Dysphagia prevalence, time course, and association with probable sarcopenia, inactivity, malnutrition, and disease status in older patients admitted to an emergency department: A secondary analysis of cohort study data
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Dokumenter
There is evolving evidence for an association between dysphagia and sarcopenia in older adults. For optimizing the acute health care initiative across health care settings, this study in-vestigated prevalence and time-course of dysphagia in older patients admitted to an emergency department (ED) as well as its association with parameters for probable sarcopenia, inactivity, malnu-trition, disease status, and systemic inflammation. A secondary analysis of data from the FAM-CPH cohort study on acutely admitted older medical patients (n = 125). Data were collected upon ED admission as well as four and 56 weeks after discharge. Using the Eating Assessment Tool cut-off score ≥ 2, signs of dysphagia were present in 34% of the patients at ED admission and persisted in 25% of the patients 56 weeks after discharge. Signs of dysphagia at 56-week follow-up were significantly (p < 0.05) associated with probable sarcopenia (low handgrip strength (OR = 3.79), low leg muscle strength (OR = 8.14), and low physical performance (OR = 5.68)) and with baseline swallowing inactivity (OR = 5.61), malnutrition (OR = 4.35), and systemic inflammation (OR = 1.33). Signs of dysphagia in older patients admitted to an ED was prevalent, persisted 56 weeks after discharge, and was associated with probable sarcopenia and related conditions; all modifiable targets for management of dysphagia in older patients.
Originalsprog | Engelsk |
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Artikelnummer | 46 |
Tidsskrift | Geriatrics |
Vol/bind | 6 |
Udgave nummer | 2 |
ISSN | 0016-867X |
DOI | |
Status | Udgivet - 2021 |
Bibliografisk note
Funding Information:
This secondary analysis received no external funding. The FAM-CPH study was supported by Laege Sofus Carl Emil Friis og Hustru Olga Doris Friis? Legat; the Toyota Foundation (grant number KJ/BG-9305 F to O.A.); the A.P. Moeller Foundation for the Advancement of Medical Science (grant number 17-L-0291 to L.J.H.R.); the Research Foundation of Hvidovre Hospital; and the Lundbeck Foundation (grant numbers R180-2014-3360, R288-2018-380 to L.J.H.R.).
Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
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