Association between Dysphagia and Surgical Outcomes across the Continuum of Frailty.
| dc.contributor.author | Cohen, Seth M | |
| dc.contributor.author | Porter Starr, Kathryn N | |
| dc.contributor.author | Risoli, Thomas | |
| dc.contributor.author | Lee, Hui-Jie | |
| dc.contributor.author | Misono, Stephanie | |
| dc.contributor.author | Jones, Harrison | |
| dc.contributor.author | Raman, Sudha | |
| dc.date.accessioned | 2023-05-02T13:07:51Z | |
| dc.date.available | 2023-05-02T13:07:51Z | |
| dc.date.issued | 2021-04 | |
| dc.date.updated | 2023-05-02T13:07:51Z | |
| dc.description.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. | |
| dc.identifier.issn | 2155-1197 | |
| dc.identifier.issn | 2155-1200 | |
| dc.identifier.uri | ||
| dc.language | eng | |
| dc.publisher | Informa UK Limited | |
| dc.relation.ispartof | Journal of nutrition in gerontology and geriatrics | |
| dc.relation.isversionof | 10.1080/21551197.2021.1929644 | |
| dc.subject | Humans | |
| dc.subject | Deglutition Disorders | |
| dc.subject | Postoperative Complications | |
| dc.subject | Hospitalization | |
| dc.subject | Length of Stay | |
| dc.subject | Surgical Procedures, Operative | |
| dc.subject | Aged | |
| dc.subject | Risk Adjustment | |
| dc.subject | Female | |
| dc.subject | Male | |
| dc.subject | General Surgery | |
| dc.subject | Frailty | |
| dc.subject | Outcome Assessment, Health Care | |
| dc.title | Association between Dysphagia and Surgical Outcomes across the Continuum of Frailty. | |
| dc.type | Journal article | |
| duke.contributor.orcid | Cohen, Seth M|0000-0002-7965-604X | |
| duke.contributor.orcid | Jones, Harrison|0000-0002-4171-980X | |
| pubs.begin-page | 59 | |
| pubs.end-page | 79 | |
| pubs.issue | 2-3 | |
| pubs.organisational-group | Duke | |
| pubs.organisational-group | School of Medicine | |
| pubs.organisational-group | Basic Science Departments | |
| pubs.organisational-group | Clinical Science Departments | |
| pubs.organisational-group | Institutes and Centers | |
| pubs.organisational-group | Medicine | |
| pubs.organisational-group | Medicine, Geriatrics | |
| pubs.organisational-group | Center for the Study of Aging and Human Development | |
| pubs.organisational-group | Population Health Sciences | |
| pubs.organisational-group | Head and Neck Surgery & Communication Sciences | |
| pubs.publication-status | Published | |
| pubs.volume | 40 |
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