The current status and influencing factors of swallowing disorder in hospitalized elderly patients aged ≥85 years
10.3760/cma.j.issn.0254-9026.2025.10.011
- VernacularTitle:住院≥85岁患者吞咽功能障碍现状及影响因素探讨
- Author:
Lu LIU
1
;
Yijun ZHANG
1
Author Information
1. 中国人民解放军南部战区总医院干部病房二科，广州 510030
- Publication Type:Journal Article
- Keywords:
Swallowing dysfunction;
Influencing factors;
Advanced aged;
Inpatients
- From:
Chinese Journal of Geriatrics
2025;44(10):1389-1394
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the current status of swallowing dysfunction in hospitalized very elderly patients and analyze the related influencing factors.Methods:A cross-sectional study was conducted, selecting data from 72 very elderly patients aged 85-100 years(mean age: 91.5±3.9 years)who met the inclusion criteria in the geriatrics department of a tertiary hospital in Guangzhou from July to December 2023.A comprehensive geriatric assessment was performed, including tools for orofacial function, nutrition, frailty, polypharmacy, comorbidity index, sarcopenia, cognition, and emotional/psychological status.Swallowing dysfunction was screened and its severity assessed using the EAT-10 and SSA scales, followed by analysis of related influencing factors.Results:Among the 72 very elderly patients, EAT-10 screening indicated a positive rate of swallowing dysfunction of 83.3%(60/72). Univariate analysis showed that age, body mass index, history of choking, nutritional status, cognitive function, frailty, comorbidity index, and calf circumference were associated with swallowing dysfunction, with statistically significant differences(all P<0.05). Multivariate logistic regression analysis revealed that age( OR=1.079, 95% CI: 1.011-1.151), nutritional status( OR=3.709, 95% CI: 1.825-7.540), impaired activities of daily living( OR=0.723, 95% CI: 0.578-0.905), frailty( OR=1.640, 95% CI: 1.274-2.110), and number of falls( OR=1.922, 95% CI: 1.050-2.984)were correlated with swallowing dysfunction(all P<0.05). Conclusions:The prevalence of swallowing dysfunction is high among hospitalized very elderly patients, with age, nutritional status, number of falls, activities of daily living, and frailty identified as independent risk factors.Early risk screening and intervention for swallowing function should be strengthened clinically to reduce complications associated with swallowing dysfunction.
