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

Year 2016, Volume: 29 Issue: 3, 152 - 156, 15.10.2016
https://doi.org/10.5472/MMJoa.2016.2903.03

Abstract

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.

References

  • Rofes L, Arreola V, Romea M, et al. Pathophysiology of oropharyngeal dysphagia in the frail elderly. Neurogastroenterol Motil 2010;22:851-8, e230. doi:10.1111/j.1365-2982.2010.01521.x.

Hastanede yatan yaşlılarda orofarenjial disfaji taraması: Mortalite ile ilişkili yaygın bir problem

Year 2016, Volume: 29 Issue: 3, 152 - 156, 15.10.2016
https://doi.org/10.5472/MMJoa.2016.2903.03

Abstract

Amaç: Orofarenjial disfaji (OD) yaşlı yetişkinler arasında yaygın

ama gözden kaçan bir sendromdur. Bu çalışmanın amacı, on

maddelik Yeme Değerlendirme Aracını (EAT-10) kullanarak

hastanede yatan yaşlılarda OD sıklığını saptamak ve mortalite ile

ilişkisini araştırmaktır.

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

References

  • Rofes L, Arreola V, Romea M, et al. Pathophysiology of oropharyngeal dysphagia in the frail elderly. Neurogastroenterol Motil 2010;22:851-8, e230. doi:10.1111/j.1365-2982.2010.01521.x.
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Details

Subjects Clinical Sciences
Journal Section Review Makaleler
Authors

Aslı Tufan This is me

Publication Date October 15, 2016
Published in Issue Year 2016 Volume: 29 Issue: 3

Cite

APA Tufan, A. (2016). Screening oropharyngeal dysphagia in hospitalized older adults: A prevalent problem associated with mortality. Marmara Medical Journal, 29(3), 152-156. https://doi.org/10.5472/MMJoa.2016.2903.03
AMA Tufan A. Screening oropharyngeal dysphagia in hospitalized older adults: A prevalent problem associated with mortality. Marmara Med J. October 2016;29(3):152-156. doi:10.5472/MMJoa.2016.2903.03
Chicago Tufan, Aslı. “Screening Oropharyngeal Dysphagia in Hospitalized Older Adults: A Prevalent Problem Associated With Mortality”. Marmara Medical Journal 29, no. 3 (October 2016): 152-56. https://doi.org/10.5472/MMJoa.2016.2903.03.
EndNote Tufan A (October 1, 2016) Screening oropharyngeal dysphagia in hospitalized older adults: A prevalent problem associated with mortality. Marmara Medical Journal 29 3 152–156.
IEEE A. Tufan, “Screening oropharyngeal dysphagia in hospitalized older adults: A prevalent problem associated with mortality”, Marmara Med J, vol. 29, no. 3, pp. 152–156, 2016, doi: 10.5472/MMJoa.2016.2903.03.
ISNAD Tufan, Aslı. “Screening Oropharyngeal Dysphagia in Hospitalized Older Adults: A Prevalent Problem Associated With Mortality”. Marmara Medical Journal 29/3 (October 2016), 152-156. https://doi.org/10.5472/MMJoa.2016.2903.03.
JAMA Tufan A. Screening oropharyngeal dysphagia in hospitalized older adults: A prevalent problem associated with mortality. Marmara Med J. 2016;29:152–156.
MLA Tufan, Aslı. “Screening Oropharyngeal Dysphagia in Hospitalized Older Adults: A Prevalent Problem Associated With Mortality”. Marmara Medical Journal, vol. 29, no. 3, 2016, pp. 152-6, doi:10.5472/MMJoa.2016.2903.03.
Vancouver Tufan A. Screening oropharyngeal dysphagia in hospitalized older adults: A prevalent problem associated with mortality. Marmara Med J. 2016;29(3):152-6.