A Significant Association of Malnutrition with Dysphagia in Acute Patients

A Significant Association of Malnutrition with Dysphagia in Acute Patients

Dysphagia and malnutrition seem to be associated, but little research in detail has been reported. We aimed to clarify the association between dysphagia and malnutrition by adopting accurate diagnosis and mathematical evaluation of dysphagia using videofluorography and nutritional assessment calcula...

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Bibliographic Details
Published in:Dysphagia Vol. 33; no. 2; pp. 258 - 265
Main Authors: Saito, Tsukasa, Hayashi, Keisuke, Nakazawa, Hajime, Yagihashi, Fumika, Oikawa, Leo O., Ota, Tetsuo
Format: Journal Article
Language:English
Published: New York Springer US 01-04-2018
Springer
Springer Nature B.V
Subjects:
Aged
Aged, 80 and over
Analysis
Deglutition disorders
Deglutition Disorders - complications
Diagnosis
Dysphagia
Female
Gastroenterology
Geriatric Assessment
Hepatology
Hospital patients
Humans
Imaging
Male
Malnutrition
Malnutrition - epidemiology
Malnutrition - etiology
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Nutrition
Nutrition Assessment
Nutritional Status
Original Article
Otorhinolaryngology
Product/Service Evaluations
Radiology
Retrospective Studies
Risk Factors
Japan
Deglutition
Dysphagia
Malnutrition
Deglutition disorders
Elderly
GNRI
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Summary:Dysphagia and malnutrition seem to be associated, but little research in detail has been reported. We aimed to clarify the association between dysphagia and malnutrition by adopting accurate diagnosis and mathematical evaluation of dysphagia using videofluorography and nutritional assessment calculated by a well-established nutritional risk index. We conducted a retrospective analysis of 165 enrolled patients who were admitted to our hospital for acute diseases and underwent videofluorography on suspicion of dysphagia in the year 2016. We diagnosed high-risk dysphagia in patients with 8-point penetration–aspiration scale (PAS) score over 4. We used the geriatric nutritional risk index (GNRI) as a nutritional assessment tool. A GNRI score less than 91.2 corresponds to malnutrition. The median age of 165 enrolled patients was 76.0, and the number of female patients was 53. The mean GNRI was 81.2, and 134 patients (81.2%) had malnutrition. The number of the patients with a diagnosis of high-risk dysphagia was 54 (32.7%). The GNRI of patients with high-risk dysphagia was significantly less than that of patients without (mean value 77.7 ± 10.5 vs. 83.0 ± 10.5, P  = 0.003). GNRI < 91.2 was independently and significantly associated with high-risk dysphagia (OR 3.094; CI 1.057–9.058; P  = 0.039). Based on the current study, the authors propose evaluating nutritional status to predict dysphagia risk of patients in the acute phase.
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ISSN:0179-051X
1432-0460
DOI:10.1007/s00455-017-9855-6