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

Publication ,  Journal Article
Cohen, SM; Porter Starr, KN; Risoli, T; Lee, H-J; Misono, S; Jones, H; Raman, S
Published in: J Nutr Gerontol Geriatr
2021

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.

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Published In

J Nutr Gerontol Geriatr

DOI

EISSN

2155-1200

Publication Date

2021

Volume

40

Issue

2-3

Start / End Page

59 / 79

Location

United States

Related Subject Headings

  • Surgical Procedures, Operative
  • Risk Adjustment
  • Postoperative Complications
  • Outcome Assessment, Health Care
  • Nutrition & Dietetics
  • Male
  • Length of Stay
  • Humans
  • Hospitalization
  • General Surgery
 

Citation

APA
Chicago
ICMJE
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Cohen, S. M., Porter Starr, K. N., Risoli, T., Lee, H.-J., Misono, S., Jones, H., & Raman, S. (2021). Association between Dysphagia and Surgical Outcomes across the Continuum of Frailty. J Nutr Gerontol Geriatr, 40(2–3), 59–79. https://doi.org/10.1080/21551197.2021.1929644
Cohen, Seth M., Kathryn N. Porter Starr, Thomas Risoli, Hui-Jie Lee, Stephanie Misono, Harrison Jones, and Sudha Raman. “Association between Dysphagia and Surgical Outcomes across the Continuum of Frailty.J Nutr Gerontol Geriatr 40, no. 2–3 (2021): 59–79. https://doi.org/10.1080/21551197.2021.1929644.
Cohen SM, Porter Starr KN, Risoli T, Lee H-J, Misono S, Jones H, et al. Association between Dysphagia and Surgical Outcomes across the Continuum of Frailty. J Nutr Gerontol Geriatr. 2021;40(2–3):59–79.
Cohen, Seth M., et al. “Association between Dysphagia and Surgical Outcomes across the Continuum of Frailty.J Nutr Gerontol Geriatr, vol. 40, no. 2–3, 2021, pp. 59–79. Pubmed, doi:10.1080/21551197.2021.1929644.
Cohen SM, Porter Starr KN, Risoli T, Lee H-J, Misono S, Jones H, Raman S. Association between Dysphagia and Surgical Outcomes across the Continuum of Frailty. J Nutr Gerontol Geriatr. 2021;40(2–3):59–79.

Published In

J Nutr Gerontol Geriatr

DOI

EISSN

2155-1200

Publication Date

2021

Volume

40

Issue

2-3

Start / End Page

59 / 79

Location

United States

Related Subject Headings

  • Surgical Procedures, Operative
  • Risk Adjustment
  • Postoperative Complications
  • Outcome Assessment, Health Care
  • Nutrition & Dietetics
  • Male
  • Length of Stay
  • Humans
  • Hospitalization
  • General Surgery