>Aim
In recent years, the Kuchi‐kara Taberu (KT) index has been used as a new tool for the evaluation of dysphagia; however, its predictive ability remains unknown. This study was conducted to examine the validity of oral intake recovery prediction using the KT index in patients with aspiration pneumonia.
Methods
The subjects were older inpatients admitted to an acute‐care hospital for the treatment of aspiration pneumonia. A logistic regression analysis was conducted to clarify factors significantly associated with oral intake recovery. In addition, cut‐off values of the predictors were calculated using a receiver operating characteristic curve analysis with the area under the curve (P < 0.05).
Results
A total of 124 patients (mean age 84.3 ± 7.9 years old, 70 males, 54 females) were enrolled in this study and divided into two groups at discharge: the oral intake group (62.1%) and the non‐oral intake group (37.9%). The significant predictors of the recovery of oral intake were the pre‐treatment period, treatment period, and the total score of the KT index; the respective odds ratios were 1.082 (95% confidence interval [CI] 1.013–1.156), 1.018 (1.003–1.033) and 0.850 (0.780–0.927), and the respective areas under the curve were 0.407 (95% CI 0.300–0.515), 0.304 (0.208–0.399), and 0.732 (0.640–0.824). The cut‐off value of the total score of the KT index was 30. The model showed 85.7% sensitivity and 57.4% specificity.
Conclusion
The KT index is suggested to be a valid variable for predicting whether or not a patient with aspiration pneumonia can recover their oral intake ability during acute‐care hospitalization. Geriatr Gerontol Int 2023; 23: 221–226.
Older patients often face dysphagia owing to aspiration pneumonia. The prediction validity for oral intake recovery was examined in this study. The pre‐treatment period, treatment period, and KT total score were associated with the recovery of oral intake during acute‐care hospitalization.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>aspiration pneumonia</subject><subject>Deglutition Disorders - therapy</subject><subject>dysphagia</subject><subject>Female</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Inpatients</subject><subject>KT index</subject><subject>Male</subject><subject>older adult</subject><subject>oral intake</subject><subject>Patient Discharge</subject><subject>Pneumonia</subject><subject>Pneumonia, Aspiration - therapy</subject><subject>Retrospective Studies</subject><issn>1444-1586</issn><issn>1447-0594</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1OwzAQhS0EgvKz4ALIEhtYBOLEiZ0lqqAgKrEp62hwxtQ0jYOdtHTHETgjJ8FQYIGEN_aMv3kavUfIIYvPWDjnj4_mjPEsYxtkwDgXUZwVfPPrzSOWyXyH7Hr_FMdMFIxtk500F1zmGRsQN5kive3V1Ly_vs3AAZ3AA7qemqbCFwqeAm0dVkZ1ZoF0Dm6GjlpNrYM6QB3MkDpUdoFuFWraQmew6Txdmm4a5lvjQseGjwb7uW0M7JMtDbXHg-97j9xfXU6G19H4bnQzvBhHKk0Fi4o8A5HqimMlUYLWEqpCyYKnMiu0VggKmMwSIYtEMKYqrkFCKGSKOmE63SMna93W2ecefVfOjVdY19Cg7X2ZCMGTvAhOBPT4D_pke9eE7QIlg8UiTT6p0zWlnPXeoS5bZ4Ijq5LF5WcQZQii_AoisEffiv3DHKtf8sf5AJyvgaWpcfW_Ujka3awlPwCKCZPe</recordid><startdate>202303</startdate><enddate>202303</enddate><creator>Otsubo, Hisanori</creator><creator>Okita, Ikumi</creator><creator>Suzuki, Madoka</creator><creator>Nakanishi, Sayaka</creator><creator>Asai, Hitoshi</creator><creator>Inaoka, Pleiades T.</creator><general>John Wiley & Sons Australia, Ltd</general><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1469-2381</orcidid></search><sort><creationdate>202303</creationdate><title>The Kuchi‐kara Taberu index as a predictive marker of oral intake recovery in patients with aspiration pneumonia</title><author>Otsubo, Hisanori ; Okita, Ikumi ; Suzuki, Madoka ; Nakanishi, Sayaka ; Asai, Hitoshi ; Inaoka, Pleiades T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3371-965a73fd4ed8e8aff8ad9c8943859ffceaca18527892711cd4fa8a89283ef21f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>aspiration pneumonia</topic><topic>Deglutition Disorders - therapy</topic><topic>dysphagia</topic><topic>Female</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Inpatients</topic><topic>KT index</topic><topic>Male</topic><topic>older adult</topic><topic>oral intake</topic><topic>Patient Discharge</topic><topic>Pneumonia</topic><topic>Pneumonia, Aspiration - therapy</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Otsubo, Hisanori</creatorcontrib><creatorcontrib>Okita, Ikumi</creatorcontrib><creatorcontrib>Suzuki, Madoka</creatorcontrib><creatorcontrib>Nakanishi, Sayaka</creatorcontrib><creatorcontrib>Asai, Hitoshi</creatorcontrib><creatorcontrib>Inaoka, Pleiades T.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Geriatrics & gerontology international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Otsubo, Hisanori</au><au>Okita, Ikumi</au><au>Suzuki, Madoka</au><au>Nakanishi, Sayaka</au><au>Asai, Hitoshi</au><au>Inaoka, Pleiades T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Kuchi‐kara Taberu index as a predictive marker of oral intake recovery in patients with aspiration pneumonia</atitle><jtitle>Geriatrics & gerontology international</jtitle><addtitle>Geriatr Gerontol Int</addtitle><date>2023-03</date><risdate>2023</risdate><volume>23</volume><issue>3</issue><spage>221</spage><epage>226</epage><pages>221-226</pages><issn>1444-1586</issn><eissn>1447-0594</eissn><abstract>Aim
In recent years, the Kuchi‐kara Taberu (KT) index has been used as a new tool for the evaluation of dysphagia; however, its predictive ability remains unknown. This study was conducted to examine the validity of oral intake recovery prediction using the KT index in patients with aspiration pneumonia.
Methods
The subjects were older inpatients admitted to an acute‐care hospital for the treatment of aspiration pneumonia. A logistic regression analysis was conducted to clarify factors significantly associated with oral intake recovery. In addition, cut‐off values of the predictors were calculated using a receiver operating characteristic curve analysis with the area under the curve (P < 0.05).
Results
A total of 124 patients (mean age 84.3 ± 7.9 years old, 70 males, 54 females) were enrolled in this study and divided into two groups at discharge: the oral intake group (62.1%) and the non‐oral intake group (37.9%). The significant predictors of the recovery of oral intake were the pre‐treatment period, treatment period, and the total score of the KT index; the respective odds ratios were 1.082 (95% confidence interval [CI] 1.013–1.156), 1.018 (1.003–1.033) and 0.850 (0.780–0.927), and the respective areas under the curve were 0.407 (95% CI 0.300–0.515), 0.304 (0.208–0.399), and 0.732 (0.640–0.824). The cut‐off value of the total score of the KT index was 30. The model showed 85.7% sensitivity and 57.4% specificity.
Conclusion
The KT index is suggested to be a valid variable for predicting whether or not a patient with aspiration pneumonia can recover their oral intake ability during acute‐care hospitalization. Geriatr Gerontol Int 2023; 23: 221–226.
Older patients often face dysphagia owing to aspiration pneumonia. The prediction validity for oral intake recovery was examined in this study. The pre‐treatment period, treatment period, and KT total score were associated with the recovery of oral intake during acute‐care hospitalization.</abstract><cop>Kyoto, Japan</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>36748651</pmid><doi>10.1111/ggi.14551</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-1469-2381</orcidid></addata></record> |
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| subjects | Aged Aged, 80 and over aspiration pneumonia Deglutition Disorders - therapy dysphagia Female Hospitalization Humans Inpatients KT index Male older adult oral intake Patient Discharge Pneumonia Pneumonia, Aspiration - therapy Retrospective Studies |
| title | The Kuchi‐kara Taberu index as a predictive marker of oral intake recovery in patients with aspiration pneumonia |
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