MIZUNO Satoko
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Assistant Professor
Article types Original article
Language English
Peer review Peer reviewed
Title Construction and Quality Evaluation of the Japanese Sarcopenic Dysphagia Database.
Journal Formal name:The journal of nutrition, health & aging
Abbreviation:J Nutr Health Aging
ISSN code:17604788/12797707
Domestic / ForeginForegin
Volume, Issue, Page 25(7),pp.926-932
Author and coauthor Mizuno S, Wakabayashi H, Fujishima I, Kishima M, Itoda M, Yamakawa M, Wada F, Kato R, Furiya Y, Nishioka S, Momosaki R
Authorship Lead author
Publication date 2021/07
Summary OBJECTIVES:To describe the activity and evaluate the quality of the Japanese sarcopenic dysphagia database.DESIGN:Cohort registry study.SETTING:19 hospitals including 9 acute care hospitals, 8 rehabilitation hospitals, 2 long-term care hospitals, and 1 home visit rehabilitation team.PARTICIPANTS:467 dysphagic patients, aged 20 years and older.MEASUREMENTS:The following indices were assessed at baseline: age, sex, main disease, sarcopenic dysphagia, whole body sarcopenia, Food Intake Level Scale (FILS), malnutrition diagnosed by the Global Leadership Initiative on Malnutrition criteria, oral status assessed by the Revised Oral Assessment Guide or the Oral Health Assessment Tool, activities of daily living assessed by the Functional Independence Measure (FIM) or the Barthel Index (BI), Charlson comorbidity index, C-reactive protein and serum albumin levels, dysarthria, hoarseness, aphasia, pressure ulcers, bladder, bowel, and kidney function, respiratory status, polypharmacy, number of drugs, and involvement of health care professionals and rehabilitation nutrition team. FILS, FIM or BI, and outcome including discharge destination were assessed at follow-up. A simple comparison of cases and evaluation of the quality of data were performed.RESULTS:The mean age was 80.4 ± 11.4 yr. The variable input error was 0. The number of patients with missing data was high for estimated glomerular filtration rate, C-reactive protein, serum albumin, skeletal mass index, and tongue pressure. The prevalence of either probable, possible, or no sarcopenic dysphagia was 105 (23%), 182 (39%), or 179 (38%), respectively. Doctors including physiatrists, nurses, physical therapists, and registered dietitians were involved with most patients, while the rehabilitation nutrition team was involved in only 16% of patients.CONCLUSIONS:The quality of the database was relatively high. Sarcopenic dysphagia is common in patients with dysphagia.
DOI 10.1007/s12603-021-1646-y
PMID 34409973