Association between Dysphagia and Surgical Outcomes across the Continuum of Frailty.

Journal Article (Journal Article)

This study examined the relationship between dysphagia and adverse outcomes across frailty conditions among surgical patients ≥50 years of age. A retrospective cohort analysis of surgical hospitalizations in the Healthcare Cost and Utilization Project's National Inpatient Sample among patients ≥50 years of age undergoing intermediate/high risk surgery not involving the larynx, pharynx, or esophagus. Of 3,298,835 weighted surgical hospitalizations, dysphagia occurred in 1.2% of all hospitalizations and was higher in frail patients ranging from 5.4% to 11.7%. Dysphagia was associated with greater length of stay, higher total costs, increased non-routine discharges, and increased medical/surgical complications among both frail and non-frail patients. Dysphagia may be an independent risk factor for poor postoperative outcomes among surgical patients ≥50 years of age across frailty conditions and is an important consideration for providers seeking to reduce risk in vulnerable surgical populations.

Full Text

Duke Authors

Cited Authors

  • Cohen, SM; Porter Starr, KN; Risoli, T; Lee, H-J; Misono, S; Jones, H; Raman, S

Published Date

  • 2021

Published In

Volume / Issue

  • 40 / 2-3

Start / End Page

  • 59 - 79

PubMed ID

  • 34048333

Electronic International Standard Serial Number (EISSN)

  • 2155-1200

Digital Object Identifier (DOI)

  • 10.1080/21551197.2021.1929644


  • eng

Conference Location

  • United States