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November 21, 2025Journal of Oral Rehabilitation

Factors Influencing Oral Intake Restoration at Discharge in Patients Undergoing Fasting During Acute Care Hospitalisation

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Authors

KYKohei YOSHIKAWAJKJun KayashitaTHTakao Hamamoto

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Overview

Retrospective analysis identifies dysphagia and nutritional support as key factors influencing oral intake recovery in older inpatients, indicating targeted interventions may reduce malnutrition.

Key Points

  • Identify predictors for oral intake resumption at discharge in older inpatients with dysphagia.
  • Retrospective study of 114 older patients with a Functional Oral Intake Scale (FOIS) of 1.
  • Assessed swallowing function using videoendoscopic evaluation and nutritional status via the Mini Nutritional Assessment–Short Form.
  • Classified patients into oral intake and non‐oral intake groups based on FOIS scores at discharge.
  • Utilized logistic regression to identify independent predictors and ROC analysis for predictive performance.
  • MNA-SF score (odds ratio [OR] = 1.29, p = 0.003) and Hyodo score (OR = 0.84, p = 0.049) as independent predictors.
  • ROC analysis revealed sensitivity of 0.81 and specificity of 0.61 with an area under the curve of 0.75.
  • A combined predictive model using both scores is beneficial for forecasting oral intake recovery.

Cite This Study

YOSHIKAWA et al. (2025) studied this question.

synapsesocial.com/papers/6924e3e6c0ce034ddc34ebe9https://doi.org/10.1111/joor.70107
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