Value of the Hyodo score in predicting swallowing function in patients with aspiration pneumonia

Objective: The Hyodo scoring system, applied during flexible endoscopic evaluation of swallowing (FEES), has been proposed as a useful tool for assessing oral intake. However, patients hospitalized with aspiration pneumonia often present with severe dysphagia, making it difficult to advance their diets even when their Hyodo scores are relatively good. This study aimed to evaluate the ability of the Hyodo score to predict swallowing function outcomes in patients with aspiration pneumonia. Methods: FEES was performed in patients with aspiration pneumonia. The relationship between the Hyodo score and swallowing function at discharge was analyzed. Results: A total of 57 patients with aspiration pneumonia were included. At the time of discharge, 9 of 11 patients (82%) with scores below than 5, 15 of 29 patients (52%) with scores between 5 and 8, and 3 of 17 patients (18%) with scores above 8 were able to consume pureed diets. Conclusion: The Hyodo score appears to be a useful indicator for predicting swallowing function and dietary status at discharge among patients with aspiration pneumonia.