Combined systematic screening for malnutrition and dysphagia in hospitalized older adults: a scoping review
BMC Geriatrics,
Год журнала:
2024,
Номер
24(1)
Опубликована: Май 21, 2024
Abstract
Background
Dysphagia
affects
about
40%
of
patients
admitted
to
acute
geriatric
wards,
as
it
is
closely
associated
with
diseases
that
rise
in
prevalence
advancing
age,
such
stroke,
Parkinson’s
disease,
and
dementia.
Malnutrition
a
highly
predictive
factor
dysphagia
well
one
the
most
common
symptoms
caused
by
dysphagia.
Thus,
two
conditions
may
exist
simultaneously
but
also
influence
each
other
negatively
quickly
cause
functional
decline
especially
older
adults.
The
purpose
this
review
was
determine
whether
institutions
have
established
protocol
combining
screenings
for
malnutrition
on
global
scale.
If
combined
screening
protocols
been
implemented,
respective
derived
measures
will
be
reported.
Methods
A
scoping
conducted.
systematic
database
search
carried
out
January
February
2024.
Studies
were
included
examined
adult
hospitalized
who
systematically
screened
malnutrition.
results
managed
through
software
tool
Covidence.
titles
abstracts
handled
independently
reviewers;
conflicts
discussed
resolved
consensus
between
three
authors.
This
procedure
retained
full-text
analysis
extraction.
extraction
template
piloted
revised
following
feedback
prior
extraction,
which
Results
total
2014
studies
found,
1075
abstract
screening,
80
full
text
screening.
In
end,
27
extracted
reported
reporting
guideline
PRISMA
extension
Scoping
Reviews.
Conclusion
Most
considered
association
varying
outcomes
nutritional
status,
pneumonia,
oral
nutrition,
swallowing
function.
Only
had
implemented
multi-professional
nutrition
teams.
Язык: Английский
Eating difficulties among Nigerian community-dwelling stroke survivors: prevalence, correlates, and association with quality of life
BMC Public Health,
Год журнала:
2025,
Номер
25(1)
Опубликована: Фев. 7, 2025
Eating
ability
is
central
to
human
existence
and
survival,
societal
acceptance,
life
satisfaction,
social
participation.
Although
eating
difficulties
(EDs)
are
common
after
stroke,
few
studies
reporting
their
impact
on
the
quality
of
(QoL)
stroke
survivors.
This
study
aimed
assess
prevalence,
correlates,
association
EDs
with
QoL
among
A
cross-sectional
233
(Mean
age:
59.6
±
10.9
years;
52.8%
female)
Nigerian
community-dwelling
survivors
attending
rehabilitation
at
three
public
hospitals
was
conducted.
The
Minimal
Observation
Form–
version
II
WHOQOL-BREF
were
used
collect
data
respectively.
Socio-demographic,
stroke-related,
clinical
characteristics
patients
assessed
using
structured
questionnaires.
each
domain
(physical
health,
psychological
relationships,
environmental
perceived
health
status,
overall
QoL)
hierarchical
regression
analyses.
majority
(60.9%)
had
least
one
form
ED.
Among
types
assessed,
difficulty
energy/appetite
(45.1%)
most
prevalent,
followed
by
ingestion
(43.8%)
deglutition
(40.8%).
results
showed
that
associated
haemorrhagic
(r
=
0.158;
p
0.016),
right-sided
hemiplegia
0.172;
0.008),
increasing
severity
0.466;
<
0.001),
co-morbidity
0.384;
poor
oral
0.511;
mental
0.260;
affected
grip
strength
(r=
-0.157;
nutritional
status
-0.362;
low
functional
-0.415;
support
-0.257;
0.001).
After
adjustments,
independently
explained
10.7%
variance
in
(β=
-0.467;
4.7%
relationships
-0.308;
2.4%
-0.221;
0.002),
7.4%
-0.383;
However,
accounted
for
physical
domains
insignificant.
prevalence
high,
which
many
stroke-related
factors.
Meanwhile,
reduced
WHOQOL-BREF.
Emphasis
screening
management
protocols
may
assist
improving
survivors'
QoL.
Язык: Английский