Dysphagia-related Factors And Degree Of Association Of Dysphagia With Frailty In Elderly Inpatients

Objective:To investigate the status of dysphagia and its influencing factors in hospitalized elderly patients,and to explore the correlation between dysphagia and frailty.Methods:The method of self-made questionnaire was used.Patients were randomly selected from the Department of Geriatrics in the First Hospital of Shanxi Medical University from December 2019 to December 2020.The patients were divided into dysphagia group and non-dysphagia Group according to Watian drinking water experiment,and the general data,comprehensive health evaluation and Fried weakness phenotype evaluation were used to evaluate the whole condition of patients.Multiple Logistic regression analysis was used to explore the risk factors of dyspepsia,Kendall correlation analysis was used to test the correlation between dyspepsia and weakness,and p < 0.05 was statistically significant.Results:1.The incidence of dysphagia and frailty were 24.5% and 21.9%.2.Multiple Logistic Regression analysis showed that age(or = 1.135,p < 0.001),cerebrovascular disease(or = 0.139,p < 0.001),cognitive impairment(or = 0.261,p = 0.006),weakness(or = 1.791,p = 0.011)were the risk factors of dysphagia.3.The incidence of dysphagia in patients with different debilitating states: the proportion of patients with dysphagia and the indexes of assessment of dysphagia(such as decreased walking speed,decreased grip strength,decreased activity and conscious fatigue)in patients with dysphagia group was higher than that in patients without dysphagia group.4.Kendall’s correlation analysis shows,dysphagia was positively correlated with frailty(r = 0.451,p < 0.001),weight loss(r = 0.174,p = 0.004),decreased walking speed(r = 0.339,p < 0.001),decreased grip strength(r = 0.391,p < 0.001),decreased activity(r = 0.325,p < 0.001),and perceived fatigue(r = 0.295,p < 0.001).Conclusion:1.The incidence of dysphagia in hospitalized elderly patients was 24.5%.Age,cerebrovascular disease,cognitive impairment and weakness score were independent risk factors for dysphagia.2.dysphagia and faintness degree and faintness index(such as decreased walking speed,decreased grip strength,decreased activity,perceived fatigue)show positive correlation.