The prevalence of dysphagia at risk among older adults in nursing homes: a meta‐analysis

Tian, Li; Hu, Zhao; Yang, Liu; Xiang, Yanhua

doi:10.1111/psyg.13034

Cited by 1 publication

(1 citation statement)

References 56 publications

(78 reference statements)

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“…In 2016, the European Society of Swallowing Disorders (ESSD) declared dysphagia a geriatric syndrome that is multifactorial and has significant negative impact on the nutritional and health status of geriatric patients in general [ 16 ]. The prevalence of dysphagia in older adults ranges considerably, with reported rates between 10 and 90% in nursing homes and a pooled prevalence of 35,9% as reported in a recent meta-analysis by Tian et al [ 17 ], while Doan et al [ 18 ] report a pooled prevalence of 47%. As dysphagia is closely associated with frailty as well as neurodegenerative diseases, the prevalence will increase in institutions specialized in caring for older persons with advanced stages of diseases as well as higher age and higher rates of frailty [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Combined systematic screening for malnutrition and dysphagia in hospitalized older adults: a scoping review

Javorszky,

Palli,

Domkar

et al. 2024

BMC Geriatr

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Background Dysphagia affects about 40% of patients admitted to acute geriatric wards, as it is closely associated with diseases that rise in prevalence with advancing age, such as stroke, Parkinson’s disease, and dementia. Malnutrition is a highly associated predictive factor of dysphagia as well as one of the most common symptoms caused by dysphagia. Thus, the two conditions may exist simultaneously but also influence each other negatively and quickly cause functional decline especially in older adults. The purpose of this review was to determine whether institutions have established a protocol combining screenings for dysphagia and malnutrition on a global scale. If combined screening protocols have been implemented, the respective derived measures will be reported. Methods A scoping review was conducted. A systematic database search was carried out in January and February 2024. Studies were included that examined adult hospitalized patients who were systematically screened for dysphagia and malnutrition. The results were managed through the review software tool Covidence. The screening of titles and abstracts was handled independently by two reviewers; conflicts were discussed and resolved by consensus between three authors. This procedure was retained for full-text analysis and extraction. The extraction template was piloted and revised following feedback prior to extraction, which was carried out in February 2024. Results A total of 2014 studies were found, 1075 of which were included for abstract screening, 80 for full text screening. In the end, 27 studies were extracted and reported following the reporting guideline PRISMA with the extension for Scoping Reviews. Conclusion Most of the studies considered the prevalence and association of dysphagia and malnutrition with varying outcomes such as nutritional status, pneumonia, oral nutrition, and swallowing function. Only two studies had implemented multi-professional nutrition teams.

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Section: Introductionmentioning

confidence: 99%