Risk of Aspiration in Care Home Residents and Associated Factors

C.D. van der Maarel-Wierink*, G.J. van der Putten, L.M.J. de Visschere, E.M. Bronkhorst, C. de Baat, J.M.G.A. Schols

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

5 Citations (Web of Science)


Pneumonia is a prevalent cause of death in care home residents. Dysphagia is a significant risk factor of aspiration pneumonia. The purpose of the current study was to screen for risk of aspiration in care home residents in the Netherlands and assess potential risk factors of aspiration. Five experienced speech-language therapists assessed 203 care home residents (115 primarily physically disabled, 88 primarily cognitively impaired) 60 and older in the first week after admission to a care home. In 43 (21.2%) residents, speech-language therapists assessed risk of aspiration and found no significant difference between physically disabled (26.1%) and cognitively impaired (14.8%) residents. After multivariate logistic regression analysis, the final prediction model for risk of aspiration showed Parkinson's disease as a significant factor (odds ratio = 5.11; 95% confidence interval [1.49, 17.52]). The authors therefore conclude that risk of aspiration is a relevant care problem among Dutch care home residents and requires further assessment.
Original languageEnglish
Pages (from-to)26-31
JournalJournal of Gerontological Nursing
Issue number2
Publication statusPublished - 1 Jan 2015

Cite this