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Autor/inn/enPu, Dai; Murry, Thomas; Wong, May C. M.; Yiu, Edwin M. L.; Chan, Karen M. K.
TitelIndicators of Dysphagia in Aged Care Facilities
QuelleIn: Journal of Speech, Language, and Hearing Research, 60 (2017) 9, S.2416-2426 (11 Seiten)
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Spracheenglisch
Dokumenttypgedruckt; online; Zeitschriftenaufsatz
ISSN1092-4388
DOI10.1044/2017_JSLHR-S-17-0028
SchlagwörterEating 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
AbstractPurpose: 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. (As Provided).
AnmerkungenAmerican Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
Erfasst vonERIC (Education Resources Information Center), Washington, DC
Update2020/1/01
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