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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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@article{23212ad16b544dcba1073a9cad173f44,
title = "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",
abstract = "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 investigated 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, malnutrition, 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.",
keywords = "Acute care, Geriatric patients, Inactivity, Malnutrition, Sarcopenia, Swallowing difficulties, malnutrition, geriatric patients, swallowing difficulties, inactivity, sarcopenia, acute care",
author = "Tina Hansen and Nielsen, {Rikke Lundsgaard} and Houlind, {Morten Baltzer} and Juliette Tavenier and Rasmussen, {Line Jee Hartmann} and J{\o}rgensen, {Lillian M{\o}rch} and Charlotte Treldal and Beck, {Anne Marie} and Pedersen, {Mette Merete} and Ove Andersen and Janne Petersen and Andersen, {Aino Leegaard}",
note = "Publisher Copyright: {\textcopyright} 2021 by the authors. Licensee MDPI, Basel, Switzerland. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",
year = "2021",
month = apr,
day = "26",
doi = "10.3390/GERIATRICS6020046",
language = "English",
volume = "6",
pages = "1--14",
journal = "Geriatrics (Switzerland)",
issn = "2308-3417",
publisher = "MDPI Multidisciplinary Digital Publishing Institute",
number = "2",

}

RIS

TY - JOUR

T1 - Dysphagia Prevalence, Time Course, and Association with Probable Sarcopenia, Inactivity, Malnutrition, and Disease Status in Older Patients Admitted to an Emergency Department

T2 - A Secondary Analysis of Cohort Study Data

AU - Hansen, Tina

AU - Nielsen, Rikke Lundsgaard

AU - Houlind, Morten Baltzer

AU - Tavenier, Juliette

AU - Rasmussen, Line Jee Hartmann

AU - Jørgensen, Lillian Mørch

AU - Treldal, Charlotte

AU - Beck, Anne Marie

AU - Pedersen, Mette Merete

AU - Andersen, Ove

AU - Petersen, Janne

AU - Andersen, Aino Leegaard

N1 - Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

PY - 2021/4/26

Y1 - 2021/4/26

N2 - 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 investigated 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, malnutrition, 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.

AB - 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 investigated 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, malnutrition, 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.

KW - Acute care

KW - Geriatric patients

KW - Inactivity

KW - Malnutrition

KW - Sarcopenia

KW - Swallowing difficulties

KW - malnutrition

KW - geriatric patients

KW - swallowing difficulties

KW - inactivity

KW - sarcopenia

KW - acute care

UR - http://www.scopus.com/inward/record.url?scp=85106152812&partnerID=8YFLogxK

U2 - 10.3390/GERIATRICS6020046

DO - 10.3390/GERIATRICS6020046

M3 - Journal article

C2 - 33926079

VL - 6

SP - 1

EP - 14

JO - Geriatrics (Switzerland)

JF - Geriatrics (Switzerland)

SN - 2308-3417

IS - 2

M1 - 46

ER -

ID: 65428627