Aspiration pneumonia: Incidence, mortality, and at-risk populations

Journal of Parenteral and Enteral Nutrition

Volumn 26, Issue 6 SUPPL., 2002, Pages

  DeLegge, Mark H ^a   Moore, ^a   Zaloga, ^a   Maloney, ^a   McClave, ^a  

^a MEDICAL UNIVERSITY OF SOUTH CAROLINA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGE; ASPIRATION PNEUMONIA; CONFERENCE PAPER; CONSCIOUSNESS DISORDER; DYSPHAGIA; GASTROESOPHAGEAL REFLUX; HIGH RISK POPULATION; HUMAN; INCIDENCE; MORTALITY; MOUTH FLORA; NEUROLOGIC DISEASE; PARTICULATE MATTER; PRIORITY JOURNAL; RISK FACTOR; STOMACH CONTENT; TUBE FEEDING; ANESTHESIA; ARTICLE; CEREBROVASCULAR ACCIDENT; ENDOTRACHEAL INTUBATION; ENTERIC FEEDING; PREVALENCE; SEIZURE; STOMACH PARESIS; SUPINE POSITION; SWALLOWING;

ANESTHETIC AGENT;

EID: 0036838867     PISSN: 01486071     EISSN: None     Source Type: Journal    
DOI: 10.1177/014860710202600604     Document Type: Conference Paper

References (66)

1. Langmore SE, Terpenning MS, Schork A, et al: Predictors of aspiration pneumonia: How important is dysphagia. Dysphagia 13:69-81, 1998
2. Kikuchi R, Watabe N, Konne T, et al: High incidence of silent aspiration in elderly patients with community acquired pneumonia. Am J Resp Crit Care Med 150:251-253, 1994
3. Davies AE, Kidd D, Stone SP, et al: Pharyngeal sensation and gag reflex in health subjects. Lancet 345:613-623, 1995
4. Leder SB: Gag reflex and dysphagia. Head Neck 38:138-141, 1996
5. Tomlin PJ, Howarth FH, Robinson JS: Postoperative atelectasis and laryngeal incompetence. Lancet 557:402-405, 1968
6. Pontoppidan, Beecher HK: Loss of protective reflexes in the airway with the advance of age. JAMA 174:2209-2210, 1960
7. Wynne JW, Modell JH: Respiratory aspiration of gastric contents. Ann Intern Med 87:466-474, 1977
8. Bartlett JG, Finegold, SM: Anaerobic infections of the lung and pleural space. Am Rev Res Dis 110:56-77, 1974
9. Johnson WG Jr, Harris GD: Aspiration pneumonia, anaerobic infections and lung abscess. Med Clin North Am 6:385-394, 1980
10. Joyce TH III: Prophylaxis for pulmonary acid aspiration. Am Med J 83:46-52, 1987
11. Awe WC, Fletcher WS, Jacob SW: Pathophysiology of aspiration pneumonitis. Surgery 50:232-239, 1966
12. Cameron JL, Mitchell Zuidema GD: Aspiration pneumonia; clinical outcome following documented aspiration. Arch Surg 106:49-52, 1973
13. Lewis RT, Burgess JH, Hampton LG: Cardiorespiratory studies in critical illness: Changes in aspiration pneumonitis. Arch Surg 103:335-340, 1971
14. Bynum LJ, Pierce AK: Pulmonary aspiration of gastric contents. Am Rev Respir Dis 114:1129-1136, 1976
15. Zimmer JG, Bentley DW, Valenti WM, et al: Systemic antibiotic use in nursing homes: A quality assessment. J Am Geriatr Soc 34:703-710, 1986
16. Crossley KB, Thurn JR: Nursing home-acquired pneumonia. Sem Resp Infect 4:64-72, 1989
17. Horan TC, White JW, Jarvis WR, et al: Nosocomial infection surveillance 1980-1982. MMWR 35:17SS-29SS, 1986
18. Holas MA, DePippo KL, Beding MJ: Aspiration and relative risk of medical complications following stroke. Arch Neurol 51:1053, 1994
19. Huxley EJ, Viroslav J, Gray WR, et al: Pharyngeal aspiration in normal adults and patients with depressed consciousness. Am J Med 64:564-568, 1978
20. Veis SL, Logemann JA: Swallowing disorders in patients with cerebrovascular accident. Arch Physiol Med Rehabil 66:372-375, 1985
21. Harkness GA, Bentley DW, Roghmann KJ: Risk factors for nosocomial pneumonia in the elderly. Am J Med 89:457-463, 1990
22. Bello J, Quintana E, Ausina V, et al: Incidence, etiology and outcome of nosocomial pneumonia in mechanically ventilated patients. Chest 100:439-444, 1991
23. Lazarus BA, Murphy JB, Culpepper L: Aspiration associated with long-term gastric versus jejunal feeding. A critical analysis of the literature. Arch Phys Med Rehabil 71:46-51, 1990
24. Elpern EH, Scott MG, Petro L, et al: Pulmonary aspiration in mechanically ventilated patients with tracheostomies. Chest 105:563-566, 1994
25. Elpern EH, Jacobs ER, Bone RC: Incidence of aspiration in tracheally intubated adults. Heart Lung 16:527-531, 1987
26. Cameron JL, Mitchell WH, Zuidema GD: Aspiration pneumonia. Clinical outcomes following documented aspiration. Arch Surg 106:49-53, 1973
27. Dines DE, Titus JL, Sessler AD: Aspiration pneumonitis. Mayo Clinic Proc 34:355-360, 1970
28. Lagemann JA: Effects of aging on the swallowing mechanism. Otolaryng Clin North Am 23:1045-1058, 1990
29. Murray J, Langmore SE, Ginsberg E, et al: The significance of accumulated oropharyngeal secretions and swallowing frequency in predicting aspiration. Dysphagia 11:99-103, 1996
30. Nishino T, Hiraga K: Coordination of swallowing and respiration in unconscious subjects. J Appl Physiol 70:988-993, 1991
31. Huxley EJ, Viroslav J, Gray WR, et al: Pharyngeal aspiration in normal adults and patients with depressed consciousness. Am J Med 64:564-568, 1978
32. Bucholz DW: Neurogenic dysphagia. What is the cause when the cause is not obvious. Dysphagia 9:245-255, 1994
33. Nakajoh K, Nakagawa K, Sekizawa K, et al: Relation between incidence of pneumonia and protective reflexes in the post-stroke patients with oral or tube feeding. J Intern Med 247:39-42, 2000
34. Feinberg MJ, Ekberg O, Segall L, et al: Deglutation in elderly patients with dementia: Findings of videofluorographic evaluation and impact on staging and management. Radiology 183:811-814, 1992
35. Kidd D, Lawson J, Nesbitt R, et al: The natural history and clinical consequences of aspiration in acute stroke. Q J Med 88:409-413, 1995
36. Daniels SK, Brailey K, Priestly DH, et al: Aspiration in patients with acute stroke. Arch Phys Med Rehab 79:14-19, 1998
37. Smithard DG, O'Neill PA, Park C, et al: Complications and outcome after acute stroke: Does dysphagia matter? Stroke 27:1200-1204, 1996
38. Nakagawa T, Sekizawa K, Arai H, et al: High incidence of pneumonia in elderly patients with basal ganglia infarct. Arch Intern Med 157:321-327, 1997
39. Bonten MJM, Gaillard CA, de Leeuw PW, et al: Role of colonization of the upper intestinal tract in the pathogenesis of ventilator-associated pneumonia. Clin Infect Dis 24:309-314, 1997
40. Civit CJ, Curtas DJ, Crain M, et al: Pharyngeal swallowing in gastroesophageal reflux disease. Dysphagia 2:151-155, 1988
41. Holloway HH, Hongo M, Berger K, et al: Gastric distention: A mechanism for postprandial gastroesophageal reflux. Gastroenterology 88:779-784, 1985
42. Roberts JR, Shyr Y, Christain KR, et al: Preemptive gastrointestinal tract management reduces aspiration and respiratory failure after thoracic operations. J Thor Cardiovasc Surg 119:449-452, 2000
43. Elpern EH, Scott MG, Petro L, et al: Pulmonary aspiration in mechanically ventilated patients with tracheostomies. Chest 105:563-566, 1994
44. Treolar DM, Stechmiller J: Pulmonary aspiration in tube-fed patients with artificial airways. Heat Lung 13:667-671, 1984
45. Pavin EG, VanNimwegan D, Hornbein TF: Failure of a high compliance, low pressure cuff to prevent aspiration. Anesthesiology 42:216-219, 1975
46. Seegobin RD, vonHassell GL: Aspiration beyond endotracheal cuffs. Can Anaesth Soc J 33:273-279, 1986
47. de Larminant V, Montravers P, Durevil B, et al: Alterations in swallowing reflex after extubation in the intensive care patient. Crit Care Med 23:480-486, 1995
48. Mittal RK, Stewart WR, Schirmer BD: Effect of a catheter in the pharynx on transient lower esophageal sphincter relaxations. Gastroenterology 103:1236-1240, 1992
49. Johnson DA, Hackel JF, Benjamin SB, et al: Percutaneous endoscopic gastrostomy effects on lower esophageal reflux and the lower esophageal sphincter. Am J Gastroenterol 82:622-624, 1987
50. Ibanez JO, Penafiel A, Raurich JM, et al: Gastroesophageal reflux in intubated patients receiving enteral nutrition: Effect of supine and semirecumbent patients. JPEN 16:419-422, 1992
51. Cohen RM, Weintraub A, DiMarino RJ, et al: Gastroesophageal reflux during gastrostomy feeding. Gastroenterology 106:13-18, 1994
52. Fyay DE, Poplasky M, Gruber N, et al: Long-term enteral feeding: A retrospective comparison of delivery via percutaneous endoscopic gastrostomy and nasoenteric tubes. Am J Gastroenterol 86:1604-1609, 1991
53. Mullan H, Roubenoff, RA, Roubenoff R: Risk of pulmonary aspiration amongst patients using enteral nutrition support. JPEN 16:160-164, 1992
54. Park RH, Allison MC, Lang J, et al: Randomized comparison of percutaneous endoscopic gastrostomy and nasogastric tube feeding in patients with persisting neurologic dysphagia. Br Med J 304:1406-1409, 1992
55. Batten C, Hoefnagels J: Feeding via nasogastric tube or percutaneous endoscopic gastrostomy: A comparison. Scan Gastroenterol Suppl 194:95-98, 1992
56. Burtch GD, Shatney CH: Feeding gastrostomy: Assistant or assassin. Am Surgeon 51:204-207, 1985
57. Montecalvo MA, Steger KA, Farber HW, et al: Nutritional outcomes and pneumonia in critical care patients randomized to gastric versus jejunal feedings. Crit Care Med 20:1977-1987, 1992
58. Neumann DA, DeLegge MH: Gastric versus small bowel tube feeding in the intensive care unit. Crit Care Med 7:1436-1439, 2002
59. Lazarus BA, Murphy JB, Culpepper L: Aspiration associated with long-term gastric versus jejunal feedings: A critical analysis of the literature. Arch Physiol Med Rehabil 71:46-53, 1990
60. Esparza J, Boivin MA, Hartshorne ME, et al: Equal aspiration rates in gastrically and transpylorically fed critically ill patients. Intensive Care Med 27:660-664, 2001
61. Ibanez JO, Penafiel A, Raurich JM, et al: Gastroesophageal reflux in intubated patients receiving enteral nutrition: Effect of supine and semirecumbent patients. JPEN 16:419-422, 1992
62. Orcozo-Levi, Torres A, Ferrer M, et al: Semirecumbent position protects from pulmonary aspiration, but not completely from gastroesophageal reflux in mechanically ventilated patients. Am J Resp Crit Care Med 152:1387-1390, 1992
63. Ciocon O, Galindo-Ciocon DL, Tiessen C, et al: Continuous compared with intermittent feeding in the elderly. JPEN 16:525-528, 1992
64. Potts RG, Zaroukian MH, Guerrero PA, et al: Incidence of aspiration in tracheally intubated adults. Heart Lung 16:527-531, 1987
65. Torres A, Serra-Batlles J, Ros E, et al: Pulmonary aspiration of gastric contents in patients receiving mechanical ventilation: The effects of body position. Ann Intern Med 116:540-543, 1992
66. Elpern EH: Pulmonary aspiration in hospitalized adults. Nutr Clin Pract 12:5-13, 1997