Prevalence of Swallowing and Eating Difficulties in an Elderly Postoperative Hip Fracture Population—A Multi-Center-Based Pilot Study
Elderly patients operated for hip fracture are characterized by high age and high degree of comorbidity and need of care, factors previously found to be associated with swallowing and eating difficulties. The aim of this study was to investigate the prevalence of swallowing and eating difficulties i...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-09-01
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| Series: | Geriatrics |
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| Online Access: | https://www.mdpi.com/2308-3417/5/3/52 |
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| author | Gitte Madsen Stine M. Kristoffersen Mark R. Westergaard Vivi Gjødvad Merete M. Jessen Dorte Melgaard |
| author_facet | Gitte Madsen Stine M. Kristoffersen Mark R. Westergaard Vivi Gjødvad Merete M. Jessen Dorte Melgaard |
| author_sort | Gitte Madsen |
| collection | DOAJ |
| description | Elderly patients operated for hip fracture are characterized by high age and high degree of comorbidity and need of care, factors previously found to be associated with swallowing and eating difficulties. The aim of this study was to investigate the prevalence of swallowing and eating difficulties in an elderly postoperative hip fracture population and to identify factors associated with swallowing and eating difficulties. A cross-sectional multi-center pilot study was performed, including patients ≥65 years, operated for hip fracture, and able to participate in a swallowing and eating assessment. A clinical assessment was conducted using Danish versions of the standardized tools Volume-Viscosity Swallow Test and Minimal Eating Observation Form-version II. Demographic data and clinical characteristics were examined. A total of 78 patients (mean age 81.4 years (SD 7.8), 30.8% male) were included. Swallowing and eating difficulties were present in 60 patients (77%). Swallowing and eating difficulties were significantly associated with living in a nursing home before hospital admission (<i>p</i> = 0.014), low habitual New Mobility Score (<i>p</i> = 0.018), and absence of cardiac comorbidity (<i>p</i> = 0.023). The results underline the importance of focusing on swallowing and eating difficulties in elderly patients operated for hip fracture to ensure effectivity and safety and optimize the prognosis for the patient. |
| first_indexed | 2024-03-10T16:17:24Z |
| format | Article |
| id | doaj.art-3d19be84a05943f0846b2e3d499afabf |
| institution | Directory Open Access Journal |
| issn | 2308-3417 |
| language | English |
| last_indexed | 2024-03-10T16:17:24Z |
| publishDate | 2020-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Geriatrics |
| spelling | doaj.art-3d19be84a05943f0846b2e3d499afabf2023-11-20T13:54:39ZengMDPI AGGeriatrics2308-34172020-09-01535210.3390/geriatrics5030052Prevalence of Swallowing and Eating Difficulties in an Elderly Postoperative Hip Fracture Population—A Multi-Center-Based Pilot StudyGitte Madsen0Stine M. Kristoffersen1Mark R. Westergaard2Vivi Gjødvad3Merete M. Jessen4Dorte Melgaard5Department of Physiotherapy and Occupational Therapy, Randers Regional Hospital, Skovlyvej 15, 8930 Randers, DenmarkDepartment of Physiotherapy and Occupational Therapy, Horsens Regional Hospital, Sundvej 30, 8700 Horsens, DenmarkDepartment of Physiotherapy and Occupational Therapy, North Denmark Regional Hospital, Bispensgade 37, 9800 Hjoerring, DenmarkDepartment of Physiotherapy and Occupational Therapy, Randers Regional Hospital, Skovlyvej 15, 8930 Randers, DenmarkDepartment of Physiotherapy and Occupational Therapy, Randers Regional Hospital, Skovlyvej 15, 8930 Randers, DenmarkDepartment of Clinical Medicine and Center for Clinical Research, Aalborg University and North Denmark Regional Hospital, Bispensgade 37, 9800 Hjoerring, DenmarkElderly patients operated for hip fracture are characterized by high age and high degree of comorbidity and need of care, factors previously found to be associated with swallowing and eating difficulties. The aim of this study was to investigate the prevalence of swallowing and eating difficulties in an elderly postoperative hip fracture population and to identify factors associated with swallowing and eating difficulties. A cross-sectional multi-center pilot study was performed, including patients ≥65 years, operated for hip fracture, and able to participate in a swallowing and eating assessment. A clinical assessment was conducted using Danish versions of the standardized tools Volume-Viscosity Swallow Test and Minimal Eating Observation Form-version II. Demographic data and clinical characteristics were examined. A total of 78 patients (mean age 81.4 years (SD 7.8), 30.8% male) were included. Swallowing and eating difficulties were present in 60 patients (77%). Swallowing and eating difficulties were significantly associated with living in a nursing home before hospital admission (<i>p</i> = 0.014), low habitual New Mobility Score (<i>p</i> = 0.018), and absence of cardiac comorbidity (<i>p</i> = 0.023). The results underline the importance of focusing on swallowing and eating difficulties in elderly patients operated for hip fracture to ensure effectivity and safety and optimize the prognosis for the patient.https://www.mdpi.com/2308-3417/5/3/52swallowing difficultieseating difficultiesdysphagiaswallowing disorderhip fractureorthopedic surgery |
| spellingShingle | Gitte Madsen Stine M. Kristoffersen Mark R. Westergaard Vivi Gjødvad Merete M. Jessen Dorte Melgaard Prevalence of Swallowing and Eating Difficulties in an Elderly Postoperative Hip Fracture Population—A Multi-Center-Based Pilot Study Geriatrics swallowing difficulties eating difficulties dysphagia swallowing disorder hip fracture orthopedic surgery |
| title | Prevalence of Swallowing and Eating Difficulties in an Elderly Postoperative Hip Fracture Population—A Multi-Center-Based Pilot Study |
| title_full | Prevalence of Swallowing and Eating Difficulties in an Elderly Postoperative Hip Fracture Population—A Multi-Center-Based Pilot Study |
| title_fullStr | Prevalence of Swallowing and Eating Difficulties in an Elderly Postoperative Hip Fracture Population—A Multi-Center-Based Pilot Study |
| title_full_unstemmed | Prevalence of Swallowing and Eating Difficulties in an Elderly Postoperative Hip Fracture Population—A Multi-Center-Based Pilot Study |
| title_short | Prevalence of Swallowing and Eating Difficulties in an Elderly Postoperative Hip Fracture Population—A Multi-Center-Based Pilot Study |
| title_sort | prevalence of swallowing and eating difficulties in an elderly postoperative hip fracture population a multi center based pilot study |
| topic | swallowing difficulties eating difficulties dysphagia swallowing disorder hip fracture orthopedic surgery |
| url | https://www.mdpi.com/2308-3417/5/3/52 |
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