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The study whether conducting rehabilitation could prevent patients with gastric fistula from suffering from pneumonia

Research Project

Project/Area Number 24792354
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Social dentistry
Research InstitutionTokyo Medical and Dental University (2013)
Osaka University (2012)

Principal Investigator

WAKASUGI Yoko  東京医科歯科大学, 歯学部, 助教 (20516281)

Project Period (FY) 2012-04-01 – 2014-03-31
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Fiscal Year 2013: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2012: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords摂食嚥下障害 / 胃瘻 / リハビリテーション / 肺炎予防 / 摂食・嚥下障害 / 肺炎
Research Abstract

Gastric fistula (GF) is the effective measure, but improperly-used. So, there were fasted patients despite the ability to eat and repeated pneumonia after fasting. We studied the swallowing function and intervention effect among fasted patients with GF. The 16 bedridden patients were conducted videoendoscopy, and divided into two groups; one was able to eat jelly without aspiration, and the other was not. The former ate jelly with assistance every day for 3 weeks and the latter was conducted oral care. The gastric empty and the frequency of swallowing at rest were compared. The resulte was 8 patients on each group. Age and the duration of fasting were not significant difference. All patients remained not causing pneumonia, and the frequency of swallowing of the former group was significantly improved. We concluded that the importance of appropriate exam before gastrosomy, and the possibility of sustained rehabilitation with food preventing from pneumonia by improving saliva swallow.

Report

(3 results)
  • 2013 Annual Research Report   Final Research Report ( PDF )
  • 2012 Research-status Report
  • Research Products

    (21 results)

All 2014 2013 2012 Other

All Journal Article (5 results) (of which Peer Reviewed: 3 results) Presentation (14 results) (of which Invited: 1 results) Book (2 results)

  • [Journal Article] 医療・介護関連肺炎 (NHCAP) の現状と展望 歯科医の立場から2014

    • Author(s)
      若杉葉子, 戸原玄, 野原幹司, 石川朗
    • Journal Title

      日本呼吸ケア・リハビリテーション学会雑誌

      Volume: 24(1) Pages: 46-50

    • Related Report
      2013 Final Research Report
  • [Journal Article] Usefulness of a handheld nebulizer in cough test to screen for silent aspiration2014

    • Author(s)
      Wakasugi Y, Tohara H, Nakane A, Murata S, Mikushi S, Susa C, Takashima M, Umeda Y, Suzuki R, Uematsu H
    • Journal Title

      Odontology

      Volume: 102 Issue: 1 Pages: 76-80

    • DOI

      10.1007/s10266-012-0085-y

    • Related Report
      2013 Final Research Report 2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] 医療・介護関連肺炎(NHCAP)の現状と展望 歯科医の立場から2014

    • Author(s)
      若杉葉子、戸原玄、野原幹司、石川朗
    • Journal Title

      日本呼吸ケア・リハビリテーション学会雑誌

      Volume: 24(1) Pages: 46-50

    • Related Report
      2013 Annual Research Report
  • [Journal Article] 摂食・嚥下障害患者の退院後の摂食状況 - 退院後フォローの重要性について -2012

    • Author(s)
      若杉葉子, 戸原玄, 日野多査加美, 三瓶龍一, 鰕原賀子, 岡田猛司, 島野嵩也, 植松宏
    • Journal Title

      日本摂嚥リハ会誌

      Volume: 16(2) Pages: 198-202

    • NAID

      130007852645

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] 摂食・嚥下障害患者の退院後の摂食状況―退院後フォローの重要性について-2012

    • Author(s)
      若杉葉子、戸原玄、日野多加美、三瓶龍一、鰕原賀子、岡田猛司、島野嵩也、植松宏
    • Journal Title

      日本摂食・嚥下リハビリテーション学会雑誌

      Volume: 16 Pages: 198-202

    • NAID

      130007852645

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] Effect of oral stage impairment on swallowing among patients with Parkinson's disease2014

    • Author(s)
      Yoko Wakasugi, Toshiyuki Yamamoto, Chihiro Oda, Miho Murata
    • Organizer
      Dysphagia Research Society
    • Place of Presentation
      Nashville, Tennessee, USA
    • Year and Date
      2014-03-06
    • Related Report
      2013 Final Research Report
  • [Presentation] Effect of oral stage impairment on swallowing among patients with Parkinson's disease2014

    • Author(s)
      Yoko Wakasugi, Toshiyuki Yamamoto, Chihiro Oda, Miho Murata
    • Organizer
      Dysphagia Research Society
    • Place of Presentation
      Nashville,Tennessee, USA, Loews Vanderbilt Hotel
    • Related Report
      2013 Annual Research Report
  • [Presentation] 医療・介護関連肺炎( NHCAP )の現状と展望 歯科医の立場から2013

    • Author(s)
      若杉葉子
    • Organizer
      第23回日本呼吸ケア・リハビリテーション学会学術大会シンポジウム(シンポジスト)
    • Place of Presentation
      東京
    • Year and Date
      2013-10-10
    • Related Report
      2013 Final Research Report
  • [Presentation] 絶食のまま経過している胃瘻患者の嚥下機能評価2013

    • Author(s)
      若杉葉子, 野原幹司, 辻聡, 上田章人, 阪井丘芳
    • Organizer
      第24回日本老年歯科医学会学術大会ポスター発表, 第23回日本老年歯科医学会学術大会 最優秀ポスター賞受賞
    • Place of Presentation
      大阪
    • Year and Date
      2013-06-04
    • Related Report
      2013 Final Research Report
  • [Presentation] 絶食のまま経過している胃瘻患者の嚥下機能評価2013

    • Author(s)
      若杉葉子、野原幹司、辻聡、上田章人、阪井丘芳
    • Organizer
      第24回日本老年歯科医学会学術大会
    • Place of Presentation
      大阪、大阪国際会議場
    • Related Report
      2013 Annual Research Report
  • [Presentation] 医療・介護関連肺炎(NHCAP)の現状と展望 歯科医の立場から2013

    • Author(s)
      若杉葉子
    • Organizer
      第23回日本呼吸ケア・リハビリテーション学会学術大会シンポジウム
    • Place of Presentation
      東京、東京ドームホテル
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] 不顕性誤嚥のスクリーニングにおける咳テストの有用性2012

    • Author(s)
      若杉葉子, 野原幹司, 石川朗
    • Organizer
      第22回呼吸ケア・リハビリテーション学会学術大会
    • Place of Presentation
      福井
    • Year and Date
      2012-11-23
    • Related Report
      2013 Final Research Report
  • [Presentation] 摂食・嚥下障害患者の発熱予測因子の検討 -誤嚥の有無と経過の乖離 -2012

    • Author(s)
      若杉葉子, 野原幹司, 奥野健太郎, 深津ひかり, 松野頌平, 辻聡, 阪井丘芳
    • Organizer
      第17 ・ 18回共催日本摂食・嚥下リハビリテーション学会学術大会
    • Place of Presentation
      札幌
    • Year and Date
      2012-09-01
    • Related Report
      2013 Final Research Report
  • [Presentation] CRP を用いた摂食・嚥下障害患者の発熱予測 - 誤嚥の有無と経過の乖離 -2012

    • Author(s)
      若杉葉子, 野原幹司, 松野頌平, 阪井丘芳
    • Organizer
      第23回日本老年歯科医学会学術大会
    • Place of Presentation
      筑波
    • Year and Date
      2012-06-22
    • Related Report
      2013 Final Research Report
  • [Presentation] 胃瘻患者に対する直接訓練が嚥下頻度、胃排出能に及ぼす影響について

    • Author(s)
      辻聡,野原幹司,若杉葉子,上田章人,田中信和,小谷泰子,阪井丘芳
    • Organizer
      第17・18回共催日本摂食・嚥下リハビリテーション学会学術大会
    • Place of Presentation
      北海道
    • Related Report
      2012 Research-status Report
  • [Presentation] CRPを用いた摂食・嚥下障害患者の発熱予測-誤嚥の有無と経過の乖離-

    • Author(s)
      若杉葉子、野原幹司、松野頌平、阪井丘芳
    • Organizer
      第23回日本老年歯科医学会学術大会
    • Place of Presentation
      筑波
    • Related Report
      2012 Research-status Report
  • [Presentation] 摂食・嚥下障害患者の発熱予測因子の検討-誤嚥の有無と経過の乖離-

    • Author(s)
      若杉葉子、野原幹司、奥野健太郎、深津ひかり、松野頌平、辻聡、阪井丘芳
    • Organizer
      第17・18回共催日本摂食・嚥下リハビリテーション学会学術大会
    • Place of Presentation
      北海道
    • Related Report
      2012 Research-status Report
  • [Presentation] 摂食・嚥下障害症例に対する歯科衛生士の役割-経口摂取再開が可能となった一例-

    • Author(s)
      高島都恵、朝永敦子、井関由紀、三野奈津子、小谷泰子、若杉葉子、深津ひかり、野原幹司、岸川裕
    • Organizer
      第17・18回共催日本摂食・嚥下リハビリテーション学会学術大会
    • Place of Presentation
      北海道
    • Related Report
      2012 Research-status Report
  • [Presentation] 不顕性誤嚥のスクリーニングにおける咳テストの有用性

    • Author(s)
      若杉葉子、野原幹司、石川朗
    • Organizer
      第22回呼吸ケア・リハビリテーション学会学術大会
    • Place of Presentation
      福井
    • Related Report
      2012 Research-status Report
  • [Book] 【誤嚥性肺炎を防ぐ 摂食ケアと口腔ケア】(PART1)誤嚥性肺炎と「口腔ケア」 誤嚥性肺炎のメカニズムと対処法(解説/特集)2013

    • Author(s)
      戸原玄、岸本裕允、若杉葉子
    • Total Pages
      112
    • Publisher
      照林社
    • Related Report
      2013 Annual Research Report
  • [Book] 誤嚥性肺炎を防ぐ 摂食ケアと口腔ケア

    • Author(s)
      戸原玄, 岸本裕充
    • Total Pages
      102
    • Publisher
      照林社
    • Related Report
      2013 Final Research Report

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Published: 2013-05-31   Modified: 2019-07-29  

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