Dysphagia prevalence and associated risk factors in geriatric patients receiving home care

Authors : Nur ŞİMŞEK YURT, Esra BÖCEK AKER

Pages : 236-242

Doi:10.18521/ktd.1230312

View : 52 | Download : 53

Publication Date : 2023-06-22

Article Type : Research Paper

Abstract :Objective: In our study, it was aimed to determine dysphagia prevalence in patients 65 years of age and older who were received home care and to assess factors associated with dysphagia. Methods: This cross-sectional, descriptive study was conducted in patients who were registered to Home Care Services of Samsun Training and Research Hospital between December 1, 2021, and March 1, 2022. In all patients, demographic data, level of dependence, nutrition methods, use of enteral nutrition supplement, body mass index insert ignore into journalissuearticles values(BMI);, and comorbidity were assessed by Charlson Comorbidity Index insert ignore into journalissuearticles values(CCI); while dysphagia symptoms were assessed by Eating Assessment Tool insert ignore into journalissuearticles values(EAT-10); and nutritional status was assessed by Nutritional Risk Screening-2002 insert ignore into journalissuearticles values(NRS); using face-to-face interview method. Results: A total of 413 patients were included in our study, of which 62.5% insert ignore into journalissuearticles values(n=258); were female. Dysphagia symptoms were present in 44.6% insert ignore into journalissuearticles values(n=184);. The dysphagia prevalence was significantly high in male patients insert ignore into journalissuearticles values(p=0.025);, in patients aged ≥85 years insert ignore into journalissuearticles values(p=0.001);, in those with high CCI score insert ignore into journalissuearticles values(p<0.001);, in those with cerebrovascular disease insert ignore into journalissuearticles values(p<0.001);, dementia insert ignore into journalissuearticles values(p<0.001);, and hemiplegia insert ignore into journalissuearticles values(p=0.001);, and in bedridden patients insert ignore into journalissuearticles values(p<0.001);. Similarly, dysphagia prevalence was higher in patient with nutritional risk and those using enteral nutrition supplement insert ignore into journalissuearticles values(p<0.001);. In multivariate logistic regression analysis, it was found that dementia and increased nutritional risk were independent risk factors for presence of dysphagia symptoms insert ignore into journalissuearticles values(p<0.001);. Conclusion: Our study showed a high prevalence of dysphagia in the geriatric patient population receiving home care. It has been determined that the rate of dysphagia is increased in patients with older age, nutritional risk, dementia, cerebrovascular disease, and multiple comorbidities.
Keywords : Evde bakım hizmetleri, yutma bozuklukları, yaşlı, komorbidite