[HTML][HTML] Decisions on eating and drinking in older adults admitted with pneumonia and referred for swallowing difficulties
Y Yoshimatsu, D Hansjee, M Markowski… - European Geriatric …, 2024 - Springer
European Geriatric Medicine, 2024•Springer
Purpose Older 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. Methods We performed a retrospective cohort study at an
acute hospital where EDAR was initially developed, of patients aged≥ 75 years-old …
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. Methods We performed a retrospective cohort study at an
acute hospital where EDAR was initially developed, of patients aged≥ 75 years-old …
Abstract
Purpose
Older 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.
Methods
We 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.
Results
Out 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).
Conclusion
EDAR 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.
Springer
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