Prevalence of subjective dysphagia in community residents aged over 87.

Bloem, Bastiaan R.; Lagaay, A. M.; Beek, Wessel van; Haan, Joost; Roos, Raymund A.C.; Wintzen, Axel R.

doi:10.1136/bmj.300.6726.721

Cited by 190 publications

(129 citation statements)

References 7 publications

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“…Some authors report that as few as 8% of people 60-95 years old have dysphagia [3]. Others indicate that 16% of older people living in the community have problems with dysphagia [5]. Bloem et al [5] caution that the actual frequency may be higher than the findings suggest, because of the tendency of older persons to accept their problems as an inevitable consequence of aging.…”

mentioning

confidence: 46%

Functional Oral-Motor Skills: Do They Change with Age?

et al. 1998

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Dysphagia, a difficulty eating or drinking, appears to increase with age and is a concern for our growing elderly population. Mastication, tongue mobility, and lip closure are skills of the oral phase of ingestion, and have been shown to deteriorate with age. However, it is not clear whether these changes affect functional feeding. It is also unclear whether dysphagia is the result of the aging process itself, or whether it is secondary to disease. Therefore, the purpose of this study was to identify changes during the oral phase of ingestion in a group of healthy seniors. Functional feeding skills and oral praxis abilities were measured in 79 healthy adults aged 60-97 years. The Modified Functional Feeding Assessment (FFAm) subscale of the Multidisciplinary Feeding Profile (MFP) and the Oral Praxis Subtest (OPS) of the Southern California Sensory Integration Test were administered respectively. An interview followed to obtain information on denture wear, use of hearing aids and glasses, and types of foods avoided. Seniors maintained functional feeding skills throughout the four decades studied. These skills were not age-dependent, but depended on whether or not subjects wore full dentures. Even though all of the seniors maintained functional feeding skills, more seniors in the younger group (7th decade 60%, 8th decade 67%) had difficulty with a variety of food textures such as soft, hard, fibrous, and some with tough skins, than the older group (9th decade 40%, 10th decade 44%). Oral praxis abilities were correlated significantly with age, but not with hearing aid use. Overall, healthy seniors maintained their functional feeding and oral praxis skills. Good health and natural dentition appear to be excellent indicators for functional feeding ability.

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confidence: 46%

Functional Oral-Motor Skills: Do They Change with Age?

et al. 1998

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“…6,10,11 Prevalence and symptom profiling of oropharyngeal dysphagia in 800 healthy community dwelling older population using the validated Sydney oropharyngeal Dysphagia Questionnaire was observed as 11.4% with dysphagia severity directly correlating with subject age. 7 In the present study prevalence of swallowing difficulties among healthy elderly was determined using SDQ and was observed to be 20.1%.…”

Section: Discussionmentioning

confidence: 99%

Swallowing difficulties among healthy elderly: prevalence and aetiology

Khader

Somayaji

Mubeena

2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Dysphagia is a common problem among elderly individuals. Very few studies have been done to know the prevalence of dysphagia among healthy elderly individuals. So a study was done to assess the prevalence of swallowing difficulties among healthy elderly individuals and to find out the various causes for it in them. Methods: 259 elderly individuals were screened using the swallowing disturbance questionnaire to assess the prevalence of swallowing disorders. Those individuals with swallowing disorders were further subjected to modified Barium swallow to know the aetiology. Results: Of the 259 elderly individuals screened, 85 were females and 174 were males. The mean age and standard deviation was 66.16±6.233. The prevalence of swallowing difficulties was 20.1%, with no significant difference in the gender wise distribution or age wise distribution. Among the various aetiologies diagnosed, idiopathic cause is the commonest, followed by oesophageal neoplasm (21.1%), and then the achalasia cardia (9.6%). Among oesophageal neoplasm, mid-thoracic esophageal neoplasm (9.6%) is the commonest. Conclusions: Considering the time and cost involved, it is not feasible to subject all elderly for instrumental swallowing evaluation like videofluoroscopy. Hence it would be beneficial to screen the elderly individuals for dysphagia and educate them regarding its importance, as dysphagia can also be associated with serious underlying pathology and complications such as aspiration.

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“…A swallowing problem is common among the elderly. The prevalence of swallowing problems in elderly adults lies between 12 and 60% [22]. Swallowing problems are known to be associated with increased morbiditiy and mortality [23,24].…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Early Emergency Hospital Readmission in Elderly Medical Patients

Chu

Pei²

1999

Gerontology

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Background: Early emergency readmissions is a common and important problem in the elderly patient. Identification of the risk factors for early emergency readmissions is needed to prevent this occurring. Objective: The aim of this study was to study the risk factors for early emergency readmission in the elderly medical patient. Methods: A case-control study (sex- and age-matched) was conducted from March to December 1996. 380 elderly (age 65 years or over) medical patients with emergency hospital readmission (within 28 days) and 380 matched controls were recruited from an acute university general hospital in Hong Kong. Potential risk factors which included demographic, socio-economic, principal medical diseases, comorbid diseases, dysphagia, physical functional status and mental status were studied. Results: In bivariate analyses for the risk factors of early emergency readmission, institutional carer, previous visiting nurse service, adverse drug reaction, chronic obstructive pulmonary disease, end-stage renal failure, mobility being chair- or bed-bound, dysphagia, use of a nasogastric tube feeding, urinary incontinence and bowel incontinence were significant. Readmission cases had higher mean number of comorbid diseases, lower mean Barthel Index, higher mean number of impairments in Activities of Daily Living (ADL) tasks and lower mean Abbreviated Mental Test score than controls. In multivariate logistic regression model, the number of ADL impairments (OR = 1.13, 95% CI = 1.08–1.19), no income (OR = 2.28, 95% CI = 1.19–4.37), adverse drug reaction (OR = 4.19, 95% CI = 1.56–11.2), advanced malignancy (OR = 2.45, 95% CI = 1.37–4.37), congestive heart failure (OR = 1.63, 95% CI = 1.05–2.53), chronic obstructive airways disease (OR = 2.1, 95% CI = 1.47–3.02), end-stage renal failure (OR = 5.48, 95% CI = 1.69–17.75), dysphagia (OR = 3.9, 95% CI = 1.5–10.11) and the number of comorbid diseases (OR = 1.3, 95% CI = 1.13–1.49) were significant risk factors for early emergency readmissions. Living in a private old aged home was associated with a lower risk of readmissions (OR = 0.53, 95% CI = 0.36–0.93). Conclusions: Definite medical, functional and socio-economic factors were found to be risk factors for early emergency readmissions in the elderly medical patient. A multiple risk factors intervention approach should be considered in designing future prevention strategies.

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Prevalence of subjective dysphagia in community residents aged over 87.

Cited by 190 publications

References 7 publications

Functional Oral-Motor Skills: Do They Change with Age?

Functional Oral-Motor Skills: Do They Change with Age?

Swallowing difficulties among healthy elderly: prevalence and aetiology

Risk Factors for Early Emergency Hospital Readmission in Elderly Medical Patients

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