Prevalence of dysphagia in patients after orthopedic surgery.
Arch Gerontol Geriatr
; 119: 105312, 2024 04.
Article
in En
| MEDLINE
| ID: mdl-38101112
ABSTRACT
OBJECTIVES:
Oropharyngeal dysphagia is one of the most prevalent health complications in older adults. The prevalence of postoperative dysphagia is expected to rise with the increasing number of older patients undergoing orthopedic surgery; however, the specific prevalence and contributing factors remain unclear. This scoping review aimed to identify the prevalence and factors related to postoperative dysphagia in older orthopedic patients.METHODS:
This review included studies published up to September 2022 on postoperative patients aged ≥ 60 years who underwent orthopedic surgery. We searched MEDLINE, EMBASE, CINAHL, CENTRAL, Web of Science, and Ichushi-Web.RESULTS:
In total, 21 of the 2158 identified studies were reviewed. The studies were classified into the three categories according to the surgical site cervical spine disease (n = 12), hip fracture (n = 7), and others (n = 2). The estimated dysphagia prevalence rates [95 % confidence interval] of cervical spine disease, hip fractures, and others were 16 % [8-27], 32 % [15-54], and 6 % [4-8], respectively. Factors related to postoperative dysphagia included cervical alignment in cervical spine disease, being older within the cohort, preoperative health status, malnutrition, and sarcopenia in hip fractures.CONCLUSIONS:
The prevalence of postoperative dysphagia after orthopedic surgery was highest for hip fractures, followed by cervical spine and others. These results suggest non-neurogenic dysphagia in older patients undergoing orthopedic surgery and indicate that sarcopenia may contribute to postoperative dysphagia in this population. Therefore, further research should clarify the trajectory of postoperative dysphagia and the effectiveness of rehabilitation for postoperative dysphagia after orthopedic surgery.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Deglutition Disorders
/
Orthopedic Procedures
/
Sarcopenia
/
Hip Fractures
Limits:
Aged
/
Humans
Language:
En
Journal:
Arch Gerontol Geriatr
Year:
2024
Document type:
Article
Affiliation country:
Japón
Country of publication:
Países Bajos