The Relationship Between the Risk of Aspiration Pneumonia and the Risk of Aspiration: Aspiration Risk and Aspiration Pneumonia Risk Are Not the Same?

Author(s):  
Kosaku Komiya ◽  
Jun-Ichi Kadota
2008 ◽  
Vol 9 (2) ◽  
pp. 128-135 ◽  
Author(s):  
Jaya Sarin ◽  
Ramesh Balasubramaniam ◽  
Amy M. Corcoran ◽  
Joel M. Laudenbach ◽  
Eric T. Stoopler

2018 ◽  
Vol 3 (4) ◽  
pp. 347-354 ◽  
Author(s):  
Mary Lyons ◽  
Craig Smith ◽  
Elizabeth Boaden ◽  
Marian C Brady ◽  
Paul Brocklehurst ◽  
...  

Purpose There appears to be an association between poor oral hygiene and increased risk of aspiration pneumonia – a leading cause of mortality post-stroke. We aim to synthesise what is known about oral care after stroke, identify knowledge gaps and outline priorities for research that will provide evidence to inform best practice. Methods A narrative review from a multidisciplinary perspective, drawing on evidence from systematic reviews, literature, expert and lay opinion to scrutinise current practice in oral care after a stroke and seek consensus on research priorities. Findings: Oral care tends to be of poor quality and delegated to the least qualified members of the caring team. Nursing staff often work in a pressured environment where other aspects of clinical care take priority. Guidelines that exist are based on weak evidence and lack detail about how best to provide oral care. Discussion Oral health after a stroke is important from a social as well as physical health perspective, yet tends to be neglected. Multidisciplinary research is needed to improve understanding of the complexities associated with delivering good oral care for stroke patients. Also to provide the evidence for practice that will improve wellbeing and may reduce risk of aspiration pneumonia and other serious sequelae. Conclusion Although there is evidence of an association, there is only weak evidence about whether improving oral care reduces risk of pneumonia or mortality after a stroke. Clinically relevant, feasible, cost-effective, evidence-based oral care interventions to improve patient outcomes in stroke care are urgently needed.


2020 ◽  
Vol 14 (2) ◽  
pp. 79-81
Author(s):  
Benzir Ahammad ◽  
Amit Wazib ◽  
Asma Khan ◽  
MM Shahin Ul Islam ◽  
Farah Naz Kamal

Stroke is defined as focal or global neurological deficit of non-traumatic vascular origin which lasts 24 hours or more if the patient survives. Many researchers showed that risk of aspiration after stroke has been related to brain stem lesions. Moreover, assessing the risk of aspiration pneumonia in supratentorial ischaemic stroke has been established in a few recent studies. Aims of study was to see the association of lesion location and of risk of aspiration pneumonia in supratentorial ischaemic stroke. The study was done by random sampling from hospital-based stroke patients. Out of these patients we collected data from 100 acute hemispheric infarct patients who got admitted in Dhaka Medical College Hospital from July 2013 to December 2013. Subcortical infarcts were associated with higher proportion of risk of aspiration on day 1 with relative risk 2.63 which was statistically significant (95 percent CI 1.43 - 4.86, pvalue 0.001). Extended risk of aspiration on day 7 was also found more in these patients (relative risk 8.29, 95 percent CI 1.96 - 35.09, p-value 0.0004). Moreover, risk of aspiration was found in 32 percent patients, of which 14 percent was proved to have extended risk at day 7. Subcortical infarction is associated with higher risk of aspiration pneumonia in supratentorial ischaemic stroke. Faridpur Med. Coll. J. Jul 2019;14(2): 79-81


Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 539
Author(s):  
Emil Anton ◽  
Bogdan Doroftei ◽  
Delia Grab ◽  
Norina Forna ◽  
Mihoko Tomida ◽  
...  

The presence of teeth on babies earlier than four months is a rare condition. Therefore, adequate treatment for each case should be instituted as soon as possible, considering that certain complications may arise. This report describes a rare case in which a newborn baby required the extraction of two mobile mandibular natal teeth to prevent the risk of aspiration. After two years, the clinical re-evaluation showed a residual tooth instead of a temporary one. This case report shows that adequate diagnosis should include a radiographic examination to determine whether these teeth are components of normal or supernumerary dentition, as well as further investigations on the relationship with the adjacent teeth. Another important aspect highlighted in this case report is the need for a post-extraction curettage of the socket in order to reduce the risk of ongoing development of the dental papilla cells.


2016 ◽  
Vol 150 (4) ◽  
pp. S102
Author(s):  
Barbara Bielawska ◽  
Lawrence Hookey ◽  
Rinku Sutradhar ◽  
Jianfeng Xu ◽  
Marlo Whitehead ◽  
...  

2013 ◽  
Vol 108 (5) ◽  
pp. 804-810 ◽  
Author(s):  
Akira Horiuchi ◽  
Yoshiko Nakayama ◽  
Ryosei Sakai ◽  
Manabu Suzuki ◽  
Masashi Kajiyama ◽  
...  

2016 ◽  
Vol 105 (12) ◽  
pp. e588-e592 ◽  
Author(s):  
Liat Ashkenazi-Hoffnung ◽  
Anne Ari ◽  
Efraim Bilavsky ◽  
Oded Scheuerman ◽  
Jacob Amir ◽  
...  

2018 ◽  
Vol 154 (1) ◽  
pp. 77-85.e3 ◽  
Author(s):  
Barbara Bielawska ◽  
Lawrence C. Hookey ◽  
Rinku Sutradhar ◽  
Marlo Whitehead ◽  
Jianfeng Xu ◽  
...  

2017 ◽  
Vol 6 (4) ◽  
pp. 46-51 ◽  
Author(s):  
Victoria Elizabeth Hannah ◽  
Lindsay O'Donnell ◽  
Douglas Robertson ◽  
Gordon Ramage

Removable dentures are worn by 20% of the UK population and two thirds of these individuals have denture stomatitis. Poor oral hygiene is commonplace among this group, as is smoking and xerostomia, which also contribute to the development of denture stomatitis. A complex polymicrobial biofilm is able to proliferate on the surface of denture materials and matures to form visible denture plaque. This denture plaque biofilm stimulates a local inflammatory process that is detectable clinically as erythema, and hyperplasia. Systemically, denture plaque represents a potential risk factor for systemic disease, in particular aspiration pneumonia. Respiratory pathogens have been detected in the denture plaque and overnight denture wear has been linked to an increased risk of aspiration pneumonia. There is a general lack of evidence on the adequate management of denture stomatitis and we present a protocol for use in the primary care setting.


1984 ◽  
Vol 61 (6) ◽  
pp. 756-758 ◽  
Author(s):  
Ronald D. Miller ◽  
CHRISTOPHER F. JAMES ◽  
CHARLES P. GIBBS ◽  
TINA BANNER

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