Akademik Veri Yönetim Sistemi
12th International Congress of the European Union Geriatric Medicine Society, Lisbon, Portekiz, 5 - 07 Ekim 2016, cilt.7, sa.1, ss.16-17
Aim: Dysphagia is described a geriartric syndrome that occurs more frequently with aging. This clinical problem is associated with deterioration in functionality, malnutrition, infections, increase in mortality and usually ignored. The prevalence of dysphagia in the elderly among have been reported dysphagia is described a geriartric syndrome that occurs more frequently with aging. This clinical problem is associated with deterioration in functionality, malnutrition, infections, increase in mortality and usually ignored. The prevalence of dysphagia among elderly in many different populations have been reported between 13,8% and 23,4%. In our country, a study investigating the incidence of dysphagia have not been reported. In this study, our aim is screening the prevalance of dysphagia among elderly living in the community in our country.
Materials and methods: The study includes patients admitted to our clinic between July 2015 and March 2016, the patients ages were between 60 and 98 years old and they were prospectively and consecutively included in study. Dysphagia screening was done by scanning the EAT-10 questionnaire. 2 separate threshold for EAT-10 score of dysphagia, threshold (3 or 15) was used. The patients’ age, gender, total disease, the total number of drug were noted. Dysphagia awareness was investigated in patients with detected dysphagia. For this purpose, dysphagia complaints, the patients were asked if they would express dysphagia complaints when there is no screening questionnaire.
Results: The study included 959 elderly patients (272 male, 687 female). Mean age was 74.21 ± 7.4 years. The total number of diseases, the total number of drugs; EAT-10 total score and distribution by and gender are shown in Table 1. In the study population EAT-10 threshold 3 and threshold 15 detected by positive dysphagia screening by prevalence and gender distribution are summarized in Table 2. Patiens with EAT-10 score ≥3 said symptoms without prompting symptoms of dysphagia with a percentage of 32.7%, while this percentage for patients with EAT-10 score >15 was 51.5 (Table 2). In EAT-10 questionnaire, the article which has the highest positivity and the highest score was the item questioning dysphagia with liquids that “I am making extra effort to swallow liquids” (Table 3). Factors independently associated with advanced age and EAT-10 score in linear regression analysiswas established as advanced age (p = 0.007), female gender (p < 0.001) and the high number of drugs (p < 0.001).
Conclusions: In our study, screening the elderly outpatient prevalence of dysphagia; it was found with a significant incidence (64.8%) of dysphagia with threshold EAT-10 score ≥3; when it was 7.1 for thresholds EAT 10 > 15. Dysphagia in the elderly living in the community is a common problem in our country. Close to half of patients with significant dysphagia does not express dysphagia without query. Female sex and drugs excess number are risk factors for dysphagia. Our results suggest the need for performing dysphagia screening in the elderly.