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
Department of Occupational Therapy and Physiotherapy, Copenhagen University Hospital Amager and Hvidovre, 2650 Hvidovre, Denmark.
Department of Clinical Research, Copenhagen University Hospital Amager and Hvidovre, 2650 Hvidovre, Denmark.
Geriatrics (Basel). 2021 Apr 26;6(2):46. doi: 10.3390/geriatrics6020046.
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 ( = 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 ( < 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.
越来越多的证据表明，老年人吞咽困难与肌肉减少症之间存在关联。为了优化跨医疗环境的急性医疗保健举措，本研究调查了急诊科（ED）收治的老年患者吞咽困难的患病率和时间进程，以及其与可能的肌肉减少症、缺乏运动、营养不良、疾病状态和全身炎症参数之间的关联。对FAM-CPH队列研究中急性收治的老年内科患者（ = 125）的数据进行二次分析。在ED入院时以及出院后4周和56周收集数据。使用饮食评估工具截断分数≥2，34%的患者在ED入院时存在吞咽困难迹象，出院56周后25%的患者仍有吞咽困难迹象。56周随访时的吞咽困难迹象与可能的肌肉减少症（低握力（OR = 3.79）、低腿部肌肉力量（OR = 8.14）和低身体机能（OR = 5.68））以及基线吞咽不活动（OR = 5.61）、营养不良（OR = 4.35）和全身炎症（OR = 1.33）显著相关（ < 0.05）。急诊科收治的老年患者吞咽困难迹象普遍存在，出院后持续56周，并与可能的肌肉减少症及相关状况有关；这些都是老年患者吞咽困难管理的所有可改变目标。
