Featured Research

from universities, journals, and other organizations

Difficulty swallowing a sign of poor prognosis among hospitalized patients

Date:
August 23, 2010
Source:
JAMA and Archives Journals
Summary:
Dysphagia, or difficulty swallowing, is associated with longer hospital stays among patients with any diagnosis, is increasingly prevalent with older age and is an indicator of a poor prognosis, according to a new study.

Dysphagia, or difficulty swallowing, is associated with longer hospital stays among patients with any diagnosis, is increasingly prevalent with older age and is an indicator of a poor prognosis, according to a report in the August issue of Archives of Otolaryngology-Head & Neck Surgery.

"The consequences of dysphagia can be profound. Although it is appreciated that nutrition, hydration, quality of life issues and social isolation may arise, aspiration (especially if not immediately recognized) may be the pivotal factor that precipitates a significant decline in a patient's outcome," the authors write as background information in the article. The harmful effects of dysphagia on patients with stroke, heart disease and pneumonia have been recognized.

Kenneth W. Altman, M.D., Ph.D., of The Mount Sinai School of Medicine, New York, and colleagues analyzed data from the 2005 to 2006 National Hospital Discharge Survey to evaluate the presence of dysphagia and the most common co-occurring medical conditions. Demographics, associated diseases, length of hospital stay, illness and death were assessed.

During the time period studied, more than 77 million hospital admissions were recorded, of which 271,983 were associated with dysphagia. "Dysphagia was most commonly associated with fluid or electrolyte disorder, esophageal disease, stroke, aspiration pneumonia, urinary tract infection and congestive heart failure," the authors write. Being older than age 75 was associated with double the risk of dysphagia.

The median (midpoint) number of days in the hospital was 4.04 among patients with dysphagia, compared with 2.4 among patients without, a 40-percent increase in length of stay. Patients undergoing rehabilitation had a greater than 13-fold increased risk of death during their hospitalization if they had dysphagia; the condition was also associated with increased risk of death among patients with intervertebral disk disorders and heart disease.

"While dysphagia occurs in only a small portion of hospitalized patients, the impact on hospital resources is substantial," the authors conclude. "We recommend early identification of dysphagia in hospitalized patients, particularly in those with high-risk co-morbid conditions such as older age, stroke, dehydration, malnutrition, neurodegenerative disease, pneumonia, cardiac disease and the need for rehabilitation. The plan of care in these patients should include proper assessment, early intervention using appropriate therapy and aspiration precautions and consideration of enteral feeding or supplementation options in the high-risk population."

"Further clinical research to address clinical pathways and outcomes in these populations could help to mitigate both the clinical and economic ill effects of this potentially devastating condition."


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Journal Reference:

  1. Kenneth W. Altman; Gou-Pei Yu; Steven D. Schaefer. Consequence of Dysphagia in the Hospitalized Patient: Impact on Prognosis and Hospital Resources. Arch Otolaryngol Head Neck Surg, 2010; 136 (8): 784-789

Cite This Page:

JAMA and Archives Journals. "Difficulty swallowing a sign of poor prognosis among hospitalized patients." ScienceDaily. ScienceDaily, 23 August 2010. <www.sciencedaily.com/releases/2010/08/100816162647.htm>.
JAMA and Archives Journals. (2010, August 23). Difficulty swallowing a sign of poor prognosis among hospitalized patients. ScienceDaily. Retrieved April 17, 2014 from www.sciencedaily.com/releases/2010/08/100816162647.htm
JAMA and Archives Journals. "Difficulty swallowing a sign of poor prognosis among hospitalized patients." ScienceDaily. www.sciencedaily.com/releases/2010/08/100816162647.htm (accessed April 17, 2014).

Share This



More Health & Medicine News

Thursday, April 17, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Is Apathy A Sign Of A Shrinking Brain?

Is Apathy A Sign Of A Shrinking Brain?

Newsy (Apr. 17, 2014) A recent study links apathetic feelings to a smaller brain. Researchers say the results indicate a need for apathy screening for at-risk seniors. Video provided by Newsy
Powered by NewsLook.com
Could Even Casual Marijuana Use Alter Your Brain?

Could Even Casual Marijuana Use Alter Your Brain?

Newsy (Apr. 16, 2014) A new study conducted by researchers at Northwestern and Harvard suggests even casual marijuana use can alter your brain. Video provided by Newsy
Powered by NewsLook.com
Thousands Of Vials Of SARS Virus Go Missing

Thousands Of Vials Of SARS Virus Go Missing

Newsy (Apr. 16, 2014) A research institute in Paris somehow misplaced more than 2,000 vials of the deadly SARS virus. Video provided by Newsy
Powered by NewsLook.com
Formerly Conjoined Twins Released From Dallas Hospital

Formerly Conjoined Twins Released From Dallas Hospital

Newsy (Apr. 16, 2014) Conjoined twins Emmett and Owen Ezell were separated by doctors in August. Now, nearly nine months later, they're being released from the hospital. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins