Association Between Dysphagia and Inpatient Outcomes Across Frailty Level Among Patients ≥ 50 Years of Age
Frail patients may have heightened risk of dysphagia, a potentially modifiable health factor. Our aim is to examine whether the relationship between dysphagia and adverse health outcomes differs by frailty conditions among inpatients ≥ 50 years of age. Medical or surgical hospitalizations among pati...
Gespeichert in:
| Veröffentlicht in: | Dysphagia 2020-10, Vol.35 (5), p.787-797 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 797 |
|---|---|
| container_issue | 5 |
| container_start_page | 787 |
| container_title | Dysphagia |
| container_volume | 35 |
| creator | Cohen, Seth M. Lekan, Deborah Risoli, Thomas Lee, Hui-Jie Misono, Stephanie Whitson, Heather E. Raman, Sudha |
| description | Frail patients may have heightened risk of dysphagia, a potentially modifiable health factor. Our aim is to examine whether the relationship between dysphagia and adverse health outcomes differs by frailty conditions among inpatients ≥ 50 years of age. Medical or surgical hospitalizations among patients ≥ 50 years of age in the Healthcare Cost and Utilization Project’s National Inpatient Sample from 2014 through the first three quarters of 2015 were included. Adverse outcomes included length of stay (LOS), hospital costs, in-hospital mortality, discharge status, and medical complications. Dysphagia was determined by ICD-9-CM codes. Frailty was defined as (a) ≥ 1 condition in the10-item Johns Hopkins Adjusted Clinical Groups (ACG) frailty measure and a frailty index for the (b) ACG and (c) a 19-item Frailty Risk Score (FRS) categorized as non-frail, pre-frail, and frail. Weighted generalized linear models for complex survey designs using generalized estimating equations were performed. Of 6,230,114 unweighted hospitalizations, 4.0% had a dysphagia diagnosis. Dysphagia presented in 3.1% and 11.0% of non-frail and frail hospitalizations using the binary ACG (
p
|
| doi_str_mv | 10.1007/s00455-019-10084-z |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7275917</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A712957686</galeid><sourcerecordid>A712957686</sourcerecordid><originalsourceid>FETCH-LOGICAL-c513t-314af1424a4308f981fda3b277355742177d9b1df5298c146845b12fa85da24c3</originalsourceid><addsrcrecordid>eNp9ks9qFTEUxoMo9lp9ARcScONmak7-TGY2wlitFi7UhYKuQm4mM02ZSa7JTOV25bYP4ov1SUw7tVgQCSQk5_d9nJxzEHoO5AAIka8TIVyIgkBd5HvFi4sHaAWc0YLwkjxEKwKyLoiAr3voSUpnhACtS_YY7TGoAFgFK7RtUgrG6ckFj9_a6Ye1Hr_bpe2p7p3G2rf42G9z2PoJn8yTCaNNuDExpISPonbDtMNre24H3IzB9_jTwqarn5dXl7_yLgj-ZnVMOHS46e1T9KjTQ7LPbs999OXo_efDj8X65MPxYbMujAA2FQy47oBTrjkjVVdX0LWabaiUTAjJKUjZ1htoO0HrygAvKy42QDtdiVZTbtg-erP4bufNaFuTc4p6UNvoRh13Kmin7ke8O1V9OFeSSlGDzAavbg1i-D7bNKnRJWOHQXsb5qQoo1SyWnCR0ZcL2uvBKue7kB3NNa4amWsuZFmVmTr4B5VXa0dngredy-_3BHQR3FQ72u4ueyDqegLUMgEqT4C6mQB1kUUv_v73neRPyzPAFiDlkO9tVGdhjj734n-2vwFgkL52</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2322739545</pqid></control><display><type>article</type><title>Association Between Dysphagia and Inpatient Outcomes Across Frailty Level Among Patients ≥ 50 Years of Age</title><source>SpringerLink Journals - AutoHoldings</source><creator>Cohen, Seth M. ; Lekan, Deborah ; Risoli, Thomas ; Lee, Hui-Jie ; Misono, Stephanie ; Whitson, Heather E. ; Raman, Sudha</creator><creatorcontrib>Cohen, Seth M. ; Lekan, Deborah ; Risoli, Thomas ; Lee, Hui-Jie ; Misono, Stephanie ; Whitson, Heather E. ; Raman, Sudha</creatorcontrib><description>Frail patients may have heightened risk of dysphagia, a potentially modifiable health factor. Our aim is to examine whether the relationship between dysphagia and adverse health outcomes differs by frailty conditions among inpatients ≥ 50 years of age. Medical or surgical hospitalizations among patients ≥ 50 years of age in the Healthcare Cost and Utilization Project’s National Inpatient Sample from 2014 through the first three quarters of 2015 were included. Adverse outcomes included length of stay (LOS), hospital costs, in-hospital mortality, discharge status, and medical complications. Dysphagia was determined by ICD-9-CM codes. Frailty was defined as (a) ≥ 1 condition in the10-item Johns Hopkins Adjusted Clinical Groups (ACG) frailty measure and a frailty index for the (b) ACG and (c) a 19-item Frailty Risk Score (FRS) categorized as non-frail, pre-frail, and frail. Weighted generalized linear models for complex survey designs using generalized estimating equations were performed. Of 6,230,114 unweighted hospitalizations, 4.0% had a dysphagia diagnosis. Dysphagia presented in 3.1% and 11.0% of non-frail and frail hospitalizations using the binary ACG (
p
< 0.001) and in 2.9%, 7.9%, and 16.0% of non-frail, pre-frail, and frail hospitalizations using the indexed FRS (
p
< 0.001). Dysphagia was associated with greater LOS, higher total costs, increased non-routine discharges, and more medical complications among both frail and non-frail patients using the three frailty definitions. Dysphagia was associated with adverse outcomes in both frail and non-frail medical or surgical hospitalizations. Dysphagia management is an important consideration for providers seeking to reduce risk in vulnerable populations.</description><identifier>ISSN: 0179-051X</identifier><identifier>EISSN: 1432-0460</identifier><identifier>DOI: 10.1007/s00455-019-10084-z</identifier><identifier>PMID: 31811381</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Deglutition disorders ; Gastroenterology ; Hepatology ; Hospital patients ; Imaging ; Medical care, Cost of ; Medicine ; Medicine & Public Health ; Original Article ; Otorhinolaryngology ; Patient outcomes ; Radiology</subject><ispartof>Dysphagia, 2020-10, Vol.35 (5), p.787-797</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>COPYRIGHT 2020 Springer</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c513t-314af1424a4308f981fda3b277355742177d9b1df5298c146845b12fa85da24c3</citedby><cites>FETCH-LOGICAL-c513t-314af1424a4308f981fda3b277355742177d9b1df5298c146845b12fa85da24c3</cites><orcidid>0000-0002-7965-604X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00455-019-10084-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00455-019-10084-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31811381$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cohen, Seth M.</creatorcontrib><creatorcontrib>Lekan, Deborah</creatorcontrib><creatorcontrib>Risoli, Thomas</creatorcontrib><creatorcontrib>Lee, Hui-Jie</creatorcontrib><creatorcontrib>Misono, Stephanie</creatorcontrib><creatorcontrib>Whitson, Heather E.</creatorcontrib><creatorcontrib>Raman, Sudha</creatorcontrib><title>Association Between Dysphagia and Inpatient Outcomes Across Frailty Level Among Patients ≥ 50 Years of Age</title><title>Dysphagia</title><addtitle>Dysphagia</addtitle><addtitle>Dysphagia</addtitle><description>Frail patients may have heightened risk of dysphagia, a potentially modifiable health factor. Our aim is to examine whether the relationship between dysphagia and adverse health outcomes differs by frailty conditions among inpatients ≥ 50 years of age. Medical or surgical hospitalizations among patients ≥ 50 years of age in the Healthcare Cost and Utilization Project’s National Inpatient Sample from 2014 through the first three quarters of 2015 were included. Adverse outcomes included length of stay (LOS), hospital costs, in-hospital mortality, discharge status, and medical complications. Dysphagia was determined by ICD-9-CM codes. Frailty was defined as (a) ≥ 1 condition in the10-item Johns Hopkins Adjusted Clinical Groups (ACG) frailty measure and a frailty index for the (b) ACG and (c) a 19-item Frailty Risk Score (FRS) categorized as non-frail, pre-frail, and frail. Weighted generalized linear models for complex survey designs using generalized estimating equations were performed. Of 6,230,114 unweighted hospitalizations, 4.0% had a dysphagia diagnosis. Dysphagia presented in 3.1% and 11.0% of non-frail and frail hospitalizations using the binary ACG (
p
< 0.001) and in 2.9%, 7.9%, and 16.0% of non-frail, pre-frail, and frail hospitalizations using the indexed FRS (
p
< 0.001). Dysphagia was associated with greater LOS, higher total costs, increased non-routine discharges, and more medical complications among both frail and non-frail patients using the three frailty definitions. Dysphagia was associated with adverse outcomes in both frail and non-frail medical or surgical hospitalizations. Dysphagia management is an important consideration for providers seeking to reduce risk in vulnerable populations.</description><subject>Deglutition disorders</subject><subject>Gastroenterology</subject><subject>Hepatology</subject><subject>Hospital patients</subject><subject>Imaging</subject><subject>Medical care, Cost of</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Otorhinolaryngology</subject><subject>Patient outcomes</subject><subject>Radiology</subject><issn>0179-051X</issn><issn>1432-0460</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9ks9qFTEUxoMo9lp9ARcScONmak7-TGY2wlitFi7UhYKuQm4mM02ZSa7JTOV25bYP4ov1SUw7tVgQCSQk5_d9nJxzEHoO5AAIka8TIVyIgkBd5HvFi4sHaAWc0YLwkjxEKwKyLoiAr3voSUpnhACtS_YY7TGoAFgFK7RtUgrG6ckFj9_a6Ye1Hr_bpe2p7p3G2rf42G9z2PoJn8yTCaNNuDExpISPonbDtMNre24H3IzB9_jTwqarn5dXl7_yLgj-ZnVMOHS46e1T9KjTQ7LPbs999OXo_efDj8X65MPxYbMujAA2FQy47oBTrjkjVVdX0LWabaiUTAjJKUjZ1htoO0HrygAvKy42QDtdiVZTbtg-erP4bufNaFuTc4p6UNvoRh13Kmin7ke8O1V9OFeSSlGDzAavbg1i-D7bNKnRJWOHQXsb5qQoo1SyWnCR0ZcL2uvBKue7kB3NNa4amWsuZFmVmTr4B5VXa0dngredy-_3BHQR3FQ72u4ueyDqegLUMgEqT4C6mQB1kUUv_v73neRPyzPAFiDlkO9tVGdhjj734n-2vwFgkL52</recordid><startdate>20201001</startdate><enddate>20201001</enddate><creator>Cohen, Seth M.</creator><creator>Lekan, Deborah</creator><creator>Risoli, Thomas</creator><creator>Lee, Hui-Jie</creator><creator>Misono, Stephanie</creator><creator>Whitson, Heather E.</creator><creator>Raman, Sudha</creator><general>Springer US</general><general>Springer</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-7965-604X</orcidid></search><sort><creationdate>20201001</creationdate><title>Association Between Dysphagia and Inpatient Outcomes Across Frailty Level Among Patients ≥ 50 Years of Age</title><author>Cohen, Seth M. ; Lekan, Deborah ; Risoli, Thomas ; Lee, Hui-Jie ; Misono, Stephanie ; Whitson, Heather E. ; Raman, Sudha</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c513t-314af1424a4308f981fda3b277355742177d9b1df5298c146845b12fa85da24c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Deglutition disorders</topic><topic>Gastroenterology</topic><topic>Hepatology</topic><topic>Hospital patients</topic><topic>Imaging</topic><topic>Medical care, Cost of</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Otorhinolaryngology</topic><topic>Patient outcomes</topic><topic>Radiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cohen, Seth M.</creatorcontrib><creatorcontrib>Lekan, Deborah</creatorcontrib><creatorcontrib>Risoli, Thomas</creatorcontrib><creatorcontrib>Lee, Hui-Jie</creatorcontrib><creatorcontrib>Misono, Stephanie</creatorcontrib><creatorcontrib>Whitson, Heather E.</creatorcontrib><creatorcontrib>Raman, Sudha</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Dysphagia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cohen, Seth M.</au><au>Lekan, Deborah</au><au>Risoli, Thomas</au><au>Lee, Hui-Jie</au><au>Misono, Stephanie</au><au>Whitson, Heather E.</au><au>Raman, Sudha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association Between Dysphagia and Inpatient Outcomes Across Frailty Level Among Patients ≥ 50 Years of Age</atitle><jtitle>Dysphagia</jtitle><stitle>Dysphagia</stitle><addtitle>Dysphagia</addtitle><date>2020-10-01</date><risdate>2020</risdate><volume>35</volume><issue>5</issue><spage>787</spage><epage>797</epage><pages>787-797</pages><issn>0179-051X</issn><eissn>1432-0460</eissn><abstract>Frail patients may have heightened risk of dysphagia, a potentially modifiable health factor. Our aim is to examine whether the relationship between dysphagia and adverse health outcomes differs by frailty conditions among inpatients ≥ 50 years of age. Medical or surgical hospitalizations among patients ≥ 50 years of age in the Healthcare Cost and Utilization Project’s National Inpatient Sample from 2014 through the first three quarters of 2015 were included. Adverse outcomes included length of stay (LOS), hospital costs, in-hospital mortality, discharge status, and medical complications. Dysphagia was determined by ICD-9-CM codes. Frailty was defined as (a) ≥ 1 condition in the10-item Johns Hopkins Adjusted Clinical Groups (ACG) frailty measure and a frailty index for the (b) ACG and (c) a 19-item Frailty Risk Score (FRS) categorized as non-frail, pre-frail, and frail. Weighted generalized linear models for complex survey designs using generalized estimating equations were performed. Of 6,230,114 unweighted hospitalizations, 4.0% had a dysphagia diagnosis. Dysphagia presented in 3.1% and 11.0% of non-frail and frail hospitalizations using the binary ACG (
p
< 0.001) and in 2.9%, 7.9%, and 16.0% of non-frail, pre-frail, and frail hospitalizations using the indexed FRS (
p
< 0.001). Dysphagia was associated with greater LOS, higher total costs, increased non-routine discharges, and more medical complications among both frail and non-frail patients using the three frailty definitions. Dysphagia was associated with adverse outcomes in both frail and non-frail medical or surgical hospitalizations. Dysphagia management is an important consideration for providers seeking to reduce risk in vulnerable populations.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>31811381</pmid><doi>10.1007/s00455-019-10084-z</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-7965-604X</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0179-051X |
| ispartof | Dysphagia, 2020-10, Vol.35 (5), p.787-797 |
| issn | 0179-051X 1432-0460 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7275917 |
| source | SpringerLink Journals - AutoHoldings |
| subjects | Deglutition disorders Gastroenterology Hepatology Hospital patients Imaging Medical care, Cost of Medicine Medicine & Public Health Original Article Otorhinolaryngology Patient outcomes Radiology |
| title | Association Between Dysphagia and Inpatient Outcomes Across Frailty Level Among Patients ≥ 50 Years of Age |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-28T03%3A09%3A28IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Association%20Between%20Dysphagia%20and%20Inpatient%20Outcomes%20Across%20Frailty%20Level%20Among%20Patients%E2%80%89%E2%89%A5%E2%80%8950%20Years%20of%20Age&rft.jtitle=Dysphagia&rft.au=Cohen,%20Seth%20M.&rft.date=2020-10-01&rft.volume=35&rft.issue=5&rft.spage=787&rft.epage=797&rft.pages=787-797&rft.issn=0179-051X&rft.eissn=1432-0460&rft_id=info:doi/10.1007/s00455-019-10084-z&rft_dat=%3Cgale_pubme%3EA712957686%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2322739545&rft_id=info:pmid/31811381&rft_galeid=A712957686&rfr_iscdi=true |