Oropharyngeal dysphagia is a prevalent risk factor for malnutrition in a cohort of older patients admitted with an acute disease to a general hospital

Carrión, Sílvia; Cabré, Mateu; Monteis, R.; Roca, M.; Palomera, Elísabet; Serra‐Prat, Mateu; Rofes, Laia; Clavé, Père

doi:10.1016/j.clnu.2014.04.014

Cited by 280 publications

(240 citation statements)

References 23 publications

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“…In the present study, the number of patients with malignancy was significantly higher in the dysphagic group as compared to the non-OD subjects. Similar to our findings, Carrion et al found the same relation between OD and neoplasia [6].…”

Section: Discussionsupporting

confidence: 82%

“…Our patients were using at least three medications. Similar to our study, Carrion et al, stated that polypharmacy was high and similar among patients both with and without OD [6].…”

Section: Discussionsupporting

confidence: 81%

“…Dementia and neurological diseases were significantly associated with OD [6,21]. OD does not only cause swallowing difficulties (malnutrition, and dehydration), but also has the potential to cause serious complications such as dehydration and aspiration pneumonia [22].…”

Section: Discussionmentioning

confidence: 99%

“…Serra-Prat et al, showed that those at risk of malnutrition were estimated at 18.6% of elderly adults with dysphagia, and 12.3% of elderly adults without dysphagia [23]. Carrion et al stated that dysphagia was an independent risk factor for malnutrition [6], and that serum albumin levels of OD patients were lower than the non-OD patients. Our study, did not show a significant difference between dysphagic and non-dysphagic groups, but albumin was a negative acute phase protein also affected by an inflammatory state [24].…”

Section: Discussionmentioning

confidence: 99%

“…The prevalence of OD is 15%-23% in community-dwelling elders, 56%-78% in nursing homes and, with widely varying prevalence, 17%-71% in hospitalized patients [2][3][4][5]. Studies have also reported that dysphagia in the older population is associated with malnutrition [6], impaired activities of daily living [7,8], increased rates of respiratory tract infection [8], and higher mortality rates [2].…”

Section: Introductionmentioning

confidence: 99%

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Screening oropharyngeal dysphagia in hospitalized older adults: A prevalent problem associated with mortality

Tufan¹

2017

MMJ

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Objective: Oropharyngeal dysphagia (OD) is a common but underdiagnosed syndrome among older adults. The aim of this study was to assess the prevalence of OD in hospitalized older adults by using ten-item Eating Assessment Tool (EAT-10) and the relationship between mortality and OD. Patients and Methods:Patients aged over 65 years admitted to an internal medicine inpatient clinic of a university hospital in Turkey were enrolled in the study. The number of drugs, the number of chronic diseases, routes of feeding (oral, parenteral, or both), length of hospital stay, albumin levels on admission day, and mortality status of the patients were recorded by a physician. The EAT-10 questionnaire was administered to all patients for OD. Results:One hundred and thirty-six patients (54.4% female) were enrolled in the study. Their mean age was 74.6±6.6 years. The prevalence of OD in hospitalized older adults was 23%. The mortality rates were significantly higher in the dysphagic subjects as compared to the non-dysphagic ones (25.8% vs.10.5%; p=0.041). The number of patients with malignancy was significantly higher in the dysphagic group as compared to the non-OD subjects (41.9% vs.20%; p=0.018). Conclusion:OD is a geriatric syndrome and should be screened and treated in all geriatric patients in hospitals. It will improve patient outcomes and quality of life. Hastalar ve Yöntem:İstanbul'da bir üniversite hastanesi iç hastalıkları servisine başvuran 65 yaş üstü hastalar çalışmaya dahil edildi. Hastaların kullandığı ilaç sayısı, kronik hastalıkların sayısı, beslenme yolları (oral, parenteral veya her ikisi), hastanede kalış süresi, başvuru günündeki albümin düzeyleri ve çıkış mortalite durumu ilgili hekim tarafından kaydedildi. OD'yi taramak için EAT-10 anketi tüm hastalara uygulandı. Bulgular:Yüz otuz altı hasta (% 54,4 kadın) çalışmaya alındı. Yaş ortalaması 74,6 ± 6,6 yıl idi. Hastanede yatan yaşlı erişkinlerde OD prevalansı % 23 idi. Mortalite oranları disfajik olan hastalarda olmayanlara kıyasla anlamlı derecede yüksek bulundu (% 25,8 vs % 10,5; p=0.041). Malignite tanısı olan hastaların sayısı disfajik grupta anlamlı derecede yüksek bulundu (% 41,9 vs % 20; p=0.018).Sonuç: OD geriatrik bir sendromdur. Özellikle hastanede yatan tüm yaşlı hastalarda taranmalı ve tedavi edilmelidir. Bu yaklaşım hastaların durumunu ve yaşam kalitelerini arttıracaktır.

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Section: Discussionsupporting

confidence: 82%

“…Our patients were using at least three medications. Similar to our study, Carrion et al, stated that polypharmacy was high and similar among patients both with and without OD [6].…”

Section: Discussionsupporting

confidence: 81%