Category: Geriatric Rehabilitation; Measurement; Stroke
To investigate the dysphagia feature of the oldest old people(Age>80)
Design : We analyzed VFSS date from January 1, 2017 to December 31, 2017 in VHS medical center. This study is retrospective cross sectional study.
We analyzed VFSS studies, which conducted for both in-patients and out-patients who complain swallowing difficulty and visit VHS medical center.
The WHO and the UN defined the older/elderly criteria as 60 to 79 years old and the oldest old as 80 or older patients. Based on this, a total of 206 patients were divided into two groups. : group I (60~79 years old,n=135), group II (80~96 years old, n=71).
Participants (or Animals, Specimens, Cadavers) :
Subjects were referred sample; We included the patients who complain swallowing difficulty and undergo VFSS test.
Interventions: Not applicable.
Main Outcome Measure(s) :
We used penetration aspiration scale(PAS) and videofluoroscopic dysphagia scale(VDS) scores to evaluate and compare between the groups. The etiologies of dysphagia were classified into two categories: neurologic disorders(ND) and non-neurologic disorders(nND). ND included CNS disorders and PNS disorders. nND included local structural lesions involving the head and neck, poor general medical condition, and unknown etiology.
The duration of dysphagia was 17.78 ± 20.04 months in group I and 11.96 ± 17.73 months in group II, which was shorter in group II (p value = 0.047) and It means that group II aggravate dysphagia more rapidly.
Statistically, group II have higher PAS(p value = 0.004) and VDS(p-value 0.001) score and show more severe dysphagia than group I.
Conclusions : Among the elderly population, dysphagia in the oldest old population has a tendency to be more severe with shorter duration of onset compared to the elderly population. If the oldest old patients present with swallowing difficulty, immediate evaluation and therapeutic intervention should be carried out regardless of the etiology.