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Multicenter Study
. 2019 Dec;75(12):3566-3576.
doi: 10.1111/jan.14188. Epub 2019 Sep 10.

Dysphagia and factors associated with malnutrition risk: A 5-year multicentre study

Vít Blanař  1 , Manuela Hödl  2 , Christa Lohrmann  2 , Yufitriana Amir  3 , Doris Eglseer  2
Affiliations
Multicenter Study

Dysphagia and factors associated with malnutrition risk: A 5-year multicentre study

Vít Blanař et al. J Adv Nurs. 2019 Dec.

Abstract
in English, Chinese

Aims: To describe the associations between dysphagia and malnutrition risk and to identify predictors for dysphagia in a group of persons at risk of malnutrition in hospitals and nursing homes.

Design: A secondary analysis of cross-sectional data from the years 2012-2016.

Methods: The risk of malnutrition was assessed using the Malnutrition Universal Screening Tool for Adults (MUST). The data were compared regarding malnutrition risk and dysphagia. Regression analyses were conducted to identify variables that were associated with the risk of malnutrition and dysphagia.

Results: Patients (N = 17,580) were included in the study sample. The prevalence of dysphagia was 6.6% and the prevalence of malnutrition risk was 18.9%. A multivariable logistic regression analysis resulted in the identification of dysphagia and cancer as variables with the highest odds ratios with regard to malnutrition risk. Patients with cancer, stroke or respiratory diseases represent a high-risk group for the co-occurrence of dysphagia and risk of malnutrition.

Conclusions: Screening for dysphagia should be carried out on patients at risk of malnutrition as an integral part of their admission to a healthcare institution and especially on the higher risk group of patients with cancer, a stroke or a respiratory disease.

Impact: What problem did the study address? This study identified the relationship between dysphagia and malnutrition risk and associated factors. What were the main findings? Dysphagia among patients in the research sample was associated with more than two times higher prevalence of the malnutrition risk. Where and on whom will the research have an impact? Thorough malnutrition risk and dysphagia screening lead to better nursing care.

目的: 描述吞咽困难和营养不良风险之间的关系并确定一组在医院和疗养院有营养不良风险的人吞咽困难的预测因素。 设计: 对2012-2016年的横向数据进行二次分析。 方法: 营养不良的风险是使用成人营养不良普遍筛查工具(MUST)进行评估的。比较营养不良风险和吞咽困难的数据。进行回归性分析以确定与营养不良和吞咽困难风险相关的变量。 结果: 患者(N = 17580)包含在研究样本中。吞咽困难患病率为6.6%,营养不良风险患病率为18.9%。多变量逻辑回归分析结果表明,吞咽困难和癌症是营养不良风险比值比最高的变量。癌症、中风或呼吸系统疾病患者是同时发生吞咽困难和营养不良风险的高危人群。 结论: 应该对有营养不良风险的患者进行吞咽困难筛查,将其作为进入医疗机构的一个组成部分,尤其是对癌症、中风或呼吸道疾病的高风险患者。 影响: 研究解决了什么问题?本研究明确了吞咽困难与营养不良风险及相关因素之间的关系。主要调查结果是什么?在研究样本中,患者吞咽困难与营养不良风险高于2倍的患病率有关。这项研究将在何处、对谁产生影响?彻底的营养不良风险和吞咽困难筛查会带来更好的护理。.

Keywords: associated factors; deglutition; determinants; dysphagia; malnutrition; nursing assessment; prevalence; risk assessment; swallowing.

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References

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