ERIC Number: EJ1155813
Record Type: Journal
Publication Date: 2017-Sep
Abstractor: As Provided
Indicators of Dysphagia in Aged Care Facilities
Pu, Dai; Murry, Thomas; Wong, May C. M.; Yiu, Edwin M. L.; Chan, Karen M. K.
Journal of Speech, Language, and Hearing Research, v60 n9 p2416-2426 Sep 2017
Purpose: The current cross-sectional study aimed to investigate risk factors for dysphagia in elderly individuals in aged care facilities. Method: A total of 878 individuals from 42 aged care facilities were recruited for this study. The dependent outcome was speech therapist-determined swallowing function. Independent factors were Eating Assessment Tool score, oral motor assessment score, Mini-Mental State Examination, medical history, and various functional status ratings. Binomial logistic regression was used to identify independent variables associated with dysphagia in this cohort. Results: Two statistical models were constructed. Model 1 used variables from case files without the need for hands-on assessment, and Model 2 used variables that could be obtained from hands-on assessment. Variables positively associated with dysphagia identified in Model 1 were male gender, total dependence for activities of daily living, need for feeding assistance, mobility, requiring assistance walking or using a wheelchair, and history of pneumonia. Variables positively associated with dysphagia identified in Model 2 were Mini-Mental State Examination score, edentulousness, and oral motor assessments score. Conclusions Cognitive function, dentition, and oral motor function are significant indicators associated with the presence of swallowing in the elderly. When assessing the frail elderly, case file information can help clinicians identify frail elderly individuals who may be suffering from dysphagia.
Descriptors: Eating Disorders, Risk Assessment, Older Adults, Residential Care, Measures (Individuals), Regression (Statistics), Cohort Analysis, Cognitive Ability, Psychomotor Skills, Males, Daily Living Skills, Medical Care Evaluation, Medical Services, Assistive Technology, Diseases
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Authoring Institution: N/A