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• W4366352053 abstract "In Japan, a 24-item mealtime observation checklist (MOCL) was developed in 2015 to support oral intake and prevent aspiration in older adults. The MOCL consists of signs/symptoms/conditions that reflect eating and swallowing functions and oral conditions. This study aimed to examine the association between each MOCL item and the onset of aspiration pneumonia (AP).This retrospective cohort study included 199 older adults with difficulties in oral intake residing in four long-term care facilities. The association between the time to the onset of AP (6 months follow-up) and each MOCL item was examined using Cox proportional hazards models.The median (25th, 75th percentiles) age of the participants was 87 (82, 91.5) years; 131 (65.8%) were women; and 24 developed AP during the study period. After adjusting for the characteristics of participants, six items were significantly associated with the onset of AP: Has difficulty maintaining a sitting position (hazard ratio [HR] = 3.29, 95% confidence interval [CI]: 1.37-7.88), Sleep while eating (HR = 3.45, 95% CI: 1.12-10.59), Has difficulty starting to eat, frequently interrupts eating even after starting to eat, and has difficulty concentrating on eating (HR = 2.51, 95% CI: 1.10-5.72), Has fatigue because additional time is needed to eat (HR = 3.08, 95% CI: 1.32-7.20), Dry mouth (HR = 2.84, 95% CI: 1.21-6.67), and Assisted feeding is required (HR = 2.90, 95% CI: 1.21-6.93).Of the 24 items on the MOCL, we found six items that might contribute to screening older adults at a high risk of AP onset. Geriatr Gerontol Int 2023; 23: 376-382." @default.
• W4366352053 created "2023-04-21" @default.
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• W4366352053 date "2023-04-19" @default.
• W4366352053 modified "2023-09-26" @default.
• W4366352053 title "Validation of the applicability of the mealtime observation checklist in predicting the risk of aspiration pneumonia in older adults receiving oral intake support: A retrospective cohort study of four long‐term care facilities" @default.
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• W4366352053 doi "https://doi.org/10.1111/ggi.14586" @default.
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