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Hvidovre Hospital - en del af Københavns Universitetshospital
Udgivet

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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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.

OriginalsprogEngelsk
Artikelnummer46
TidsskriftGeriatrics (Basel, Switzerland)
Vol/bind6
Udgave nummer2
Sider (fra-til)1-14
Antal sider14
ISSN2308-3417
DOI
StatusUdgivet - 26 apr. 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.).

ID: 65428627