Kristoffersen Stine Mølgaard, Westmark Signe, Melgaard Dorte
Department of Physiotherapy and Occupational Therapy, Horsens Regional Hospital, 8700 Horsens, Denmark.
Center for Clinical Research, North Denmark Regional Hospital, 9800 Hjoerring, Denmark.
Diseases. 2025 Aug 8;13(8):253. doi: 10.3390/diseases13080253.
Dysphagia is common among elderly patients after hip fracture surgery and can lead to aspiration pneumonia, malnutrition, and delayed rehabilitation. This study aims to present current clinical practice patterns of assessment and intervention for dysphagia in this patient group.
The study was conducted through a two-round online questionnaire targeting Danish occupational therapists with expertise in dysphagia post hip fracture.
A total of 71 therapists participated in round one, and 44 (62%) completed round two. Triggers for assessment included coughing, recurrent pneumonia, voice changes, altered eating habits, unplanned weight loss, functional decline, and comorbidities; age was rarely used. Frequently used assessment tools were Facio-Oral Tract Therapy (57.1%), the Minimal Eating Observation Form-Version II (40%) and the Volume-Viscosity Swallow Test (41.4%). Key interventions included texture modification, posture correction, patient education, oral hygiene optimization, compensatory strategies, and dysphagia training; oral screens and electrical stimulation were less common.
This study provides a descriptive overview of current dysphagia assessment triggers, tools, and interventions used for elderly hip fracture patients in Denmark. The findings highlight clinical practice patterns that can inform future research on patient outcomes and the effectiveness of specific interventions in this population.
吞咽困难在老年髋部骨折手术后患者中很常见，可导致吸入性肺炎、营养不良和康复延迟。本研究旨在介绍该患者群体吞咽困难评估和干预的当前临床实践模式。
该研究通过两轮在线问卷对丹麦具有髋部骨折后吞咽困难专业知识的职业治疗师进行。
共有71名治疗师参与第一轮，44名（62%）完成第二轮。评估的触发因素包括咳嗽、反复肺炎、声音变化、饮食习惯改变、意外体重减轻、功能下降和合并症；年龄很少被用作触发因素。常用的评估工具是面-口腔道治疗（57.1%）、简易进食观察表第二版（40%）和容量-粘度吞咽测试（41.4%）。关键干预措施包括质地调整、姿势矫正、患者教育、口腔卫生优化、代偿策略和吞咽困难训练；口腔筛查和电刺激较少见。
本研究提供了丹麦老年髋部骨折患者当前吞咽困难评估触发因素、工具和干预措施的描述性概述。研究结果突出了临床实践模式，可为该人群未来关于患者结局及特定干预措施有效性的研究提供参考。
