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Updated: Nov 12, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Oropharyngeal dysphagia in older patients with hip fracture
Jesús Mateos-Nozal1, Elisabet Sanchez Garcia1, Estela Romero Rodríguez1
1Servicio de Geriatría, Hospital Universitario Ramón y Cajal (IRYCIS), Madrid, Spain.
Background:
oropharyngeal dysphagia (OD) and hip fracture are common problems in older patients, both associated with important complications.
Objective:
the aim of this study was to measure the prevalence and identify the main risk factors of dysphagia in older patients with hip fracture.
Design:
a prospective study in an orthogeriatric unit of a university hospital over 10 months.
Methods:
a total of 320 patients (mean age 86.2 years, 73.4% women) were assessed for dysphagia within 72 hours post-surgery using the Volume-Viscosity Swallow Test. Geriatric assessment, hip fracture management and complications were examined to determine their relationship with the presence of OD.
Results:
dysphagia was present in 176 (55%) patients. Multivariate logistic regression analysis showed that the presence of delirium during hospitalization and the inability to perform instrumental activities of daily living before admission were associated with OD.
Conclusions:
the prevalence of OD is high in hip fracture patients. Objective dysphagia assessment should be routinely included as part of the geriatric assessment of such patients.
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