Archives of Head and Neck Surgery
Archives of Head and Neck Surgery

Factors associated with postbronchoaspiration survival: a cross-sectional study

Cristina Zerbinati Carro, Francisco Winter dos Santos Figueiredo, Luiz Vinicius de Alcantara Sousa, Flávio Carneiro Hojaij, Fernando Adami

Downloads: 1
Views: 407


Introduction: Respiratory tract infections are common in both healthy and fragile populations, occurring in about 90% of hospitalized patients with characteristics of aspiration infections. Objective: To analyze the survival rate of adult patients who underwent bronchoaspiration while hospitalized in a public university hospital with oncology care characteristics. Methods: A 12-month retrospective longitudinal study was carried out using bronchoaspiration risk management and event notification analysis forms filled out in the medical records of patients admitted to this hospital. Results: The 34 patients who presented the adverse event of bronchoaspiration had their survival rate reduced by 30% in the first month, and only 29.6% of them survived the second month post-event. Women were more vulnerable to clinical complications originating from the general health status decline as well as to acute pulmonary complications arising from sepsis, consequently presenting a greater reduction in survival. Conclusion: Bronchoaspiration events corroborate an abrupt decrease in patient survival.


respiratory aspiration; dysphagia; aspiration pneumonia; latrogenic disease


1. Rösler A, Pfeil S, Lessmann H, Höder J, Befahr A, von Renteln-Kruse W. Dysphagia in dementia: influence of dementia severity and food texture on the prevalence of aspiration and latency to swallow in hospitalized geriatric patients. J Am Med Dir Assoc. 2015;16(8):697-701. PMid:25933727.

2. Lee AS, Ryu JH. Aspiration pneumonia and related syndromes. Mayo Clin Proc. 2018;93(6):752-62. PMid:29730088.

3. Almirall J, Boixeda R, de la Torre MC, Torres A. Aspiration pneumonia: a renewed perspective and practical approach. Respir Med. 2021;185:106485. http://dx.doi. org/10.1016/j.rmed.2021.106485. PMid:34087609.

4. Malta M, Cardoso LO, Bastos FI, Magnanini MMF, da Silva CMFP. Iniciativa STROBE: subsídios para a comunicação de estudos observacionais. Rev Saude Publica. 2010;44(3):559-65. PMid:20549022.

5. Sedgwick P. Bias in observational study designs: cross sectional studies. BMJ. 2015;350:h1286. PMid:25747413.

6. Niederman MS, Cilloniz C. Aspiration pneumonia. Rev Esp Quimioter. 2022;35 Suppl 1(Suppl 1):73-77. PMID: 35488832.

7. Gupte T, Knack A, Cramer JD. Mortality from aspiration pneumonia: incidence, trends, and risk factors. Dysphagia. 2022;37(6):1493-500. http://dx.doi. org/10.1007/s00455-022-10412-w. PMid:35099619.

8. Košutova P, Mikolka P. Aspiration syndromes and associated lung injury: incidence, pathophysiology and management. Physiol Res. 2021;70(Suppl 4):S567-83. http:// PMid:35199544.

9. Brasil. Agência Nacional de Vigilância Sanitária - ANVISA. Nota Técnica GVIMS/ GGTES/ANVISA Nº 10/2020 Práticas seguras para a prevenção de aspiração broncopulmonar em serviços de saúde. Brasília: ANVISA; 2020.

10. Ebihara S, Miyagi M, Otsubo Y, Sekiya H, Ebihara T. Aspiration pneumonia: a key concept in pneumonia treatment. Intern Med. 2021;60(9):1329-30. http:// PMid:33281171.

11. Sanivarapu RR, Gibson J. Aspiration pneumonia. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023. PMID: 29261921.

Submitted date:

Accepted date:

64676afda9539523962ae105 archives Articles
Links & Downloads

Arch. Head Neck Surg.

Share this page
Page Sections