Dysphagia, Dementia and Frailty

  title={Dysphagia, Dementia and Frailty},
  author={M A Payne and John E. Morley},
  journal={The journal of nutrition, health \& aging},
  • M. Payne, J. Morley
  • Published 24 April 2018
  • Medicine
  • The journal of nutrition, health & aging
Received March 16, 2018 Accepted for publication March 17, 2018 Dysphagia occurs in 15 to 23% of older persons living in the community (1-4). It is prevalent in hospitalized patients, reaching nearly 50% and up to 90% of hospitalized patients with Community Acquired Pneumonia (4, 5). A study from 19 countries found that dysphagia was present in 13.4% of nursing home residents (6). Patients with dementia and dysphagia are more likely to aspirate than nondemented patients (7). Patients with… 

Dysphagia Profiles Among Inpatients with Dementia Referred for Swallow Evaluation.

Results underscore the importance of evaluating swallowing function in hospitalized patients with ADRD in order to facilitate targeted intervention and determine prevalence and severity of dysphagia.

An Interactive Workshop on Managing Dysphagia in Older Adults With Dementia

A onetime, interactive, case-based session to educate medical residents on how to evaluate and treat dementia-associated dysphagia and address the discrepancy between the limited evidence for dietary modifications and their routine use is created.

Risk factors for aspiration pneumonia in geriatric patients with dementia and prolonged dysphagia

The predictive risk factors for the development of aspiration pneumonia in dementia patients with dysphagia were malnutrition, comorbidities, severe dementia, and severe aspiration scale and tube feeding.

Videofluoroscopic Swallowing Study Findings Associated With Subsequent Pneumonia in Patients With Dysphagia Due to Frailty

The study findings might assist clinicians in making clinical decisions based on the VFSS findings in this population of patients, and the functional dysphagia scale (FDS) scores of the patients who developed subsequent pneumonia were higher than those of the Patients who did not develop subsequent pneumonia.

Association between Dysphagia and Surgical Outcomes across the Continuum of Frailty

Dysphagia may be an independent risk factor for poor postoperative outcomes among surgical patients ≥50 years of age across frailty conditions and is an important consideration for providers seeking to reduce risk in vulnerable surgical populations.

Association Between Dysphagia and Inpatient Outcomes Across Frailty Level Among Patients ≥ 50 Years of Age

Dysphagia was associated with greater LOS, higher total costs, increased non-routine discharges, and more medical complications among both frail and non-frail patients using the three frailty definitions.

Self Reported Dysphagia is not Associated with Sarcopenia Defined by the Revised EWGSOP2 Criteria and Regional Thresholds at the Hospital Among Ambulatory Older Patients

Dysphagia was not associated with sarcopenia defined by the EWGSOP2 criteria in ambulatory hospitalized patients over 60 years of age and further studies using revised criteria, different adjustments and thresholds are needed to reveal possible differences.



Dementia and dysphagia.

Evaluation and management of oropharyngeal dysphagia in different types of dementia: a systematic review.

Pathophysiology, relevance and natural history of oropharyngeal dysphagia among older people.

It is recommended that OD should be recognized as a major geriatric syndrome, and a policy of systematic and universal screening and assessment of OD among older people to prevent its severe complications is recommended.

Dysphagia in patients with frontotemporal lobar dementia.

When assessed via instrumentation, swallowing abnormalities are found in many patients with frontotemporal lobar dementia and the appearance of dysphagia signals progression of FTLD to brainstem systems.

Understanding Dysphagia in Dementia: The Present and the Future

A new focus on development of treatment regimens, possibly involving taste and smell receptor stimulation and rehabilitative exercise that may be implemented during the prodromal stages of dementia, is necessary to prevent or delay further swallowing decline.

Dysphagia in the elderly: management and nutritional considerations

Data describing age related changes in swallowing is reviewed and the relationship of dysphagia in patients following stroke, those with dementia, and in community dwelling elderly is discussed, including both compensatory and rehabilitative approaches.

Eating Difficulties in Patients With Probable Dementia of the Alzheimer Type

The results of this study suggest that eating difficulties occur in a majority of institutionalized DAT patients, but can be managed without resorting to tube feeding.

Oropharyngeal dysphagia in older persons – from pathophysiology to adequate intervention: a review and summary of an international expert meeting

Physicians in charge of older patients should be aware that malnutrition, dehydration, and pneumonia are frequently caused by (unrecognized) dysphagia, and the diagnosis is particularly difficult in the case of silent aspiration.

Dysphagia in Lewy body dementia - a clinical observational study of swallowing function by videofluoroscopic examination

Almost all DLB or PDD patients with subjective signs of dysphagia had pathologic results on VFSE, the majority of pharyngeal type, which has not been reported in DLB before.