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Eglseer, D; Lohrmann, C.
Dysphagia and Malnutrition in Older Hospitalized Adults.
AKTUELLE ERNÄHRUNGSMEDIZIN. 2016; 41: 450-455. Doi: 10.1055/s-0042-119779
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Leading authors Med Uni Graz: Eglseer Doris
Co-authors Med Uni Graz: Lohrmann Christa
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Abstract:: About 15% of older adults suffer from dysphagia. The number of affected patients increases with age and frailty, therefore the prevalence in frail older hospitalized patients accounts for up to 47%. Patients with dysphagia show high morbidity and mortality, which is mainly due to the development of negative consequences such as aspiration pneumonia, malnutrition and dehydration. Patients with dysphagia are significantly more frequently affected by malnutrition than those without. In clinical practice, it is therefore particularly important to identify dysphagia at an early stage and to initialize nutrition therapy by dietitians alongside medical and speech therapy. This is of particular importance for high risk patients, e.g. neurology patients, but also generally recommended for older hospitalized adults because age per se is a risk factor for the occurrence of dysphagia. A multidisciplinary team is an indispensable prerequisite for the detection, diagnosis and therapy of patients with dysphagia because various professions may contribute to adequate dysphagia management. One of the main interventions in the treatment of dysphagia is the compensatory adaptation of food/fluid consistency. According to current literature, there is evidence for the thickening of liquids, adjustment of food consistency and individual counseling by dietitians. These interventions are recommended as dietary therapeutic measures. Conversely, adequate nutritional interventions are not always conducted in patients with dysphagia in clinical practice, as shown by the data from the annual International Prevalence Measurement of Care Problems. Adequate nutritional therapy, however, should be used to avoid negative consequences and to improve the prognosis and quality of life of those affected by dysphagia.
Find related publications in this database (Keywords): swallowing disorder; dysphagia; malnutrition; screening; nutritional therapy; nutrition