| Title |
Investigation of Pill Dysphagia and Improvement Evaluation by Deglutition Aids - Using PILL-5 Assessment Tool - |
| Subtitle |
|
| Authors |
Hiroko Otsubo1, Naomi Kurata2,3, Marina Oshiro4, Nobuyuki Takahashi5, Takashi Yamaguchi5, Hironori Tanaka5, Yumiko Kusunoki6, Akitoshi Takuma6, Nao Mitsui7, Kazushi Shimamoto7, Ayaka Ito8, Hiromi Koshizuka8, Hiroaki Koya9, Sumiko Otoshi10, Junichi Iida11, Toru Koshiishi12, Akito Ueda13, Hitoshi Hagita14, Rieko Tsubouchi15, Reiko Utsunomiya16, Toshihiro Morita17 |
| Authors (kana) |
|
| Organization |
1Department of Social Pharmacy, Graduate School of Pharmacy, Showa University, 2Division of Social Pharmacy, Department of Healthcare and Regulatory Sciences, Division of Clinical Pharmacy School of Pharmacy, Showa University, 3Division of Clinical Pharmacy, Department of Clinical Nutrition and Metabolism, School of Pharmacy, Showa University, 4Showa University Hospital, 5Showa University East Hospital, 6Showa University Northern Yokohama Hospital, 7Showa University Fujigaoka Rehabilitation Hospital, 8Showa University Koto Toyosu Hospital, 9Showa University Karasuyama Hospital, 10Tonan Hospital, 11Saiseikai Yokohama-shi Nanbu Hospital, 12Tokyo Medical University Hachioji Medical Center, 13Fujitate Hospital, 14Rurikoshi Pharmacy, 15Yakuju Co, Ltd, 16Osaka Pharma Plan, 17Hino Hospital |
| Journal |
Japanese Journal of Pharmaceutical Health Care and Sciences
|
| Volume |
50
|
| Number |
9
|
| Page |
473-485 |
| Year/Month |
2024 / 9 |
| Article |
Report |
| Publisher |
Japanese Society of Pharmaceutical Health Care and Sciences |
| Abstract |
Patients of different age groups have difficulty taking medications. Using the Japanese version of the PILL-5 assessment tool (PILL-5), we investigated patients with pill dysphagia and the degree of improvement with deglutition aids. Moreover, we investigated the factors, such as the position of the jaw, sex, and choking on water, associated with pill dysphagia. A total of 586 patients from 10 hospitals and 6 pharmacies aged 18 - 85 years, who were on regular self-administered medications and ate regularly, were included in the study. Out of 17 patients (2.9%) with pill dysphagia who had a total score >- 6, 6 showed considerable improvement in their PILL-5 total score and throat and chest tightness using deglutition aids. Notably, 81 patients (13.8%) with potential pill dysphagia had a PILL-5 score >- 2 for any one of the five items. Patients with pill dysphagia and potential pill dysphagia highly related with choking while taking pills (OR = 9.45, P < 0.001). Factors associated with patients having choking were < 65 years old (OR = 1.93, P = 0.031) and jaw position upward (OR = 2.31, P = 0.013). Patients with pill dysphagia, and those with potential pill dysphagia identified as choking on water while taking medicines and the position of their jaws. Therefore, supporting pill dysphagia at an early stage is necessary. |
| Practice |
Pharmaceutical sciences |
| Keywords |
pill dysphagia, potential pill dysphagia, PILL-5, deglutition aids, medication support |
