Prevalence and prognostic implications of dysphagia in elderly patients with pneumonia

Purpose:The aim of this study was to describe the risk of dysphagia among older adults in senior centers and to find the relationships between the risk of dysphagia and dysphagia-specific quality of life. Methods: The participants were 260 community-dwelling older adults, aged 65 years in two senior centers. Data were collected by self-report questionnaires or face to face interviews. The instruments were the modified dysphagia risk assessment scale for elderly and dysphagia-specific quality of life questionnaire. The data were analyzed using t-test, x 2 -test, logistic regression, and pearson's correlation. Results: 162 older adults (62.3%) were classified as having the risk of dysphagia. Severe dry mouth (OR=15.677, CI=2.986~82.297), neurologic disease (OR=10.125, CI= 1.092~93.899), gastritis (OR=5.731, CI=1.482~22.173), denture discomfort (OR=2.969, CI=1.016~8.677), teeth discomfort (OR=2.61, CI=1.311~5.196) were the significant factors predicting the risk of dysphagia. There is a significant correlation between the risk of dysphagia and dysphagia-specific quality of life. Conclusion: Dysphagia could be a major health problem among community dwelling older adults. It can affect the dysphagia-specific quality of life. Older adults having severe dry mouth, neurologic disease, or gastritis should receive dysphagia risk assessment and proper management on a regular basis. An effective nursing intervention needs to be developed for the older adults with risk factors of dysphagia.

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“…Yun Lee ( (Cabre, Serra-Prat, Palomera, Almirall, Pallares, & Calve, 2010;Miura et al, 2007;Morris, 2006;Ney et al, 2009;Rofes et al, 2011; …”

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confidence: 99%

The Risk of Dysphagia and Dysphagia-specific Quality of Life among Community Dwelling Older Adults in Senior Center

Kim

Park

2014

Korean J Adult Nurs

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“…There are conflicting results on association of OD with gender. Some studies suggest that it is associated with males [20], whereas some other studies suggest that gender is not a risk factor for OD [5].…”

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%

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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“…Além disso, a incoordenação da deglutição (com favorecimento da aspiração traqueal) é um dos principais fatores responsáveis por pneumonias em idosos 8 . Conseqüentemente estas alterações podem contribuir para o aumento dos índices de morbidade 4,[9][10][11] .…”

Section: Introductionunclassified

A instituição asilar como fator potencializador da disfagia

Furkim

Duarte

Hildebrandt³

et al. 2010

Rev. CEFAC

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RESUMOObjetivo: verificar se as condições referentes à estrutura geral dos asilos, recursos humanos e rotinas diárias de alimentação em instituições asilares, podem potencializar alterações da dinâmica da deglutição em idosos. Métodos: foi aplicado questionário aos dirigentes de cinco instituições asilares do município do Rio de Janeiro, no qual constavam perguntas em relação aos recursos materiais, humanos e rotina alimentar. Resultados: o asilo do sistema privado foi o único a aproximar-se das condições ideais da estrutura geral para o atendimento do idoso. Em relação aos recursos humanos existentes, nenhum dos asilos possuía todos os profissionais exigidos pela portaria nº810/89. Em relação às rotinas diárias de alimentação, em uma das instituições pesquisadas, cuja maioria dos residentes não faziam uso de próteses dentárias, não havia restrição na consistência alimentar oferecida. Outro fator significativo diz respeito à negligência referente à higiene bucal, favorecendo a colonização de bactérias na cavidade oral, podendo agravar infecções pulmonares no caso de microaspirações. O fato dos idosos deitarem para dormir logo após o término das refeições, como ocorrido em três das instituições pesquisadas, tem grande importância na medida em que favorece a ocorrência de episódios de refluxo gastroesofágico. Conclusão: foram observados que em todas as instituições pesquisadas há fatores que podem potencializar um distúrbio de deglutição, como problemas em relação à estrutura geral e ou aos recursos humanos e ou relativos à rotina alimentar estabelecida.

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Prevalence and prognostic implications of dysphagia in elderly patients with pneumonia

Abstract: oropharyngeal dysphagia is a highly prevalent clinical finding in elderly patients with pneumonia and is an indicator of disease severity in older patients with pneumonia.

Cited by 412 publications

References 26 publications

The Risk of Dysphagia and Dysphagia-specific Quality of Life among Community Dwelling Older Adults in Senior Center

The Risk of Dysphagia and Dysphagia-specific Quality of Life among Community Dwelling Older Adults in Senior Center

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

A instituição asilar como fator potencializador da disfagia

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