1. Association between Dysphagia and Surgical Outcomes across the Continuum of Frailty
- Author
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Hui Jie Lee, Kathryn N Porter Starr, Seth M. Cohen, Sudha R. Raman, Harrison N. Jones, Thomas Risoli, and Stephanie Misono
- Subjects
0301 basic medicine ,Larynx ,Male ,medicine.medical_specialty ,030209 endocrinology & metabolism ,03 medical and health sciences ,0302 clinical medicine ,Postoperative Complications ,Outcome Assessment, Health Care ,otorhinolaryngologic diseases ,medicine ,Humans ,Risk factor ,Esophagus ,Healthcare Cost and Utilization Project ,Aged ,030109 nutrition & dietetics ,Nutrition and Dietetics ,Frailty ,business.industry ,Pharynx ,Retrospective cohort study ,Length of Stay ,Dysphagia ,Hospitalization ,medicine.anatomical_structure ,General Surgery ,Surgical Procedures, Operative ,Emergency medicine ,Female ,Risk Adjustment ,Geriatrics and Gerontology ,medicine.symptom ,business ,Deglutition Disorders ,Surgical patients - Abstract
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.
- Published
- 2021