Low Nutrition before Injury Is a Risk Factor for Dysphagia in Older Patients with Cervical Spinal Cord Injury: Based on a Multicenter Data of 707 Patients.

IF 1.2 Q3 SURGERY

Spine Surgery and Related Research Pub Date : 2024-04-03 eCollection Date: 2024-09-27 DOI:10.22603/ssrr.2023-0227

Naoki Segi, Hiroaki Nakashima, Sadayuki Ito, Jun Ouchida, Noriaki Yokogawa, Takeshi Sasagawa, Toru Funayama, Fumihiko Eto, Kota Watanabe, Satoshi Nori, Takeo Furuya, Atsushi Yunde, Yoshinori Terashima, Ryosuke Hirota, Hideaki Nakajima, Tomohiro Yamada, Tomohiko Hasegawa, Kenichi Kawaguchi, Yohei Haruta, Ko Hashimoto, Yoshito Onoda, Kazuo Nakanishi, Kosuke Misaki, Shota Ikegami, Masashi Uehara, Hidenori Suzuki, Yasuaki Imajo, Hiroshi Uei, Hirokatsu Sawada, Hidetomi Terai, Koji Tamai, Akiyoshi Kuroda, Gen Inoue, Nobuyuki Suzuki, Kenji Kato, Koji Akeda, Norihiko Takegami, Yoichi Iizuka, Yasushi Oshima, Hitoshi Tonomura, Katsuhito Kiyasu, Haruki Funao, Toshitaka Yoshii, Masayuki Ishihara, Takashi Kaito, Shoji Seki, Kenichiro Kakutani, Hiroyuki Tominaga, Tetsuro Ohba, Daisuke Sakai, Bungo Otsuki, Masashi Miyazaki, Seiji Okada, Shiro Imagama, Satoshi Kato

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Abstract

Introduction: For older adults, dysphagia is a serious problem that can occur after spinal cord injury (SCI), but its risk factors are unclear. This study aimed to identify risk factors for dysphagia in elderly patients (≥65 years) with cervical SCI.

Methods: This multicenter study included 707 patients with cervical SCI (mean age 75.3 years). Univariate and multivariate analyses were conducted for patient characteristics and geriatric nutritional risk index (GNRI).

Results: Dysphagia occurred in 69 patients (9.8%). The significant factors were as follows: male sex (odds ratio [OR] 3.43), GNRI <92 (1.83), dementia (2.94), fracture (3.40), complete paralysis (3.61), anterior surgery (3.74), and tracheostomy (17.06). Age was not identified as a risk factor.

Conclusions: Low GNRI before injury was one of the independent risk factors for dysphagia after geriatric cervical SCI. GNRI represents the comprehensive nutritional status of the elderly and reflects feeding function and its recovery capacity.

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受伤前营养不良是老年颈脊髓损伤患者吞咽困难的风险因素：基于 707 例患者的多中心数据。

导言：对于老年人来说，吞咽困难是脊髓损伤（SCI）后可能出现的一个严重问题，但其风险因素尚不清楚。本研究旨在确定颈椎 SCI 老年患者（≥65 岁）吞咽困难的风险因素：这项多中心研究纳入了 707 名颈椎 SCI 患者（平均年龄 75.3 岁）。对患者特征和老年营养风险指数（GNRI）进行了单变量和多变量分析：69名患者（9.8%）出现吞咽困难。结果：69 名患者（9.8%）出现吞咽困难，重要因素如下：男性（几率比[OR]3.43）、GNRI：受伤前低 GNRI 是老年颈椎 SCI 后出现吞咽困难的独立风险因素之一。GNRI 代表了老年人的综合营养状况，反映了喂养功能及其恢复能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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