dc.contributor
Institut Català de la Salut
dc.contributor
[Dini F, Mancini S, Girelli A, Perelli Ercolini D, Reggiani A, Alonso YS] Intermediate Care and Rehabilitation, Azienda Speciale “Cremona Solidale”, Cremona, Italy. [Inzitari M] Grup de Recerca en Envelliment, Fragilitat i Transicions a Barcelona, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Parc Sanitari Pere Virgili, Barcelona, Spain. [Morandi A] Intermediate Care and Rehabilitation, Azienda Speciale “Cremona Solidale”, Cremona, Italy. Grup de Recerca en Envelliment, Fragilitat i Transicions a Barcelona, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Parc Sanitari Pere Virgili, Barcelona, Spain. Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy
dc.contributor
Vall d'Hebron Barcelona Hospital Campus
dc.contributor.author
Dini, Francesca
dc.contributor.author
Mancini, Stefania
dc.contributor.author
Girelli, Alessia
dc.contributor.author
Perelli Ercolini, Daniela
dc.contributor.author
Reggiani, Alessandro
dc.contributor.author
Alonso, Yanely Sarduy
dc.contributor.author
Inzitari, Marco
dc.contributor.author
Morandi, Alessandro
dc.date.accessioned
2025-10-24T08:53:02Z
dc.date.available
2025-10-24T08:53:02Z
dc.date.issued
2025-04-22T11:39:02Z
dc.date.issued
2025-04-22T11:39:02Z
dc.date.issued
2025-03-17
dc.identifier
Dini F, Mancini S, Girelli A, Perelli Ercolini D, Reggiani A, Alonso YS, et al. Dysphagia and geriatric syndromes in older patients admitted to an intermediate care unit: prospective observational study. Aging Clin Exp Res. 2025 Mar 17;37:89.
dc.identifier
http://hdl.handle.net/11351/12980
dc.identifier
10.1007/s40520-025-02950-8
dc.identifier
001447013900003
dc.identifier.uri
http://hdl.handle.net/11351/12980
dc.description.abstract
Dysphagia; Geriatric syndrome; Intermediate care
dc.description.abstract
Disfagia; Síndrome geriátrico; Cuidados intermedios
dc.description.abstract
Disfàgia; Síndrome geriàtrica; Atenció intermèdia
dc.description.abstract
Background: Dysphagia is a geriatric syndrome often unrecognized or underestimated, and there is a lack of studies in a heterogeneous population in intermediate care (IC) services. This study aims to describe the prevalence of dysphagia and its association with geriatric syndromes in older patients in IC.
Methods: Prospective cohort study of patients 70 years and older admitted to an IC unit. At admission, the severity of the clinical conditions, comorbidity, delirium, frailty, sarcopenia, nutritional status, and medications were assessed. Each patient was evaluated with the 3-OZ test, and dysphagia was confirmed by a speech therapy consultation. Two multivariable logistic regression models were used to evaluate the association of dysphagia at admission with geriatric syndromes (model 1), along with the severity of illness and admission diagnosis (model 2).
Results: A total of 455 patients were included. The prevalence of dysphagia was 10% and there was a high prevalence of mild-moderate dysphagia in patients with cognitive impairment and moderate risk of malnutrition. In the univariate analysis, an association was found between dysphagia and sarcopenia, malnutrition, and use of antipsychotics. In Model 1, higher odds of dysphagia were associated with the severity of comorbidity (Odds Ratio 6.49, 95% Confidence Interval: 2.02-20.78), and cognitive impairment (OR 0.91, 95% CI: 0.88-10.62); in Model 2, the severity of clinical conditions-NEWS2 (OR 1.61, 95% CI: 1.23-2.13) was associated with dysphagia, besides the severity of comorbidity and cognitive impairment. In a subset of 300 patients, delirium was also associated with dysphagia.
Conclusions: The study provides novel information on dysphagia prevalence in patients admitted to an IC unit and its association with geriatric syndromes. Additional research is needed to further define the relationship between geriatric syndromes and dysphagia, and to adequately standardize speech therapist treatments.
dc.description.abstract
Open access funding provided by Università degli Studi di Brescia within the CRUI-CARE Agreement.
dc.format
application/pdf
dc.relation
Aging Clinical and Experimental Research;37
dc.relation
https://doi.org/10.1007/s40520-025-02950-8
dc.rights
Attribution 4.0 International
dc.rights
http://creativecommons.org/licenses/by/4.0/
dc.rights
info:eu-repo/semantics/openAccess
dc.subject
Persones grans
dc.subject
Trastorns de la deglució
dc.subject
Residències de persones grans
dc.subject
DISEASES::Digestive System Diseases::Gastrointestinal Diseases::Esophageal Diseases::Deglutition Disorders
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NAMED GROUPS::Persons::Age Groups::Adult::Aged
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HEALTH CARE::Health Care Facilities, Manpower, and Services::Health Facilities::Residential Facilities::Nursing Homes::Intermediate Care Facilities
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DISEASES::Pathological Conditions, Signs and Symptoms::Signs and Symptoms::Neurologic Manifestations::Neurobehavioral Manifestations::Confusion::Delirium
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ENFERMEDADES::enfermedades del sistema digestivo::enfermedades gastrointestinales::enfermedades del esófago::trastornos de la deglución
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DENOMINACIONES DE GRUPOS::personas::Grupos de Edad::adulto::anciano
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ATENCIÓN DE SALUD::instalaciones, servicios y personal de asistencia sanitaria::centros sanitarios::instituciones residenciales::residencias geriátricas::centros sanitarios intermedios
dc.subject
ENFERMEDADES::afecciones patológicas, signos y síntomas::signos y síntomas::manifestaciones neurológicas::manifestaciones neuroconductuales::confusión::delirio confusional
dc.title
Dysphagia and geriatric syndromes in older patients admitted to an intermediate care unit: prospective observational study
dc.type
info:eu-repo/semantics/article
dc.type
info:eu-repo/semantics/publishedVersion
