Oropharyngeal dysphagia in an elderly post-operative hip fracture population: a prospective cohort study.
Love AL, CornwellPL, Whitehouse SL.
Speech Pathology, The Prince Charles Hospital, Rode Road Chermside, Brisbane, Queensland 4032, Australia.
normalageing processes impact on oropharyngeal swallowing function placing older adults at risk of developing oropharyngeal dysphagia (OD). Anecdotal clinical experience has observedthat older patients recovering from hip fracture surgery commonly develop OD post-operatively.
to document the presence of OD following hip fracture surgery, andthe factors associated with OD.
one hundred and eighty-one patients with a mean age of 83 years (range: 65-103) admitted to a specialised orthogeriatric unit wereassessed for OD post-surgery for hip fracture. Pre-admission, intra-operative and post-operative factors were examined to determine their relationship with the presence of OD.RESULTS:
OD was found to be present post-operatively in 34% (n = 61) of the current population. Multivariate logistic regression analyses revealed the presence of pre-existingneurological and respiratory medical co-morbidities, presence of post-operative delirium, age and living in a residential aged care facility prior to hospital admission to beassociated with the post-operative OD.
these results highlight that OD is present in a large number of the older hip fracture population. Early identification ofOD has important implications for the provision of timely dysphagia management that may prevent secondary complications and potentially reduce the hospital length of stay.