Association of maximal tongue pressure with dysphagia and prognosis in patients with acute heart failure

IF 2.6 Q3 NUTRITION & DIETETICS

Clinical nutrition ESPEN Pub Date : 2025-09-13 DOI:10.1016/j.clnesp.2025.09.009

Koji Matsuo , Kei Yoneki , Kikka Kobayashi , Daiki Onoda , Kazuhiro Mibu , Toru Suzuki , Ken Nakao , Hiroaki Tatsuki , Seiji Tamiya

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引用次数: 0

Abstract

Background & aims

Although dysphagia is a highly prevalent complication in patients with acute heart failure (AHF), current AHF guidelines lack guidance on methods for assessing swallowing function. This study aimed to assess the impact of maximal tongue pressure on the occurrence of dysphagia and prognosis of patients with AHF.

Methods

This observational study conducted at a single center included 406 patients (mean age 79.4 ± 11.9 years, 170 women) with a diagnosis of AHF and without pre-admission dysphagia (Food Intake LEVEL Scale [FILS] ≥9). Patients were categorized into high tongue pressure group (≥20 kPa) and low tongue pressure group (<20 kPa) based on their maximal tongue pressure at admission. The analysis used the log-rank test and Cox proportional hazards model to examine FILS improvement and all-cause mortality. FILS improvement was defined as a FILS of ≥9 for the first-time during hospitalization.

Results

During the hospitalization period, 347 patients (85.5 %) experienced FILS improvement and 36 patients (8.9 %) died during a mean follow-up period of 7.5 ± 3.9 months. Survival analysis revealed that the low tongue pressure group, in comparison to the high tongue pressure group, exhibited notably poorer cumulative FILS improvement rate (log-rank: P < 0.001, adjusted hazard ratio [HR], 0.61; 95 % confidence interval [CI], 0.46–0.82; P = 0.001) and elevated cumulative mortality rate (log-rank: P < 0.001, adjusted HR, 2.38; 95%CI, 1.14–4.98 P = 0.021).

Conclusion

A decrease in maximal tongue pressure was correlated with an increased risk of developing dysphagia and all-cause mortality in patients with AHF.

查看原文本刊更多论文

最大舌压与急性心力衰竭患者吞咽困难及预后的关系。

背景与目的：虽然吞咽困难是急性心力衰竭（AHF）患者普遍存在的高并发症，但目前的AHF指南缺乏对吞咽功能评估方法的指导。本研究旨在评估舌最大压力对AHF患者吞咽困难发生及预后的影响。方法：本观察性研究在单中心进行，纳入406例诊断为AHF且入院前无吞咽困难（食物摄入水平量表[FILS]≥9）的患者（平均年龄79.4±11.9岁，女性170例）。结果：住院期间FILS改善347例（85.5%），死亡36例（8.9%），平均随访时间为7.5±3.9个月。生存分析显示，与高舌压组相比，低舌压组表现出明显较差的累积FILS改善率（log-rank: p）。结论：最大舌压的降低与AHF患者发生吞咽困难和全因死亡率的风险增加相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical nutrition ESPEN NUTRITION & DIETETICS-

CiteScore

4.90

自引率

3.30%

发文量

512

期刊介绍： Clinical Nutrition ESPEN is an electronic-only journal and is an official publication of the European Society for Clinical Nutrition and Metabolism (ESPEN). Nutrition and nutritional care have gained wide clinical and scientific interest during the past decades. The increasing knowledge of metabolic disturbances and nutritional assessment in chronic and acute diseases has stimulated rapid advances in design, development and clinical application of nutritional support. The aims of ESPEN are to encourage the rapid diffusion of knowledge and its application in the field of clinical nutrition and metabolism. Published bimonthly, Clinical Nutrition ESPEN focuses on publishing articles on the relationship between nutrition and disease in the setting of basic science and clinical practice. Clinical Nutrition ESPEN is available to all members of ESPEN and to all subscribers of Clinical Nutrition.