The DOI matches its Crossref record; 8 of the 8 references it cites were found in a registry or an index.
Consequence of Dysphagia in the Hospitalized Patient: Impact on Prognosis and Hospital Resources
Abstract
OBJECTIVE: To determine if comorbid dysphagia in all hospitalized patients has the potential to prolong hospital stay and increase morbidity. Dysphagia is increasingly prevalent with age and comorbid medical conditions. Our research group has previously shown that dysphagia is a bad prognostic indicator in patients with stroke. DESIGN: Analysis of national database. MAIN OUTCOME MEASURES: The National Hospital Discharge Survey (NHDS), 2005-2006, was evaluated for presence of dysphagia and the most common comorbid medical conditions. Patient demographics, associated disease, length of hospital stay, morbidity and mortality were also evaluated. RESULTS: There were over 77 million estimated hospital admissions in the period evaluated, of which 271,983 were associated with dysphagia. Dysphagia was most commonly associated with fluid or electrolyte disorder, esophageal disease, stroke, aspiration pneumonia, urinary tract infection, and congestive heart failure. The median number of hospitalization days for all patients with dysphagia was 4.04 compared with 2.40 days for those patients without dysphagia. Mortality increased substantially in patients with dysphagia associated with rehabilitation, intervertebral disk disorders, and heart diseases. CONCLUSIONS: Dysphagia has a significant impact on hospital length of stay and is a bad prognostic indicator. Early recognition of dysphagia and intervention in the hospitalized patient is advised to reduce morbidity and length of hospital stay.
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Cites
Formal Dysphagia Screening Protocols Prevent Pneumonia
Hinchey, J. A., Shephard, T., Furie, K., Smith, D., Wang, D., & Tonn, S. (2005) · Stroke · doi:10.1161/01.str.0000177529.86868.8d · Cited by 543
National hospital discharge survey: 2004 annual summary with detailed diagnosis and procedure data.
Kozak, L. J., DeFrances, C. J., & Hall, M. J. (2006) · PubMed · Cited by 456
National Hospital Discharge Survey: 2003 annual summary with detailed diagnosis and procedure data.
Kozak, L. J., Lees, K. A., & DeFrances, C. J. (2006) · PubMed · Cited by 422
Barker, J., Martino, R., Reichardt, B., Hickey, E. J., & Ralph-Edwards, A. C. (2009) · PubMed · Cited by 220
Swallowing Disturbance Pattern Relates to Brain Lesion Location in Acute Stroke Patients
Steinhagen, V., Großmann, A., Benecke, R., & Walter, U. (2009) · Stroke · doi:10.1161/strokeaha.108.535468 · Cited by 132
Triaging dysphagia: nurse screening for dysphagia in an acute hospital
Cichero, J. A. Y., Heaton, S., & Bassett, L. V. (2009) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2009.02797.x · Cited by 122
Altman, K. W., Schaefer, S. D., Yu, G., Hertegård, S., Lundy, D. S., Blumin, J. H., Maronian, N. C., Heman‐Ackah, Y. D., Abitbol, J., & Casiano, R. R. (2007) · Otolaryngology · doi:10.1016/j.otohns.2007.02.032 · Cited by 45
Self-citationPostacute Reevaluation May Prevent Dysphagia-Associated Morbidity
Heckert, K. D., Komaroff, E., Adler, U. S., & Barrett, A. M. (2009) · Stroke · doi:10.1161/strokeaha.108.533489 · Cited by 28
Cited by
Baijens, L. W., Clavé, P., Cras, P., Ekberg, O., Forster, A., Kolb, G., Leners, J. C., Masiero, S., Mateos del Nozal, J., Ortega, O., et al. (2016) · Clinical Interventions in Aging · doi:10.2147/cia.s107750 · Cited by 773
Wirth, R., Dziewas, R., Beck, A. M., Clave, P., Heppner, H. J., Langmore, S., Leischker, A., Martino, R., Pluschinski, P., Rösler, A., et al. (2016) · Clinical Interventions in Aging · doi:10.2147/cia.s97481 · Cited by 548
Dysphagia in acute stroke: incidence, burden and impact on clinical outcome
Arnold, M., Liesirova, K., Broeg-Morvay, A., Meisterernst, J., Schlager, M., Mono, M.-L., El-Koussy, M., Kägi, G., Jung, S., & Sarikaya, H. (2016) · PLOS ONE · doi:10.1371/journal.pone.0148424 · Cited by 398
Macht, M., Wimbish, T., Clark, B. J., Benson, A. B., Burnham, E. L., Williams, A., & Moss, M. (2011) · Critical Care · doi:10.1186/cc10472 · Cited by 355
Carrión, S., Cabré, M., Monteis, R., Roca, M., Palomera, E., Serra-Prat, M., Rofes, L., & Clavé, P. (2015) · Clinical Nutrition · doi:10.1016/j.clnu.2014.04.014 · Cited by 351
Metadata
- Authors
- Altman, K. W., Yu, G.-P., & Schaefer, S. D.
- Venue
- Archives of Otolaryngology–Head & Neck Surgery
- Publisher
- American Medical Association (AMA)
- Published
- 2010-08-16
- Volume
- 136
- Issue
- 8
- Pages
- 784
- ISSN
- 0886-4470 (ISSN-L)
- OpenAlex
- W2170040050
- Cited by
- 538
- References
- 8
- FWCI
- 51.04
- Type
- journal article
- Language
- en
- Open access
- closed
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- Altman, K. W., Yu, G.-P., & Schaefer, S. D. (2010). Consequence of Dysphagia in the Hospitalized Patient: Impact on Prognosis and Hospital Resources. Archives of Otolaryngology–Head & Neck Surgery. https://doi.org/10.1001/archoto.2010.129
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