Swallowing dysfunction in elderly trauma patients

The purpose of this study was to evaluate the incidence and clinical characteristics of dysphagia in elderly trauma patients specifically | Journal of Critical Care

Highlights:

  • Newly diagnosed swallowing dysfunction is rare, with an incidence <1% in all hospitalized patients.
  • Elderly trauma patients had an incidence of dysphagia six times higher than that previously described in non-trauma patient populations.
  • Charlson comorbidity index ≥3 was associated with the diagnosis of dysphagia.
  • Elderly trauma patients with dysphagia had longer hospital and ICU stays, more in-hospital complications, higher readmission rates and were less likely to discharge home compared to elderly trauma patients without dysphagia.
  • Elderly trauma patients with a high comorbidity burden or with prolonged ICU lengths of stay should be screened for dysphagia.

Full reference: Laan, D. et al. (2017) Swallowing dysfunction in elderly trauma patients. Journal of Critical Care. Published online: 15 July 2017

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