Prevalence and Methods for Assessment of Oropharyngeal Dysphagia in Older Adults: A Systematic Review and Meta-Analysis
Background: This systematic review and meta-analysis aimed to estimate the pooled prevalence of dysphagia in older adults, subgrouping by recruitment settings and varying dysphagia assessment methods. Methods: Five major databases were systematically searched through January 2022. A random-effects m...
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| Format: | Article |
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MDPI AG
2022-05-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/9/2605 |
| _version_ | 1797504132990369792 |
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| author | Thanh-Nhan Doan Wen-Chao Ho Liang-Hui Wang Fei-Chun Chang Nguyen Thanh Nhu Li-Wei Chou |
| author_facet | Thanh-Nhan Doan Wen-Chao Ho Liang-Hui Wang Fei-Chun Chang Nguyen Thanh Nhu Li-Wei Chou |
| author_sort | Thanh-Nhan Doan |
| collection | DOAJ |
| description | Background: This systematic review and meta-analysis aimed to estimate the pooled prevalence of dysphagia in older adults, subgrouping by recruitment settings and varying dysphagia assessment methods. Methods: Five major databases were systematically searched through January 2022. A random-effects model for meta-analysis was conducted to obtain the pooled prevalence. Results: Prevalence of dysphagia in the community-dwelling elderly screened by water swallow test was 12.14% (95% CI: 6.48% to 19.25%, I<sup>2</sup> = 0%), which was significantly lower than the combined prevalence of 30.52% (95% CI: 21.75% to 40.07%, I<sup>2</sup> = 68%) assessed by Standardized Swallowing Assessment (SSA) and volume-viscosity swallow test (V−VST). The dysphagia prevalence among elderly nursing home residents evaluated by SSA was 58.69% (95% CI: 47.71% to 69.25%, I<sup>2</sup> = 0%) and by the Gugging Swallowing Screen test (GUSS) test was 53.60% (95% CI: 41.20% to 65.79%, I<sup>2</sup> = 0%). The prevalence of dysphagia in hospitalized older adults screened by the 10-item Eating Assessment Tool was 24.10% (95% CI: 16.64% to 32.44%, I<sup>2</sup> = 0%), which was significantly lower than those assessed by V-VST or GUSS tests of 47.18% (95% CI: 38.30% to 56.14%, I<sup>2</sup> = 0%). Conclusions: Dysphagia is prevalent in the elderly, affecting approximately one in three community-dwelling elderly, almost half of the geriatric patients, and even more than half of elderly nursing home residents. The use of non-validated screening tools to report dysphagia underestimates its actual prevalence. |
| first_indexed | 2024-03-10T04:00:19Z |
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| id | doaj.art-41c5558128f34bb7b2ccba956e667a28 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T04:00:19Z |
| publishDate | 2022-05-01 |
| publisher | MDPI AG |
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| series | Journal of Clinical Medicine |
| spelling | doaj.art-41c5558128f34bb7b2ccba956e667a282023-11-23T08:34:46ZengMDPI AGJournal of Clinical Medicine2077-03832022-05-01119260510.3390/jcm11092605Prevalence and Methods for Assessment of Oropharyngeal Dysphagia in Older Adults: A Systematic Review and Meta-AnalysisThanh-Nhan Doan0Wen-Chao Ho1Liang-Hui Wang2Fei-Chun Chang3Nguyen Thanh Nhu4Li-Wei Chou5Department of Public Health, China Medical University, Taichung 406040, TaiwanDepartment of Public Health, China Medical University, Taichung 406040, TaiwanDepartment of Speech Language Pathology and Auditory, HungKuang University, Taichung 433304, TaiwanPh.D. Program for Aging, China Medical University, Taichung 404332, TaiwanFaculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho 94117, VietnamDepartment of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung 404332, TaiwanBackground: This systematic review and meta-analysis aimed to estimate the pooled prevalence of dysphagia in older adults, subgrouping by recruitment settings and varying dysphagia assessment methods. Methods: Five major databases were systematically searched through January 2022. A random-effects model for meta-analysis was conducted to obtain the pooled prevalence. Results: Prevalence of dysphagia in the community-dwelling elderly screened by water swallow test was 12.14% (95% CI: 6.48% to 19.25%, I<sup>2</sup> = 0%), which was significantly lower than the combined prevalence of 30.52% (95% CI: 21.75% to 40.07%, I<sup>2</sup> = 68%) assessed by Standardized Swallowing Assessment (SSA) and volume-viscosity swallow test (V−VST). The dysphagia prevalence among elderly nursing home residents evaluated by SSA was 58.69% (95% CI: 47.71% to 69.25%, I<sup>2</sup> = 0%) and by the Gugging Swallowing Screen test (GUSS) test was 53.60% (95% CI: 41.20% to 65.79%, I<sup>2</sup> = 0%). The prevalence of dysphagia in hospitalized older adults screened by the 10-item Eating Assessment Tool was 24.10% (95% CI: 16.64% to 32.44%, I<sup>2</sup> = 0%), which was significantly lower than those assessed by V-VST or GUSS tests of 47.18% (95% CI: 38.30% to 56.14%, I<sup>2</sup> = 0%). Conclusions: Dysphagia is prevalent in the elderly, affecting approximately one in three community-dwelling elderly, almost half of the geriatric patients, and even more than half of elderly nursing home residents. The use of non-validated screening tools to report dysphagia underestimates its actual prevalence.https://www.mdpi.com/2077-0383/11/9/2605dysphagiaolder adultsprevalencepublic healthassessmentcommunity |
| spellingShingle | Thanh-Nhan Doan Wen-Chao Ho Liang-Hui Wang Fei-Chun Chang Nguyen Thanh Nhu Li-Wei Chou Prevalence and Methods for Assessment of Oropharyngeal Dysphagia in Older Adults: A Systematic Review and Meta-Analysis Journal of Clinical Medicine dysphagia older adults prevalence public health assessment community |
| title | Prevalence and Methods for Assessment of Oropharyngeal Dysphagia in Older Adults: A Systematic Review and Meta-Analysis |
| title_full | Prevalence and Methods for Assessment of Oropharyngeal Dysphagia in Older Adults: A Systematic Review and Meta-Analysis |
| title_fullStr | Prevalence and Methods for Assessment of Oropharyngeal Dysphagia in Older Adults: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Prevalence and Methods for Assessment of Oropharyngeal Dysphagia in Older Adults: A Systematic Review and Meta-Analysis |
| title_short | Prevalence and Methods for Assessment of Oropharyngeal Dysphagia in Older Adults: A Systematic Review and Meta-Analysis |
| title_sort | prevalence and methods for assessment of oropharyngeal dysphagia in older adults a systematic review and meta analysis |
| topic | dysphagia older adults prevalence public health assessment community |
| url | https://www.mdpi.com/2077-0383/11/9/2605 |
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