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Related Experiment Video

Updated: Feb 24, 2026

Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models
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Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models

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Swallowing dysfunction in elderly trauma patients.

Danuel V Laan1, T K Pandian1, Donald H Jenkins1

  • 1Department of Surgery, Mayo Clinic. Divisions of Trauma, Critical Care, and General Surgery. 200 First ST SW, Rochester, MN 55905, United States.

Journal of Critical Care
|August 28, 2017
PubMed
Summary
This summary is machine-generated.

Newly diagnosed dysphagia (swallowing dysfunction) affects over 4% of elderly trauma patients. High comorbidity burden and prolonged ICU stays are linked to this condition.

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Last Updated: Feb 24, 2026

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Area of Science:

  • Geriatric Trauma
  • Swallowing Disorders
  • Epidemiology

Background:

  • Newly diagnosed swallowing dysfunction is rare, with an incidence less than 1% in hospitalized patients.
  • Dysphagia presents unique challenges in the elderly trauma population.

Purpose of the Study:

  • To evaluate the incidence and clinical characteristics of dysphagia in elderly trauma patients.
  • To identify factors associated with newly diagnosed swallowing dysfunction in this demographic.

Main Methods:

  • Retrospective review of an institutional trauma database (2009-2012) for patients aged 75 years and older.
  • Inclusion of patients with newly diagnosed swallowing dysfunction and a matched control group without dysphagia.
  • Collection of demographic data, injury characteristics, Charlson Comorbidity Index (CCI), and intensive care unit (ICU) length of stay (LOS).

Main Results:

  • Out of 1323 eligible patients, 56 (4.2%) had newly identified dysphagia.
  • Patients with dysphagia had a significantly higher mean CCI (3.7 vs. 1.9) and longer hospital (11.4 vs. 5.8 days) and ICU LOS (5.6 vs. 1.9 days).
  • Independent predictors of dysphagia included CCI > 3, in-hospital complications, and ICU LOS > 2 days.

Conclusions:

  • Elderly trauma patients with a high comorbidity burden should be screened for dysphagia.
  • Prolonged ICU stays in elderly trauma patients warrant dysphagia screening.
  • Early identification and management of dysphagia are crucial in elderly trauma survivors.