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住院老年人吞咽困难风险与提示肌少症、营养状况和口腔卫生频率相关的征象之间的关联。

Association between risk of dysphagia and signs suggestive of sarcopenia, nutritional status and frequency of oral hygiene in hospitalized elderly.

机构信息

Programa de Pós-graduação em Ciências da Reabilitação, Faculdade de Ceilândia, Universidade de Brasília - UnB - Brasília (DF), Brasil.

出版信息

Codas. 2023 Oct 9;36(1):e20220232. doi: 10.1590/2317-1782/20232022232pt. eCollection 2023.

DOI:10.1590/2317-1782/20232022232pt
PMID:37820239
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10715578/
Abstract

PURPOSE

To identify the risk of dysphagia and its association with signs suggestive of sarcopenia, nutritional status and frequency of oral hygiene in the hospitalized elderly.

METHODS

This is an analytical cross-sectional study with the participation of 52 elderly patients admitted to a medical clinic at a public hospital in the Federal District, Brazil. The Eating Assessment Tool, Strength, Assistance with walking, Rise from a chair, Climb stairs and Falls + Calf Circumference and the Mini Nutritional Assessment shortform were applied, in addition to the collection of sociodemographic data and health conditions.

RESULTS

Among the elderly participants, 30.8% were at risk of self-reported dysphagia. The factors associated with the risk of dysphagia were: signs suggestive of sarcopenia (p=0.04), nutritional status (p<0.001) and oral hygiene frequency (p=0.03).

CONCLUSION

In the geriatric population of the present study, with the majority of the participants having tested positive for Covid-19, the risk of dysphagia was associated with signs suggestive of sarcopenia, nutritional status and frequency of oral hygiene.

摘要

目的

识别吞咽困难的风险及其与肌少症、营养状况和口腔卫生频率的相关性,这些因素与住院老年人有关。

方法

这是一项在巴西联邦区一家公立医院的内科诊所参与的分析性横断面研究。使用了饮食评估工具、力量、行走辅助、从椅子上站起来、爬楼梯和跌倒+小腿周长以及迷你营养评估简短表格,此外还收集了社会人口统计学数据和健康状况。

结果

在老年参与者中,有 30.8%的人存在自我报告的吞咽困难风险。与吞咽困难风险相关的因素包括:肌少症的迹象(p=0.04)、营养状况(p<0.001)和口腔卫生频率(p=0.03)。

结论

在本研究的老年人群中,大多数参与者检测出新冠病毒阳性,吞咽困难的风险与肌少症的迹象、营养状况和口腔卫生频率有关。

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本文引用的文献

1
Effects of Oral Health Interventions in People with Oropharyngeal Dysphagia: A Systematic Review.口腔健康干预措施对口咽吞咽困难患者的影响:一项系统评价
J Clin Med. 2022 Jun 19;11(12):3521. doi: 10.3390/jcm11123521.
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Sarcopenic dysphagia following COVID-19 infection: A new danger.新冠病毒感染后出现的肌肉减少性吞咽困难:一种新的危险。
Nutr Clin Pract. 2021 Aug;36(4):828-832. doi: 10.1002/ncp.10731. Epub 2021 Jun 23.
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The Influence of Dysphagia on Nutritional and Frailty Status among Community-Dwelling Older Adults.社区老年人吞咽困难对营养和虚弱状况的影响。
Nutrients. 2021 Feb 4;13(2):512. doi: 10.3390/nu13020512.
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Testing the ability for autonomous oral hygiene in hospitalized geriatric patients-clinical validation study.测试住院老年患者自主口腔卫生能力的研究——临床验证研究。
Clin Oral Investig. 2021 Mar;25(3):1059-1068. doi: 10.1007/s00784-020-03402-5. Epub 2020 Jun 23.
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Neurologic Manifestations of Hospitalized Patients With Coronavirus Disease 2019 in Wuhan, China.中国武汉住院的 2019 年冠状病毒病患者的神经系统表现。
JAMA Neurol. 2020 Jun 1;77(6):683-690. doi: 10.1001/jamaneurol.2020.1127.
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Recent advances in dysphagia management.吞咽困难管理的最新进展。
F1000Res. 2019 Aug 29;8. doi: 10.12688/f1000research.18900.1. eCollection 2019.
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Sarcopenia: revised European consensus on definition and diagnosis.肌少症:欧洲关于定义和诊断的修订共识
Age Ageing. 2019 Jul 1;48(4):601. doi: 10.1093/ageing/afz046.
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Sarcopenia as a predictor of all-cause mortality among older nursing home residents: a systematic review and meta-analysis.肌少症作为养老院老年居民全因死亡率的预测因子:系统评价和荟萃分析。
BMJ Open. 2018 Nov 12;8(11):e021252. doi: 10.1136/bmjopen-2017-021252.
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Sarcopenia: revised European consensus on definition and diagnosis.肌少症:定义和诊断的欧洲共识修订版。
Age Ageing. 2019 Jan 1;48(1):16-31. doi: 10.1093/ageing/afy169.
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Dysphagia in the Older Patient.老年患者的吞咽困难
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