P078 - ANALYSIS OF NUTRITIONAL STATUS OF PATIENTS WITH DYSPHAGIA

P078

ANALYSIS OF NUTRITIONAL STATUS OF PATIENTS WITH DYSPHAGIA

G. E. Olaya-Loor^1,*, N. Burca¹, V. Fuchs-Tarlosvky²

¹Geriatrics Deparment, Hospital Sociosanitario Sant Jaume de Calella, Calella, Spain, ²Clinical Nutrition Deparment, Hospital General de Mexico, Mexico, Mexico

Rationale: Dysphagia and malnutrition are closely related and can be attributed to diminished dietary intake, decreased caloric and essential nutrient intake due to the less palatable nature of modified diets, muscular weakness and sarcopenia, specially in hospital settings.

Methods: A cross-sectional study was performed in a 24-hours observation at a social health center in Barcelona. Was determined through non-probabilistic convenience sampling including patients with a confirmed diagnosis of dysphagia (n=19) based on the MECV-V assessment tool.

Results: 19 participants aged 79.6 ± 11.7; 57.8% females, 99% lived at home and 47.3% admitted to the Mid-Stay Unit. Hospital length of stay was 34 days. Admissions diagnosis were cardiorespiratory diseases (36.8%), fractures (21%), and strokes (15.7%). Barthel Index was scored 30.5 ± 24.1 points. Body mass index scored 26.01 kg/m² and the MNA-SF scored 5.6 ± 2.7 points. A shredded diet was prescribed in 68.4%, 52.6% received a nectar-textured diet and 60% medium-volume. The prevalence of malnutrition was notably high (79%), however <40% received nutritional supplements and thickened was percribed 26.3%. Prescription of mobilization were issued in <40% of cases.

Conclusion: The incidence of malnutrition among patients with dysphagia admitted to the social health center exceeded the estimated general average (8-49%). Very few cases received any form of nutritional intervention beyond modifications to diet textures and liquid volumes. It is essential to recognize that dysphagia necessitates a multidisciplinary approach to preclude adverse outcomes.

References: S. Carrión, M. Cabré, et al. Oropharyngeal dysphagia is a prevalent risk factor for malnutrition in a cohort of older patients admitted with an acute disease to a general hospital. Clin Nutr [Internet]., 34 (2015), pp. 436-442 http://dx.doi.org/10.1016/j.clnu.2014.04.014

Disclosure of Interest: None declared