Temporal recovery and prognostic factors for dysphagia following cardiovascular surgery: Retrospective analysis and development of predictive score

Hashida, Nao; Hosokawa, Kiyohito; Kawamura, Ai; Suzuki, Motoyuki; Kitayama, Itsuki; Nozawa, Masayuki; Okajima, Eri; Sugamoto, Madoka; Sugauchi, Akinari; Sahara, Wataru; Miyagawa, Shigeru; Inohara, Hidenori

doi:https://doi.org/10.1016/j.nut.2024.112534

Temporal recovery and prognostic factors for dysphagia following cardiovascular surgery: Retrospective analysis and development of predictive score

Hashida, Nao; Hosokawa, Kiyohito; Kawamura, Ai et al.

Nutrition, 2024, 127, 112534

Number of Access:1,415（2025-08-14 18:26 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/98170

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Title	Temporal recovery and prognostic factors for dysphagia following cardiovascular surgery: Retrospective analysis and development of predictive score
Creator	CreatorName Hashida, Nao
	NRID 1000060625896 1000060625896 researchmap permalink drink drink Scopus Author ID 55914870000 55914870000 ORCID 0000-0002-5169-1038 0000-0002-5169-1038 CreatorName Hosokawa, Kiyohito
	NRID 1000010838923 1000010838923 researchmap permalink a-kawamura a-kawamura Scopus Author ID 56414159900 56414159900 CreatorName Kawamura, Ai
	NRID 1000050632329 1000050632329 researchmap permalink motoyukisuzuki motoyukisuzuki Scopus Author ID 55505806400 55505806400 CreatorName Suzuki, Motoyuki
	ORCID 0009-0006-6551-2818 0009-0006-6551-2818 researchmap permalink itkktym itkktym CreatorName Kitayama, Itsuki
	CreatorName Nozawa, Masayuki
	CreatorName Okajima, Eri
	CreatorName Sugamoto, Madoka
	NRID 1000080839184 1000080839184 researchmap permalink 80839184 80839184 CreatorName Sugauchi, Akinari
	NRID 1000080706391 1000080706391 researchmap permalink _ws _ws Scopus Author ID 6506069419 6506069419 ORCID 0000-0002-3597-4388 0000-0002-3597-4388 CreatorName Sahara, Wataru
	NRID 1000070544237 1000070544237 ORCID 0000-0003-0015-6569 0000-0003-0015-6569 researchmap permalink s-miyagawa3154 s-miyagawa3154 Scopus Author ID 55560624700 55560624700 CreatorName Miyagawa, Shigeru
	NRID 1000000273657 1000000273657 researchmap permalink read0046473 read0046473 Scopus Author ID 7004501837 7004501837 CreatorName Inohara, Hidenori
Subject	Cariovascular surgery
	Dysphagia
	Nutritional management
	Postextubation dysphagia
	Swallowing rehabilitation
Description	Hashida N., Hosokawa K., Kawamura A., et al. Temporal recovery and prognostic factors for dysphagia following cardiovascular surgery: Retrospective analysis and development of predictive score. Nutrition 127, 112534 (2024); https://doi.org/10.1016/j.nut.2024.112534.
Abstract	Objective: Dysphagia is a common complication associated with cardiovascular surgery (CVS). This study sought to better understand recovery timelines, identify risk factors, and create a prognostic model for oral intake restoration. Methods: This retrospective study included 134 patients who had CVS between April 2022 and March 2024. We assessed swallowing ability through fiberoptic endoscopic evaluation of swallowing (FEES). We randomly divided the patients’ data into a training dataset and a test dataset in a ratio of 70/30 and Kaplan–Meier analyses and Cox regression were used to assess predictors of total oral intake. We also created a scoring system using the estimated regression coefficients. Results: Most patients with CVS achieved total oral intake in 7–11 days after extubation. Over 168 h of intubation, the presence of penetration or aspiration, a poor FEES score (score > 6), and perioperative complications were significant risk factors for delayed total oral intake. The predicting score was calculated by adding the scores for each individual factor, including FEES score, penetration/aspiration, and preoperative complications. Scores ranged 0–8, categorizing patients into 0–2, 3–5, and 6–8 groups, clearly demonstrating that the higher the predicting score, the longer the time to total oral intake in both the training and the test dataset. Conclusions: All risk factors for unsuccessful or delayed total oral intake were intubation for more than a week, poor swallowing ability, and the presence of perioperative complications. The scoring system accurately predicts the restoration of oral intake following CVS.
Publisher	Elsevier Inc.
Source Title	Nutrition
Volume (Issue)	127
Page	112534
Date of Issued	2024-11-01
Language	English
Handle URL	https://hdl.handle.net/11094/98170
PISSN	08999007
eISSN	18731244
Relation.isIdenticalTo	DOI (Publisher Version) https://doi.org/10.1016/j.nut.2024.112534
Access Rights	open access
CopyRight	This article is licensed under a Creative Commons Attribution 4.0 International License.
oaire:version	Version of Record
Category	学術雑誌論文 Journal Article

Resource Type	journal article
Local Type	Journal Article
DCTERMS.bibliographicCitation	Nutrition. 2024, 127, p. 112534
DC.title	Temporal recovery and prognostic factors for dysphagia following cardiovascular surgery: Retrospective analysis and development of predictive score
DC.creator	Hashida, Nao
	Hosokawa, Kiyohito
	Kawamura, Ai
	Suzuki, Motoyuki
	Kitayama, Itsuki
	Nozawa, Masayuki
	Okajima, Eri
	Sugamoto, Madoka
	Sugauchi, Akinari
	Sahara, Wataru
	Miyagawa, Shigeru
	Inohara, Hidenori
DC.publisher	Elsevier Inc.
DC.language' scheme='DCTERMS.RFC1766	English
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2024-11-01
DC.identifier	https://doi.org/10.1016/j.nut.2024.112534
DC.subject	Cariovascular surgery
	Dysphagia
	Nutritional management
	Postextubation dysphagia
	Swallowing rehabilitation
DC.description	Hashida N., Hosokawa K., Kawamura A., et al. Temporal recovery and prognostic factors for dysphagia following cardiovascular surgery: Retrospective analysis and development of predictive score. Nutrition 127, 112534 (2024); https://doi.org/10.1016/j.nut.2024.112534.
DCTERMS.abstract	Objective: Dysphagia is a common complication associated with cardiovascular surgery (CVS). This study sought to better understand recovery timelines, identify risk factors, and create a prognostic model for oral intake restoration. Methods: This retrospective study included 134 patients who had CVS between April 2022 and March 2024. We assessed swallowing ability through fiberoptic endoscopic evaluation of swallowing (FEES). We randomly divided the patients’ data into a training dataset and a test dataset in a ratio of 70/30 and Kaplan–Meier analyses and Cox regression were used to assess predictors of total oral intake. We also created a scoring system using the estimated regression coefficients. Results: Most patients with CVS achieved total oral intake in 7–11 days after extubation. Over 168 h of intubation, the presence of penetration or aspiration, a poor FEES score (score > 6), and perioperative complications were significant risk factors for delayed total oral intake. The predicting score was calculated by adding the scores for each individual factor, including FEES score, penetration/aspiration, and preoperative complications. Scores ranged 0–8, categorizing patients into 0–2, 3–5, and 6–8 groups, clearly demonstrating that the higher the predicting score, the longer the time to total oral intake in both the training and the test dataset. Conclusions: All risk factors for unsuccessful or delayed total oral intake were intubation for more than a week, poor swallowing ability, and the presence of perioperative complications. The scoring system accurately predicts the restoration of oral intake following CVS.
DC.rights	This article is licensed under a Creative Commons Attribution 4.0 International License.
DC.format	98170
citation_title	Temporal recovery and prognostic factors for dysphagia following cardiovascular surgery: Retrospective analysis and development of predictive score
citation_author	Hashida, Nao
	Hosokawa, Kiyohito
	Kawamura, Ai
	Suzuki, Motoyuki
	Kitayama, Itsuki
	Nozawa, Masayuki
	Okajima, Eri
	Sugamoto, Madoka
	Sugauchi, Akinari
	Sahara, Wataru
	Miyagawa, Shigeru
	Inohara, Hidenori
citation_publisher	Elsevier Inc.
citation_language	English
citation_date	2024-11-01
citation_journal_title	Nutrition
citation_volume	127
citation_firstpage	112534
citation_doi	https://doi.org/10.1016/j.nut.2024.112534
citation_public_url	https://hdl.handle.net/11094/98170

Temporal recovery and prognostic factors for dysphagia following cardiovascular surgery: Retrospective analysis and development of predictive score

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