Definition, prevalence and burden of oropharyngeal dysphagia: a serious problem among older adults worldwide and the impact on prognosis and hospital resources

Cichero, Julie A.Y. and Altman, Kenneth W. (2012). Definition, prevalence and burden of oropharyngeal dysphagia: a serious problem among older adults worldwide and the impact on prognosis and hospital resources. In: Julie A. Y. Cichero and Pere Clave, Stepping Stones to Living Well with Dysphagia. 72nd Nestle-Nutrition-Institute Workshop on Stepping Stones to Living Well with Dysphagia, Mataro, Spain, (1-12). 5-6 May 2011. doi:10.1159/000339974

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Author Cichero, Julie A.Y.
Altman, Kenneth W.
Title of paper Definition, prevalence and burden of oropharyngeal dysphagia: a serious problem among older adults worldwide and the impact on prognosis and hospital resources
Conference name 72nd Nestle-Nutrition-Institute Workshop on Stepping Stones to Living Well with Dysphagia
Conference location Mataro, Spain
Conference dates 5-6 May 2011
Proceedings title Stepping Stones to Living Well with Dysphagia   Check publisher's open access policy
Journal name Nestle Nutrition Institute Workshop Series   Check publisher's open access policy
Place of Publication Basel, Switzerland
Publisher Karger
Publication Year 2012
Sub-type Fully published paper
DOI 10.1159/000339974
ISBN 9783318021134
9783318021141
ISSN 1664-2147
1664-2155
Editor Julie A. Y. Cichero
Pere Clave
Volume 72
Start page 1
End page 12
Total pages 12
Language eng
Abstract/Summary Oropharyngeal dysphagia describes difficulty with eating and drinking. This benign statement does not reflect the personal, social, and economic costs of the condition. Dysphagia has an insidious nature in that it cannot be ‘seen’ like a hemiplegia or a broken limb. It is often a comorbid condition, most notably of stroke, and many other neurodegenerative disorders. Conservative estimates of annual hospital costs associated with dysphagia run to USD 547 million. Length of stay rises by 1.64 days. The true prevalence of dysphagia is difficult to determine as it has been reported as a function of care setting, disease state and country of investigation. However, extrapolating from the literature, prevalence rises with admission to hospital and affects 55% of those in aged care settings. Consequences of dysphagia include malnutrition, dehydration, aspiration pneumonia and potentially death. The mean cost for an aspiration pneumonia episode of care is USD 17,000, rising with the number of comorbid conditions. Whilst financial costs can be objectively counted, the despair, depression, and social isolation are more difficult to quantify. Both sufferers and their families bear the social and psychological burden of dysphagia. There may be a cost-effective role for screening and early identification of dysphagia, particularly in high-risk populations.
Keyword Randomized controlled-trial
Aspiration pneumonia
Elderly-patients
Stroke
Q-Index Code E1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Conference Paper
Collections: Official 2013 Collection
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Created: Wed, 24 Oct 2012, 19:35:46 EST by Charna Kovacevic on behalf of School of Pharmacy