The Clinical Frailty Scale as a Risk Assessment Tool for Dysphagia in Older Inpatients: A Cross-Sectional Study

被引:0
|
作者
Kang, Min-gu [1 ]
Ji, Sunghwan [2 ]
Park, Young Ki [2 ,3 ]
Baek, Ji Yeon [2 ]
Kwon, Young Hye [4 ]
Seo, Yeon Mi [4 ]
Lee, Seung Hak [3 ]
Lee, Eunju [2 ]
Jang, Il-Young [2 ]
Jung, Hee-Won [2 ]
机构
[1] Chonnam Natl Univ, Bitgoeul Hosp, Dept Internal Med, 80 Deoknam gil, Gwangju 61748, South Korea
[2] Univ Ulsan, Coll Med, Dept Internal Med, Asan Med Ctr,Div Geriatr, 88 Olympic ro 43-gil, Seoul 05505, South Korea
[3] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Rehabil Med, Seoul, South Korea
[4] Asan Med Ctr, Dept Nursing, Seoul, South Korea
来源
ANNALS OF GERIATRIC MEDICINE AND RESEARCH | 2023年 / 27卷 / 03期
关键词
Dysphagia; Frailty; Clinical Frailty Scale; Older adults; OROPHARYNGEAL DYSPHAGIA; ELDERLY-PATIENTS; DEHYDRATION; DISEASE; IMPACT; MALNUTRITION; RELIABILITY; ASPIRATION; VALIDITY; BURDEN;
D O I
10.4235/agmr.23.0053
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Background: Dysphagia is a common problem with potentially serious consequences including malnutrition, dehydration, pneumonia, and death. However, there are challenges in screening for dysphagia in older adults. We assessed the feasibility of using the Clinical Frailty Scale (CFS) as a risk assessment tool for dysphagia. Methods: This cross-sectional study was conducted at a tertiary teaching hospital from November 2021 to May 2022 and included 131 older patients (age >= 65 years) admitted to acute wards. We used the Eating Assessment Tool-10 (EAT-10), which is a simple measure for identifying individuals at risk of dysphagia, to assess the relationship between EAT-10 score and frailty status as measured using the CFS. Results: The mean age of the participants was 74.3 +/- 6.7 years, and 44.3% were male. Twentynine (22.1%) participants had an EAT-10 score >= 3. The CFS was significantly associated with an EAT-10 score >= 3 after adjusting for age and sex (odds ratio=1.48; 95% confidence interval [CI], 1.09-2.02). The CFS was able to classify the presence of an EAT-10 score >= 3 (area under the receiver operating characteristic [ROC] curve=0.650; 95% CI, 0. 544-0.756). The cutoff point for predicting an EAT-10 score >= 3 was a CFS of 5 according to the highest Youden index, with a sensitivity of 82.8% and a specificity of 46.1%. The positive and negative predictive values were 30.4% and 90.4%, respectively. Conclusion: The CFS can be used as a tool to screen for the risk of swallowing difficulty in older inpatients to determine clinical management encompassing drug administration routes, nutritional support, prevention of dehydration, and further evaluation of dysphagia.
引用
收藏
页码:204 / 211
页数:8
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