Oropharyngeal dysphagia in an elderly post-operative hip fracture population : a prospective cohort study
Data(s) |
01/11/2013
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Resumo |
Background: normal ageing processes impact on oropharyngeal swallowing function placing older adults at risk of developing oropharyngeal dysphagia (OD). Anecdotal clinical experience has observed that older patients recovering from hip fracture surgery commonly develop OD post-operatively. Objective: to document the presence of OD following hip fracture surgery, and the factors associated with OD. Methods: one hundred and eighty-one patients with a mean age of 83 years (range: 65–103) admitted to a specialised orthogeriatric unit were assessed for OD post-surgery for hip fracture. Pre-admission, intra-operative and post-operative factors were examined to determine their relationship with the presence of OD. Results: OD was found to be present post-operatively in 34% (n = 61) of the current population. Multivariate logistic regression analyses revealed the presence of pre-existing neurological and respiratory medical co-morbidities, presence of post-operative delirium, age and living in a residential aged care facility prior to hospital admission to be associated with the post-operative OD. Conclusion: these results highlight that OD is present in a large number of the older hip fracture population. Early identification of OD has important implications for the provision of timely dysphagia management that may prevent secondary complications and potentially reduce the hospital length of stay. |
Identificador | |
Publicador |
Oxford University Press |
Relação |
DOI:10.1093/ageing/aft037 Love, Amanda L., Cornwell, Petrea L., & Whitehouse, Sarah L. (2013) Oropharyngeal dysphagia in an elderly post-operative hip fracture population : a prospective cohort study. Age and Ageing, 42(6), pp. 782-785. |
Direitos |
© The Author 2013. Published by Oxford University Press on behalf of the British Geriatrics Society. |
Fonte |
School of Chemistry, Physics & Mechanical Engineering; Faculty of Built Environment and Engineering; Institute of Health and Biomedical Innovation |
Palavras-Chave | #110305 Emergency Medicine #110314 Orthopaedics #111199 Nutrition and Dietetics not elsewhere classified #dysphagia #hip fracture #incidence #prediction #elderley #older people |
Tipo |
Journal Article |