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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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. / Hansen, Tina; Nielsen, Rikke Lundsgaard; Houlind, Morten Baltzer; Tavenier, Juliette; Rasmussen, Line Jee Hartmann; Jørgensen, Lillian Mørch; Treldal, Charlotte; Beck, Anne Marie; Pedersen, Mette Merete; Andersen, Ove; Petersen, Janne; Andersen, Aino Leegaard.
In: Geriatrics, Vol. 6, No. 2, 46, 2021.Research output: Contribution to journal › Journal article › Research › peer-review
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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.
PY - 2021
Y1 - 2021
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 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.
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 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.
KW - Acute care
KW - Geriatric patients
KW - Inactivity
KW - Malnutrition
KW - Sarcopenia
KW - Swallowing difficulties
U2 - 10.3390/GERIATRICS6020046
DO - 10.3390/GERIATRICS6020046
M3 - Journal article
AN - SCOPUS:85106152812
VL - 6
JO - Geriatrics
JF - Geriatrics
SN - 0016-867X
IS - 2
M1 - 46
ER -
ID: 272182702