Table 1. Summary of Studies Included in the Scoping Review.

From: Risk Factors Associated with Oral Intake Discontinuation in Hospitalized Patients with Aspiration Pneumonia: A Scoping Review

Authors (Year) Title Country Target population Number of Patients (M/F) Average age (min-max) Language
Tatebe et al. (2021) (9) Designing a Clinical Pathway Based on Swallowing Functional Assessment and Considering Its Efficacy for Aspiration Pneumonia Inpatients Japan Aspiration pneumonia inpatients 94 (43/51) 90 (84-95) Japanese
Nakamura et al. (2020) (10) Effect of Early Dysphagia Rehabilitation by Speech-Language-Hearing Therapists in Patients with Severe Aspiration Pneumonia Japan Hospitalized patients with severe aspiration pneumonia 226 (138/88) 84 (77-92) English
Osanai et al. (2020) (11) Effect of early dysphagia evaluation and dysphagia rehabilitation on patients with aspiration pneumonia Japan Aspiration pneumonia inpatients 260 (151/109) 84 (78-89) Japanese
Ito et al. (2018) (12) Predictors for achieving oral intake in older patients with aspiration pneumonia: video fluoroscopic evaluation of swallowing function Japan Aspiration pneumonia inpatients 160 (99/61) 82 (72-91) English
Momosaki et al. (2015) (13) Predictive factors for oral intake after aspiration pneumonia in older adults Japan Patients with aspiration pneumonia admitted to an acute care hospital 66611 (37117/29494) 84 (77-91) English
Iwamoto et al. (2014) (14) Swallowing rehabilitation with nutrition therapy improves clinical outcomes in patients Japan Patients with aspiration pneumonia admitted to an acute care hospital 70 (No data) 73 (61-83) English
Table 2. Variables of Reviewed Sources.

From: Risk Factors Associated with Oral Intake Discontinuation in Hospitalized Patients with Aspiration Pneumonia: A Scoping Review

Authors (Year) Items compared Outcome
Tatebe et al. (2021) BMI, MNA-SF, Barthel Index, place of care before admission, history of aspiration pneumonia, history of cerebrovascular disease Discharged with oral intake possible/discharged with no oral intake possible or dead.
Nakamura et al. (2020) A-DROP score, BUN, SpO2, consciousness disturbance, BP, NHCAP, invasive or noninvasive ventilation, comorbidities, moderate or severe nutritional risk, admission from nursing home, ambulatory before admission, FILS score at the start of rehabilitation, early rehabilitation No alternative nutrition/alternative nutrition
Osanai et al. (2020) Charlson Comorbidity Index score, place of care prior to admission, dietary ADL Mentor r metropolitan, A-DROP score, Alb, Fujishima Gr, number of days until swallowing training was started Discharged with oral intake possible/discharged with no oral intake possible
Ito et al. (2018) Alb, mean duration of nonoral intake until evaluation, ADL on evaluation, VF findings, past history and comorbidities, A-DROP score Discharged with oral intake possible/discharged with no oral intake possible
Momosaki et al. (2015) Age, gender, Barthel Index, weight loss before admission, severe pneumonia, A-DROP score, comorbidities, type of hospital admitted, length of stay, gastrostomy Discharged with oral intake possible/discharged with no oral intake possible
Iwamoto et al. (2014) BMI, BEE, %AMC, %TSF, support days Discharged with oral intake possible/discharged with no oral intake possible
Table 3. Factors Influencing Oral Intake Discharge.

From: Risk Factors Associated with Oral Intake Discontinuation in Hospitalized Patients with Aspiration Pneumonia: A Scoping Review

Authors (Year) Factors leading to oral intake discharge Factors leading to no oral intake discharge
Tatebe et al. (2021) Age (89 years), BMI (18.9) Age (92 years), BMI (17.0)
Nakamura et al. (2020) CONUT score of 5 or more (63.6 points), ambulatory before admission (49.1%), FILS score at the start of rehabilitation (5), early (5 days or more) rehabilitation (76.3%) CONUT score of 5 or more (83.0 points), ambulatory before admission (28.3%), FILS score at the start of rehabilitation (3), early (5 days or more) rehabilitation (50.9%)
Osanai et al. (2020) Hospitalization from home (59.7%), serum albumin (3.1 g/dl), Fujishima Gr (6) Hospitalization from home (27.8%), serum albumin (2.8 g/dl), Fujishima Gr (2)
Ito et al. (2018) Serum albumin (3.0 g/dl), mean A-DROP score (2.5), mean FILS score before admission (8.4), mean duration of nonoral intake until evaluation (7.8 days), bedridden ADL (41.3%), mean score of P-A scale (2.6), severity of residual of pharynx, history of pneumonia (26.9%), dementia (56.7%) Serum albumin (2.7 g/dl), mean A-DROP score (2.2), mean FILS score before admission (7.7), mean duration of nonoral intake until evaluation (11.2 days), bedridden ADL (70.0%), mean score of P-A scale (2.3), severity of residual of pharynx, history of pneumonia (42.9%), dementia (73.2%)
Momosaki et al. (2015) Women (46.0%), Barthel Index on Admission (32.5), underweight on admission (43.7%), severe pneumonia (like A-DROP score), history of malignancy (8.1%), sepsis (1.7%), cerebrovascular disease (5.5%), oral disease (15.1%), mental disorder (14.9%), chronic lower respiratory disease (8.3%), renal failure (2.7%), academic hospital (4.0%), mean length of stay day (15.3%), gastrostomy in hospital (2.7%) Women (41.7%), Barthel Index on admission (22.3), underweight on admission (66.9%), severe pneumonia (like A-DROP score), history of malignancy (9.8%), sepsis (3.1%), cerebrovascular disease (5.9%), oral disease (20.0%), mental disorder (16.9%), chronic lower respiratory disease (10.9%), renal failure (3.1%), academic hospital (4.6%), mean length of stay day (63.9%), gastrostomy in hospital (11.8%)
Iwamoto et al. (2014) BMI (21.8), BEE (1192 kcal) BMI (19.2), BEE (1067 kcal)
Table 4. New Castle Ottawa Scale for Risk of Bias.

From: Risk Factors Associated with Oral Intake Discontinuation in Hospitalized Patients with Aspiration Pneumonia: A Scoping Review

Study Selection Comparability Outcome Overall
Represent activeness of the exposed cohort Selection of the non exposed cohort Ascertainment of exposure Outcome not present at start Age factor Other factor Assessment of outcome Adequate follow-up length Adequacy of follow up
Tatebe et al. (2021) 7
Nakamura et al. (2020) 9
Osanai et al. (2020) 9
Ito et al. (2018) 9
Momosaki et al. (2015) 9
Iwamoto et al. (2014) 8
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