ArticleEuropean geriatric medicine2024
Decisions on eating and drinking in older adults admitted with pneumonia and referred for swallowing difficulties.
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 8 papers.
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Who cites it
8 citing papers in PubMed.
- Development of an interprofessional education program for aspiration pneumonia care: an action research study.European geriatric medicine · 2026Article
- Healthcare professionals' experiences and thoughts on eating and drinking with acknowledged risks in older adults: a comparison of Japan and the UK.Age and ageing · 2026Article
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- The crux of NPO paradox revealed by increased pneumonia incidence in post-stroke dysphagia patients with dietary restrictions.Scientific reports · 2025Article
- Factors for Oral Intake Recovery in Acute Illness Patients With Dysphagia: A Prospective Cohort Study.Health science reports · 2025Article
- Eating and Drinking with Acknowledged Risks (EDAR) in Older Adults: A Qualitative Study of the Experiences of Clinicians in Japan and the UK.Dysphagia · 2025Article
- The challenge of making better decisions about oral intake in older people with 'aspiration pneumonia'.European geriatric medicine · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
purposeOlder patients with pneumonia are commonly restricted from oral intake due to concerns towards aspiration. Eating and drinking with acknowledged risks (EDAR) is a shared decision-making process emphasising patient comfort. As part of our project to find the barriers and facilitators of EDAR, we aimed for this initial study to see how frequently EDAR was selected in practice.
methodsWe performed a retrospective cohort study at an acute hospital where EDAR was initially developed, of patients aged ≥ 75 years-old admitted with pneumonia and referred to speech and language therapy.
resultsOut of 216 patients, EDAR decisions were made in 14.4%. The EDAR group had a higher 1-year mortality than the modified/normal diet groups (p < 0.001). Pneumonia recurrence rate did not differ significantly between the groups (p = 0.070).
conclusionEDAR decisions were comparatively less common and most were associated with end-of-life care. Underlying reasons for the low EDAR application rate must be investigated to maximise patient autonomy and comfort as intended by EDAR while minimising staff burden.
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