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ArticleEuropean geriatric medicine2024

"Diagnose, Treat, and SUPPORT". Clinical competencies in the management of older adults with aspiration pneumonia: a scoping review.

Yuki Yoshimatsu, Yoichi Ohtake, Mamiko Ukai, Taiju Miyagami, Toru Morikawa, Yoshinosuke Shimamura, Yuki Kataoka, Tadayuki Hashimoto

Abstract readScoping Review
In one paragraph

Article in European geriatric medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yuki YoshimatsuElderly Care, Queen Elizabeth Hospital, Lewisham and Greenwich NHS Trust, Stadium Rd, London, SE18 4QH, UK. yukitsukihana0105@gmail.com.ORCID 0000-0003-0913-3507
Yoichi OhtakeDepartment of Internal Medicine, Imai Hospital, Hyogo, Japan.
Mamiko UkaiDepartment of Family Medicine, Kameda Family Clinic, Tateyama, Japan.
Taiju MiyagamiFaculty of Medicine, Department of General Medicine, Juntendo University, Bunkyo City, Japan.
Toru MorikawaDepartment of General Medicine, Nara City Hospital, 1-50-1, Higashikideracho, Nara, 630-8305, Japan.
Yoshinosuke ShimamuraScientific Research WorkS Peer Support Group (SRWS-PSG), Osaka, Japan.
Yuki KataokaScientific Research WorkS Peer Support Group (SRWS-PSG), Osaka, Japan.
Tadayuki HashimotoDepartment of General Medicine, Osaka Medical and Pharmaceutical University, Takatsuki, Japan.

Funding

Japanese Respiratory Society 2021
6 · The paper itself

Abstract

backgroundAspiration pneumonia in older adults is increasingly common, with a high care burden and morbidity. However, clinical competencies in its management have not been developed, and healthcare professionals struggle on how to care for these patients with multimodal treatment needs. Therefore, we conducted a scoping review to investigate what is known about the desired clinical competencies for the management of older adults with aspiration pneumonia, to utilise in clinical practice, education, and future research.

methodsFirst, we defined aspiration pneumonia according to a preliminary search. We then searched the literature on MEDLINE and CINAHL, focusing on studies involving patients aged 65 years old and older diagnosed with aspiration pneumonia. All settings were included, with the exception of intensive care units. Publication dates were limited to January 2011 to July 2022 and languages to English and Japanese. The extracted data were used to refine the preliminary competency framework developed by the Japan Aspiration pneumonia inter-Professional team Educational Program (JAPEP) in preparation of this study.

resultsNinety-nine studies were included. Following data extraction from these studies, 3 competencies were renamed, and 3 new competencies were added, to create a list of 12 competencies. These were Diagnosis, Treatment, Swallow Assessment, Underlying condition management, Nutrition, Oral management, Rehabilitation, Multidisciplinary team, Decision making, Prevention, Prognosis, and Palliative care.

conclusionsOur scoping review identified 12 clinical competencies required in the management of older adults with aspiration pneumonia, outlined in the phrase 'Diagnose, Treat and SUPPORT'. We encourage healthcare professionals to share these competencies as a team to identify areas of unmet need and improve their patient care, with an emphasis on supportive care.

Indexed as

Clinical CompetencePneumonia, AspirationAgedHealth PersonnelHumansJapanPrognosisAspirationDysphagiaGeriatricHealthcare professionalPneumoniaPneumonitis

Identifiers

PMID38060164
PMCPMC10876713

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.