Do measures aimed at preventing aspiration pneumonia in older adults alter morbidity or mortality?
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Do measures aimed at preventing aspiration pneumonia in older adults alter morbidity or mortality? Percutaneous endoscopic tube (PEG) tubes do not appear to be effective in preventing aspiration pneumonia. Amantadine (in nursing home residents) and cilostazol (in patients with stroke) prevent aspiration pneumonia but have significant adverse effects. Angiotensin-converting enzyme (ACE) inhibitors may ecrease rates of aspiration pneumonia, particularly in Asian populations (SOR: B, systematic review of RCTs). Chin-down posture and nectar-thick and honeythick liquids all result in similar aspiration pneumonia rates, although they were not tested against usual care (SOR: B, RCT).
Evidence Based Practice 17(10): E10