Evidence map›Paper›PMID 41214578›Full record

ArticleBMC geriatrics2025

Factors associated with the incidence of aspiration pneumonia during hospitalization in older adults admitted for non-respiratory diseases in an acute-care hospital: a retrospective cohort study.

Shohei Yano, Seigo Mitsutake, Takumi Hirata

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Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Shohei YanoHuman Care Research Team, Tokyo Metropolitan Institute for Geriatrics and Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo, 173-0015, Japan. shohei.yano@gmail.com.
Seigo MitsutakeHuman Care Research Team, Tokyo Metropolitan Institute for Geriatrics and Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo, 173-0015, Japan.
Takumi HirataHuman Care Research Team, Tokyo Metropolitan Institute for Geriatrics and Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo, 173-0015, Japan.

Funding

Japan Society for the Promotion of Science 20H03924Japan Society for the Promotion of Science 24K20156
6 · The paper itself

Abstract

backgroundAspiration pneumonia (ASP) during hospitalization is associated with poor patient outcomes. We examined the factors associated with ASP onset in older patients in an acute-care hospital in Japan.

methodsThis retrospective cohort study analyzed data from the administrative claims database of patients aged > 65 years hospitalized and discharged from a general acute-care hospital between July 2016 and March 2021. We conducted multivariable logistic regression analyses to identify factors associated with ASP incidence, with independent variables including sex, age (65-74, 75-84, ≥ 85 years), place of residence before admission, income, main disease causing admission, dysphagia at admission, Barthel Index at admission, Charlson Comorbidity Index (0, ≥ 1), Hospital Frailty Risk Score (0-4, ≥ 5), presence of rehabilitation services, surgical treatment, planned hospitalization, enteral nutrition, and total parenteral nutrition.

resultsThe ASP incidence during hospitalization among the 11,504 included patients (mean age 81.1 years) was 1.6%. ASP incidence was associated with female sex (adjusted odds ratio [aOR]: 0.451, 95% confidence interval [CI]: 0.326-0.625), age ≥ 85 years (aOR: 2.901, 95% CI: 1.471-5.718), dysphagia at admission (aOR: 3.810, 95% CI: 1.410-10.293), low activities of daily living level (aOR: 0.971, 95% CI; 0.963-0.979), comorbidities (aOR: 1.839, 95% CI: 1.298-2.605), frailty (aOR: 2.918, 95% CI: 2.089-4.077), unplanned hospitalization (aOR: 3.068, 95% CI: 1.593-5.906), and receiving rehabilitation services during hospitalization (aOR: 0.435, 95% CI: 0.256-0.739).

conclusionThis study identified the factors associated with ASP onset in older patients in an acute-care hospital in Japan. These findings may help identify older inpatients who are more likely to develop ASP, supporting the planning of targeted care strategies during hospitalization.

Indexed as

HospitalizationPneumonia, AspirationAgedAged, 80 and overCohort StudiesFemaleHumansIncidenceJapanMaleRetrospective StudiesRisk FactorsActivities of daily livingAspiration pneumoniaDiagnosis procedure combinationDysphasiaFrailtyHospital-acquired pneumoniaRehabilitationRisk factors

Identifiers

PMID41214578
PMCPMC12604285

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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.