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Comorbid dysphagia and malnutrition in elderly hospitalized patients

The Laryngoscope Jan 31, 2021

Bomze L, Dehom S, Lao WP, et al. - In the present study, the researchers sought to assess the prevalence of dysphagia in elderly patients admitted to a tertiary care center. It also sought to examine how dysphagia is identified, how it covaries with malnutrition and other conditions, and how hospital stay is affected. All patients > 65 years admitted to a tertiary care center in January and February 2016 were involved in this retrospective chart review. Patients with primary psychiatric diagnoses and patients with upper aerodigestive tract malignancy or surgery have been eliminated. In total, 655 patients [mean age 76.6 years] were identified. There was dysphagia in one‐quarter of elderly patients admitted to the tertiary care center. Dysphagia, particularly when linked with malnutrition, has poorer results and increased healthcare costs. The data suggest a possible disconnect between the diagnosis of malnutrition and the identification of dysphagia. This is an important area of intervention which has the potential to enhance these patients' treatment and outcomes.

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