Association of positive screening for dysphagia with nutritional status and long-term mortality in hospitalized elderly patients
| Autor: | Juan Ignacio Pérez-Calvo, Marina Bucar-Barjud, Ana B. Mañas-Martínez, Julia Ocón-Bretón, José Antonio Gimeno-Orna, Julia Campos-Fernández |
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| Rok vydání: | 2018 |
| Předmět: |
Male
0301 basic medicine medicine.medical_specialty Time Factors Multivariate analysis Prevalence Nutritional Status Cohort Studies 03 medical and health sciences 0302 clinical medicine Swallowing Internal medicine medicine Humans Hospital Mortality 030212 general & internal medicine Retrospective Studies Aged 80 and over 030109 nutrition & dietetics business.industry Retrospective cohort study Nutritional status medicine.disease Dysphagia Hospitalization Malnutrition Female medicine.symptom Deglutition Disorders business Oropharyngeal dysphagia |
| Zdroj: | Endocrinología, Diabetes y Nutrición (English ed.). 65:402-408 |
| ISSN: | 2530-0180 |
| Popis: | Objectives To assess the prevalence of oropharyngeal dysphagia (OD) using the Eating Assessment Tool (EAT-10) and its association with malnutrition and long-term mortality. Material and methods A retrospective cohort study of patients admitted to the general internal medicine ward. In the first 48 h after hospital admission, OD was assessed using the EAT-10, and presence of malnutrition with the Mini Nutritional Assessment-Short Form (MNA-SF). Association of OD to malnutrition and long-term mortality was analyzed. Results Ninety patients with a mean age of 83 (SD: 11.8) years were enrolled. Of these, 56.7% were at risk of OD according to EAT-10. This group of patients had greater prevalence rates of malnutrition (88.2% vs. 48.7%; p = 0.001) and mortality (70% vs. 35.9%; p = 0.001). During follow-up for 872.71 (SD: 642.89) days, risk of DO according to EAT-10 was an independent predictor of mortality factor in a multivariate analysis (HR: 2.8; 95% CI: 1.49–5.28; p = 0.001). Conclusions The EAT-10 is a useful tool for screening OD. Adequate screening for OD is important because of its associated risks of malnutrition and long-term mortality. |
| Databáze: | OpenAIRE |
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