Madsen Gitte, Kristoffersen Stine M, Westergaard Mark R, Gjødvad Vivi, Jessen Merete M, Melgaard Dorte
Department of Physiotherapy and Occupational Therapy, Randers Regional Hospital, Skovlyvej 15, 8930 Randers, Denmark.
Department of Physiotherapy and Occupational Therapy, Horsens Regional Hospital, Sundvej 30, 8700 Horsens, Denmark.
Geriatrics (Basel). 2020 Sep 16;5(3):52. doi: 10.3390/geriatrics5030052.
Elderly patients operated for hip fracture are characterized by high age and high degree of comorbidity and need of care, factors previously found to be associated with swallowing and eating difficulties. The aim of this study was to investigate the prevalence of swallowing and eating difficulties in an elderly postoperative hip fracture population and to identify factors associated with swallowing and eating difficulties. A cross-sectional multi-center pilot study was performed, including patients ≥65 years, operated for hip fracture, and able to participate in a swallowing and eating assessment. A clinical assessment was conducted using Danish versions of the standardized tools Volume-Viscosity Swallow Test and Minimal Eating Observation Form-version II. Demographic data and clinical characteristics were examined. A total of 78 patients (mean age 81.4 years (SD 7.8), 30.8% male) were included. Swallowing and eating difficulties were present in 60 patients (77%). Swallowing and eating difficulties were significantly associated with living in a nursing home before hospital admission ( = 0.014), low habitual New Mobility Score ( = 0.018), and absence of cardiac comorbidity ( = 0.023). The results underline the importance of focusing on swallowing and eating difficulties in elderly patients operated for hip fracture to ensure effectivity and safety and optimize the prognosis for the patient.
接受髋部骨折手术的老年患者具有年龄大、合并症程度高及需要护理的特点，这些因素此前被发现与吞咽和进食困难有关。本研究的目的是调查老年髋部骨折术后人群中吞咽和进食困难的患病率，并确定与吞咽和进食困难相关的因素。进行了一项横断面多中心试点研究，纳入年龄≥65岁、接受髋部骨折手术且能够参与吞咽和进食评估的患者。使用丹麦语版的标准化工具容量-粘度吞咽测试和简易进食观察表-第二版进行临床评估。检查人口统计学数据和临床特征。共纳入78例患者（平均年龄81.4岁（标准差7.8），男性占30.8%）。60例患者（77%）存在吞咽和进食困难。吞咽和进食困难与入院前住在养老院显著相关（P = 0.014）、习惯性新 mobility 评分低（P = 0.018）以及无心脏合并症（P = 0.023）。结果强调了关注接受髋部骨折手术的老年患者吞咽和进食困难的重要性，以确保有效性和安全性并优化患者的预后。 （注：原文中“New Mobility Score”未明确具体含义，可能是特定研究中的评分指标，这里保留英文未翻译）
