At least 5 percent of people who are hospitalized for aspiration will die. Among those with other complications, such as emphysema, the mortality rate rises to 20 percent or higher. Among geriatric populations, mortality skyrockets. A 2013 study of elderly patients put 30-day mortality at 21 percent.
In one study, researchers noted that people with aspirational pneumonia were much more likely to check into a hospital, stay in intensive care, or pass away from the illness compared to people with community-acquired pneumonia. That said, most people survive aspiration pneumonia, but full recovery can take some time.
Recently, the effectiveness of rehabilitative management including physical, pulmonary, and dysphagia rehabilitation for aspiration pneumonia was reported. Several studies showed that early rehabilitation was associated with reduced mortality and early hospital discharge after aspiration pneumonia.
Aspiration of the oropharyngeal or gastric contents by elderly persons often leads to lower respiratory tract infections, such as aspiration pneumonia or pneumonitis.
A retrospective study found the 30-day mortality rate in aspiration pneumonia to be 21% overall and 29.7% in hospital-associated aspiration pneumonia. This mortality range depends on complications of the disease.
Aspiration pneumonia treatment Depending on how far down the airway system the obstruction is, you may need suctioning of the upper airway (the trachea) or a bronchoscopy. You may need to have a tube put into your trachea and connected to a ventilator to help you breathe. Antibiotics will probably be required.
Aspiration of a foreign body may cause an acute respiratory emergency and, in some cases, may predispose the patient to bacterial pneumonia.
There is a high rate of mortality with pneumonia in the elderly. As much as 30 percent of individuals that are treated in a hospital for pneumonia die from it.
The incidence of sudden death from food asphyxiation is relatively low. An older study of hospitalized adult patients, however, found food asphyxiation as a cause of death in 14 of 1,087 (1.3%) autopsies performed over 5 years. Those patients died suddenly, during or shortly after meals.
In most cases, it takes about six months before you feel fully recovered. After your initial diagnosis, it’s important to pace yourself and allow your body time to heal.
Aspiration occurs when foreign material is inhaled into the airway. Causes of death include asphyxiation due to a blocked airway and irritation or infection of the respiratory tract due to inhaled material, or aspiration pneumonia, which will be the primary focus of this article.
The most commonly cited factors were decreased level of consciousness, supine position, presence of a nasogastric tube, tracheal intubation and mechanical ventilation, bolus or intermittent feeding delivery methods, high-risk disease and injury conditions, and advanced age.
Depending on the cause and severity of the aspiration, a feeding tube may be required. If someone is choking or not breathing, take immediate action. Call 911 and start CPR or Heimlich maneuver. If the person is coughing forcefully, encourage them to continue coughing to clear the object.
What are the signs someone is approaching end of life?
The usual site for an aspiration pneumonia is the apical and posterior segments of the lower lobe of the right lung. If the patient is supine then the aspirated material may also enter the posterior segment of the upper lobes.
A major complication of aspiration is harm to the lungs. When food, drink, or stomach contents make their way into your lungs, they can damage the tissues there. The damage can sometimes be severe. Aspiration also increases your risk of pneumonia.