Experimental Gerontology, Год журнала: 2024, Номер 198, С. 112617 - 112617
Опубликована: Ноя. 5, 2024
Older adults are more likely to acquire the severe manifestation of COVID-19 and hospitalised survivors experience significant functionality loss. Thus, we aimed identify level in older due COVID-19, effect inpatient rehabilitation upon functional recovery.
Язык: Английский
Critical Care Medicine, Год журнала: 2025, Номер unknown
Опубликована: Март 27, 2025
To determine the prevalence and characteristics of oropharyngeal dysphagia in critically ill adults during acute postacute care settings. This systematic review was registered on PROSPERO used Preferred Reporting Items for Systematic Reviews Meta-Analyses guidelines. Five electronic databases were searched (PubMed, Scopus, Cochrane Library, CINAHL, Embase) from time inception to September 2024 using search terms: dysphagia, deglutition disorders, swallowing sepsis, postintensive syndrome, COVID-19, critical illness. Independent articles conducted by two raters four inclusion criteria: 1) older than 18 years; 2) diagnosis illness, or ostintensive syndrome dysphagia; 3) underwent clinical swallow evaluation; 4) setting. Two independently assessed levels research evidence risk bias Oxford center Evidence-based Medicine Levels Evidence Modified Downs Black Checklist extracted demographics, study design, assessment methods, outcomes, comorbidities. After removing duplicates, 5058 identified 4844 screened out based title/abstract. Full-text completed 214 articles, 51 met inclusion. Prevalence ranged 15% 100%. Dysphagia persisted up 74% individuals at hospital discharge 22% patients 10 17 months posthospital discharge. Due design limitations, high bias, heterogeneity methods/outcomes, firm conclusions cannot be drawn. However, current data suggest a who persists greater equal 12 Given rates silent aspiration, prospective, longitudinal is needed further understand impact chronic health quality life adults.
Язык: Английский
Процитировано
0
Life, Год журнала: 2024, Номер 14(6), С. 746 - 746
Опубликована: Июнь 12, 2024
Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has led to a global health crisis, exacerbating issues like malnutrition due increased metabolic demands and reduced intake during illness. Malnutrition, significant risk factor, is linked worse outcomes in patients with COVID-19, such as mortality extended hospital stays. This retrospective cohort study investigated the relationship between clinical within 90–180 days using data obtained from TriNetX database. Patients aged >18 years diagnosed COVID-19 1 January 2022, 31 March 2024 were enrolled study. The propensity score-matching (PSM) method was used match (malnutrition group) those without (control group). primary composite outcome cumulative hazard ratio (HR) for post-COVID-19 condition, all-cause hospitalization, 90 180 after diagnosis. secondary individual components of outcomes. Two cohorts, each consisting 15,004 balanced baseline characteristics, identified PSM. During 90–180-day follow-up period, group exhibited higher incidence mortality, or condition (HR = 2.315, 95% confidence interval: 2.170–2.471, p < 0.0001). Compared malnutrition, may be associated adverse
Язык: Английский
Процитировано
1
Medicina, Год журнала: 2023, Номер 59(10), С. 1851 - 1851
Опубликована: Окт. 18, 2023
Background and Objectives: Patients recovering from mild coronavirus disease (COVID-19) reportedly have dysphagia or difficulty in swallowing. We compared the prevalence of between patients diagnosed with COVID-19 those aspiration pneumonia alone. Materials Methods: A retrospective study was conducted January 2020 to June 2023 160 referred for a videofluoroscopic swallowing (VFSS) assess dysphagia. The cohort included 24 pneumonia, 30 without 106 reviewed demographic data, comorbidities, VFSS results using penetration-aspiration scale (PAS) functional (FDS). Results: In comparing (Group A) alone B), no significant differences were observed baseline characteristics, including dysphagia-related comorbidities groups. Group showed milder dysphagia, as evidenced by lower PAS FDS scores, shorter oral pharyngeal transit times (p = 0.001 p 0.003, respectively), fewer residues vallecula pyriform sinuses < 0.03, respectively). When subdivided into A1) A2), both subgroups outperformed B terms specific metrics, such time 0.01), 0.04 0.02, residue However, improved triggering reflex A2 0.02). Conclusion: Mild less severe than This finding consistent across parameters, even when group based on status pneumonia.
Язык: Английский
Процитировано
1
Journal of Clinical Personalized Medicine, Год журнала: 2024, Номер 03(01), С. 32 - 38
Опубликована: Янв. 1, 2024
Язык: Английский
Процитировано
0
BMC Pulmonary Medicine, Год журнала: 2024, Номер 24(1)
Опубликована: Июнь 10, 2024
Abstract Background The mortality of pneumonia in older adults surpasses that other populations, especially with the prevalence coronavirus disease 2019 (COVID-19). Under influence multiple factors, a series geriatric syndromes brought on by age is one main reasons for poor prognosis pneumonia. This study attempts to analyze impact syndrome Methods prospective cross-sectional study. Patients over 65 years old COVID-19 and severe acute respiratory 2 (SARS-CoV-2)-negative community-acquired (SN-CAP) were included research. General characteristics, laboratory tests, length stay (LOS), comprehensive assessment (CGA) collected. Multivariate regression analysis determine independent predictors severity, mortality, LOS COVID-19. At same time, enrolled subjects divided into three categories clustering 10 CGA indicators, their clinical characteristics prognoses analyzed. Results A total 792 study, including 204 SN-CAP (25.8%) 588 (74.2%) There was no significant difference between non-severe regarding LOS, ( P > 0.05), while significantly higher than both < 0.05). Barthel Index used assess activities daily living an risk factor severity linearly correlated cluster based indicators patients groups: Cluster 1 n = 276), named low ability group, worst CGA, LOS; 3 228), called high group best above indicators; 288), medium falls two. Conclusion indicates decreased are Geriatric can help judge adults.
Язык: Английский
Процитировано
0
Experimental Gerontology, Год журнала: 2024, Номер 198, С. 112617 - 112617
Опубликована: Ноя. 5, 2024
Older adults are more likely to acquire the severe manifestation of COVID-19 and hospitalised survivors experience significant functionality loss. Thus, we aimed identify level in older due COVID-19, effect inpatient rehabilitation upon functional recovery.
Язык: Английский
Процитировано
0