Prevalencia de disfagia en los ancianos ingresados en una unidad de hospitalización a domicilio / Prevalence of dysphagia in elderly patients treated in a hospital at home unit
Rev. esp. geriatr. gerontol. (Ed. impr.)
; 42(1): 55-58, ene. 2007. tab, graf
Article
in Es
| IBECS
| ID: ibc-053047
Responsible library:
ES1.1
Localization: ES1.1 - BNCS
RESUMEN
Se presentan datos de prevalencia de disfagia en población atendida tras hospitalización aguda en seguimiento por una unidad de hospitalización a domicilio (UHD). Se investigan 440 pacientes admitidos de forma consecutiva en la UHD del Hospital la Fe, en los que se valora la presencia de disfagia previa y tras el episodio agudo y su relación con edad y comorbilidad. Se realiza intervención nutricional en domicilio y control clínico al mes. La prevalencia de disfagia durante el proceso agudo de hospitalización y permanencia en la UHD fue del 31,8% (intervalo de confianza [IC] del 95%, 27,6-36,4%), siendo ésta significativamente mayor que la previa al ingreso 23,0% (IC del 95%, 19,5-26,5%); p 0,05). La mortalidad durante el primer mes fue del 12,0%. Las medidas de detección y tratamiento específico adoptadas no evitaron cifras elevadas de disfagia (8%) en el seguimiento. Se concluye que la disfagia es un problema frecuente en unidades que atienden a población con edad avanzada y comorbilidad de tipo neurológico, que aumenta con la hospitalización reciente y requiere una intervención específica tras el alta
ABSTRACT
We present data on the prevalence of dysphagia in a population followed-up by a hospital at home unit after acute hospitalization. A total of 440 consecutive patients were studied. The presence of dysphagia before and after the acute episode and its association with age and comorbidity were evaluated. The patients underwent a domiciliary nutritional intervention and clinical evaluation at 1 month was performed. The prevalence of dysphagia during the acute hospitalization phase and follow-up by the hospital at home unit was 31.8% (95% confidence interval [CI], 27.6-36.4%), which was significantly higher than that before admission 23.0% (95% CI, 19.5-26.5%); p 0.05). Mortality during the first month was 12.0%. The detection methods and specific treatments adopted did not prevent dysphagia in a high percentage of patients (8%) during follow-up. In conclusion, dysphagia is a frequent problem in units attending the elderly population with neurological comorbidity. This disorder increases with recent hospitalization and requires specific interventions after discharge
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Collection:
National databases
/
Spain
Health context:
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Alzheimer’s Disease and other Dementias
/
Cardiovascular Disease
/
Cerebrovascular Disease
/
Digestive System Diseases
/
Mental Health and Behavioral Disorders
Database:
IBECS
Main subject:
Deglutition Disorders
/
Stroke
/
Dementia
/
Home Care Services
Type of study:
Etiology study
/
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
/
Screening study
Limits:
Aged
/
Female
/
Humans
/
Male
Country/Region as subject:
Europa
Language:
Spanish
Journal:
Rev. esp. geriatr. gerontol. (Ed. impr.)
Year:
2007
Document type:
Article
Institution/Affiliation country:
Hospital Universitari La Fe/España