Dysphagia in Nursing Home Residents: Management and Outcomes

Peladic, Nikolina Jukic; Orlandoni, P.; Dell'Aquila, Giuseppina; Carrieri, Barbara; Landi, Francesco; Volpato, Stefano; Zuliani, Giovanni; Lattanzio, Fabrizia; Cherubini, Antonio

doi:10.1016/j.jamda.2018.07.023

Cited by 45 publications

(49 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In this study, a prevalence rate of 31.1% for the risk of dysphagia among nursing home residents in mainland China was identified. This prevalence rate was higher than that found in nursing home studies in Europe and North America, which ranged from 9.0 to 13.4% [4][5][6][7]. However, the rate is lower than the prevalence rate of 51.0%~52.7% found in nursing home studies in South Korea and Taiwan area [8,9].…”

Section: Discussioncontrasting

confidence: 69%

“…Therefore, the results of this study could reveal the general characteristics of nursing home residents in a certain area of China. The data revealed a much lower prevalence of dementia in China's nursing homes than that in western countries' nursing homes [5]. The reason may come from that many older Chinese people with dementia prefer to live in their own homes rather than live in nursing homes.…”

Section: Discussionmentioning

confidence: 91%

“…Demographic and health-related questionnaire: This self-designed questionnaire was used to collect information on age, sex, education, marital status, chronic diseases that may cause dysphagia, body mass index (BMI), dental condition, muscle strength, aspiration history, pneumonia history, hospitalization history, texture of diet and types of oral medication. These variables were selected from previous studies [4][5][6][7][8][9] and suggestions from health care professionals. BMI and muscle strength were assessed by nurses, dental condition was assessed by dentists, and the other variables were collected from self-reports, main caregivers' reports or medical files by nurses.…”

Section: Instrumentsmentioning

confidence: 99%

“…Dysphagia was reported in 13.4% of the residents from 19 counties in Europe and North America according to the polar question answered by nursing home staff [4]. In Italy and the Netherlands, studies have reported that 9.0-12.8% of nursing home residents suffered from dysphagia, as assessed by health care professionals, a standardized questionnaire or a resident's response to a dichotomous question [5][6][7]. Using the Gugging Swallowing Screen test, a South Korean study described a prevalence of dysphagia of 52.7% in institutionalized older people [8].…”

Section: Introductionmentioning

confidence: 99%

“…At present, prevalence data for dysphagia among nursing home residents in mainland China (main part of China other than special administrative regions) are not available. Most previous studies related to dysphagia in older adults were conducted in developed countries or regions [4][5][6][7][8][9]. Compared with other countries, China has a larger ageing population and a relatively less developed long-term care system, with different policies and lifestyles, so it is important to investigate the extent to which dysphagia is a problem in China.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Prevalence and risk factors of dysphagia among nursing home residents in eastern China: a cross-sectional study

et al. 2020

View full text Add to dashboard Cite

Background Dysphagia is a common health care problem and poses significant risks including mortality and hospitalization. China has many unsolved long-term care problems, as it is a developing country with the largest ageing population in the world. The present study aimed to identify the prevalence and risk factors of dysphagia among nursing home residents in China to direct caregivers towards preventative and corrective actions. Methods Data were collected from 18 public or private nursing homes in 9 districts of Nanjing, China. A total of 775 older adults (aged 60 ~ 105 years old; 60.6% female) were recruited. Each participant underwent a standardized face-to-face interview by at least 2 investigators. The presence of risk of dysphagia was assessed using the Chinese version of the EAT-10 scale. The Barthel Index (BI) was used to evaluate functional status. Additionally, demographic and health-related characteristics were collected from the participants and their medical files. Univariate analyses were first used to find out candidate risk factors, followed by binary logistic regression analyses to determine reliable impact factors after adjusting for confounders. Results Out of 775 older adults, the prevalence of dysphagia risk was calculated to be 31.1%. A total of 85.0% of the older adults reported at least one chronic disease, and diseases with the highest prevalence were hypertension (49.5%), stroke (40.4%), diabetes (25.5%) and dementia (18.2%). Approximately 11.9% of participants received tube feeding. The mean BI score was 56.2 (SD = 38.3). Risk factors for dysphagia were texture of diet (OR = 2.978, p ≤ 0.01), BI level (OR = 1.418, p ≤ 0.01), history of aspiration, pneumonia and heart attack (OR = 22.962, 4.909, 3.804, respectively, p ≤ 0.01), types of oral medication (OR = 1.723, p ≤ 0.05) and Parkinson disease (OR = 2.566, p ≤ 0.05). Conclusions A serious risk of dysphagia was observed among Chinese nursing home residents. Overall, nursing home residents were moderately dependent, according to the BI level. The risk for dysphagia increased with thinner diet texture, worse functional status, history of aspiration, pneumonia and heart attack, more oral medications and Parkinson disease. The findings of our study may serve to urge nursing home staff to pay more attention to the swallowing function of all residents and to take more actions in advance to prevent or reduce dysphagia.

show abstract