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The Contribution of Temporal Flat Lateral Position on the Mortality and Discharge Rates of Older Patients with Severe Dysphagia

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  • Akiko Shimizu

    (Department of Nursing, Unnan City Hospital, 96-1 Iida, Daito-cho, Unnan City 699-1221, Shimane, Japan)

  • Ryuichi Ohta

    (Community Care, Unnan City Hospital, 96-1 Iida, Daito-cho, Unnan City 699-1221, Shimane, Japan)

  • Hana Otani

    (Department of Rehabilitation, Unnan City Hospital, 96-1 Iida, Daito-cho, Unnan City 699-1221, Shimane, Japan)

  • Chiaki Sano

    (Department of Community Medicine Management, Faculty of Medicine, Shimane University, 89-1 Enya cho, Izumo 693-8501, Shimane, Japan)

Abstract

Severe dysphagia leads to mortality in older patients and hinders their discharge from hospitals. The temporal flat lateral position (TFLP) enables them to continuously eat, thus resolving the aforementioned issues. We aimed to explore the effect of TFLP on the mortality and discharge rates of older patients with severe dysphagia. This interventional study comprised a historical control of patients admitted to a rural community hospital from January 2019 to December 2020 and diagnosed with severe dysphagia. The primary outcomes included the mortality and the rate of discharge from the hospital. While the intervention group was treated with TFLP, the control group underwent no treatment. We selected 79 participants (intervention group = 26, control group = 53), with an average age of 87.9 years. The discharge rate was significantly higher in the intervention group than in the control group (57.7% vs. 26.4%, p = 0.012). The mortality rate was also significantly lower in the intervention group compared to the control group (34.6% vs. 71.7%, p = 0.003). TFLP can improve the discharge and mortality rates in community hospitals, thereby improving patient outcomes. Clinicians should focus on practical education and the implementation of TFLP in communities in order to promote it.

Suggested Citation

  • Akiko Shimizu & Ryuichi Ohta & Hana Otani & Chiaki Sano, 2021. "The Contribution of Temporal Flat Lateral Position on the Mortality and Discharge Rates of Older Patients with Severe Dysphagia," IJERPH, MDPI, vol. 18(16), pages 1-9, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8443-:d:611872
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    References listed on IDEAS

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    1. Eduardo Sánchez-Sánchez & Ylenia Avellaneda-López & Esperanza García-Marín & Guillermo Ramírez-Vargas & Jara Díaz-Jimenez & Francisco Javier Ordonez, 2021. "Knowledge and Practice of Health Professionals in the Management of Dysphagia," IJERPH, MDPI, vol. 18(4), pages 1-10, February.
    2. Ryuichi Ohta & Yoshinori Ryu & Daisuke Kataoka & Chiaki Sano, 2021. "Effectiveness and Challenges in Local Self-Governance: Multifunctional Autonomy in Japan," IJERPH, MDPI, vol. 18(2), pages 1-14, January.
    3. Haewon Byeon, 2019. "Predicting the Swallow-Related Quality of Life of the Elderly Living in a Local Community Using Support Vector Machine," IJERPH, MDPI, vol. 16(21), pages 1-9, November.
    4. Ryuichi Ohta & Yoshinori Ryu & Takuji Katsube & Chiaki Sano, 2020. "Rural Homecare Nurses’ Challenges in Providing Seamless Patient Care in Rural Japan," IJERPH, MDPI, vol. 17(24), pages 1-11, December.
    5. Shiho Morishita & Yuki Ohara & Masanori Iwasaki & Ayako Edahiro & Keiko Motokawa & Maki Shirobe & Junichi Furuya & Yutaka Watanabe & Takeo Suga & Yayoi Kanehisa & Akitugu Ohuchi & Hirohiko Hirano, 2021. "Relationship between Mortality and Oral Function of Older People Requiring Long-Term Care in Rural Areas of Japan: A Four-Year Prospective Cohort Study," IJERPH, MDPI, vol. 18(4), pages 1-13, February.
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    Cited by:

    1. Ryuichi Ohta & Emily Weiss & Magda Mekky & Chiaki Sano, 2022. "Relationship between Dysphagia and Home Discharge among Older Patients Receiving Hospital Rehabilitation in Rural Japan: A Retrospective Cohort Study," IJERPH, MDPI, vol. 19(16), pages 1-17, August.

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