title: [Relationship between dysphagia and malnutritition in patients over 65 years of age].
abstract: OBJECTIVE
  The main objective of this study was to understand the relationship between oropharyngeal dysphagia, nutritional risk factors and functional impairment in the elderly (>65y) admitted to a medical-surgical hospital unit. Secondary objectives were to determine the prevalence of oropharyngeal dysphagia, the nutritional status and their functional capacity.
  
  
  METHODS
  A cross-sectional observational study was performed. It included patients over 65 years of age admitted to the Gastroenterology-Urology Department in La Princesa University Hospital (Madrid, Spain) during the months of February and March. The following variables were recorded: age, sex, body mass index, family support, diagnosis, comorbidity, oropharyngeal dysphagia (EAT-10 and volume-viscosity evaluation method), malnutrition (Mininutritional Assessment) and functional capacity (Barthel index).
  
  
  RESULTS
  A total of 167 patients were recruited, with 30.8% and 15.4% prevalence of dysphagia and malnutrition, respectively. Prevalence of malnutrition increased to 75% in patients with oropharyngeal dysphagia. The logistic regression analysis showed how conditions as low score on the Barthel index (OR 0.97 [95% CI, 0.95-0.99]), comorbidity (OR 7.98 [CI 95%, 3.09-20.61]) and dysphagia (OR 4.07 [CI 95%, 1.57-10.52]) were associated with a greater likelihood of suffering malnutrition.
  
  
  CONCLUSIONS
  Oropharyngeal dysphagia is one of the most underdiagnosed and underestimated conditions among elderly patients and one that has a greater effect on their nutritional status. Accordingly, we suggest using established diagnostic methods with a multidisciplinary team collaboration for its early detection.
authors.affiliation: Unidad de Aparato Digestivo y Urología, Hospital Universitario de La Princesa, Madrid, España. Electronic address: mjgalansh@yahoo.es.
authors.forename: María José
authors.initials: MJ
authors.lastname: Galán Sánchez-Heredero
authors.affiliation: Unidad de Aparato Digestivo, Hospital Universitario de La Princesa, Madrid, España.
authors.forename: Cecilio
authors.initials: C
authors.lastname: Santander Vaquero
authors.affiliation: Unidad de Aparato Digestivo y Urología, Hospital Universitario de La Princesa, Madrid, España.
authors.forename: Milagros
authors.initials: M
authors.lastname: Cortázar Sáez
authors.affiliation: Unidad de Aparato Digestivo, Hospital Infanta Cristina, Madrid, España.
authors.forename: Felipe
authors.initials: F
authors.lastname: de la Morena López
authors.affiliation: Departamento de Estadística e Investigación Operativa III, Facultad de Estudios Estadísticos, Universidad Complutense, Madrid, España.
authors.forename: Rosario
authors.initials: R
authors.lastname: Susi García
authors.affiliation: Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense, Madrid, España.
authors.forename: María Del Carmen
authors.initials: Mdel C
authors.lastname: Martínez Rincón
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D003680:Deglutition Disorders / Q000150:complications* / Q000453:epidemiology; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000209:etiology*; D009752:Nutritional Status; D015995:Prevalence; D012307:Risk Factors
keywords: Cribado; Disfagia orofaríngea; Malnutrición; Malnutrition; Oropharyngeal dysphagia; Screening
vernacular_title: Malnutrición asociada a disfagia orofaríngea en pacientes mayores de 65 años ingresados en una unidad médico-quirúrgica.