{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T15:08:39Z","timestamp":1788448119560,"version":"build-2803163510"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,7,17]],"date-time":"2019-07-17T00:00:00Z","timestamp":1563321600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2020,4]]},"abstract":"Objectives\/Hypothesis<\/jats:title>Difficulties swallowing may lead to aspiration pneumonia and death. In a hospital setting where patients are admitted for other causes, we hypothesized that the additional burden of a swallow problem would increase length of stay, rate of pneumonia, cost, readmissions, and morbidity compared to those without dysphagia.<\/jats:p><\/jats:sec>Study Design<\/jats:title>Retrospective parallel cohort study.<\/jats:p><\/jats:sec>Methods<\/jats:title>A study of patients admitted to the hospital with hip\/femur fracture was completed. Two groups were identified and compared: those with a coded diagnosis of dysphagia (n = 165) in addition to hip\/femur fracture (HF\u2009+\u2009D), and a group with hip fracture alone (HF\u2010D) (n = 2,288) (International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification<\/jats:italic>). Number of inpatient days, cost per patient, diagnosis of pneumonia, 30\u2010day readmission, and mortality rates were compared.<\/jats:p><\/jats:sec>Results<\/jats:title>For those in the HF\u2009+\u2009D group, mean age was 85 years compared to 78 years in the HF\u2010D group (P<\/jats:italic> <\u2009.05); length of stay was 32 days, more than twice that of the HF\u2010D group (14 days) (P<\/jats:italic> <\u2009.05). Mortality within 30 days of admission was significantly higher (18% vs. 4%,respectively) but 30\u2010day readmission rate was similar (8% vs. 11%, respectively). Rate of aspiration pneumonia was 14 times greater in HF\u2009+\u2009D (9.7%) compared with HF\u2010D (0.7%). Average admission cost was NZD$36,913 (HF\u2009+\u2009D) compared with NZD$22,222 (HF\u2010D) (P<\/jats:italic> <\u2009.05).<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Complaint of dysphagia, in addition to hip fracture, increases a patient's average admission cost by 60%. It is associated with increased aspiration pneumonia and greater mortality. Dysphagia screening at admission to hospital would allow early identification of swallow compromise and may prevent complications and reduce costs.<\/jats:p><\/jats:sec>Level of Evidence<\/jats:title>3b Laryngoscope<\/jats:italic>, 130:974\u2013979, 2020<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.28194","type":"journal-article","created":{"date-parts":[[2019,7,17]],"date-time":"2019-07-17T13:03:42Z","timestamp":1563368622000},"page":"974-979","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":48,"title":["Economic costs of dysphagia among hospitalized patients"],"prefix":"10.1002","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3302-7045","authenticated-orcid":false,"given":"Jacqui","family":"Allen","sequence":"first","affiliation":[{"name":"Department of Otolaryngology WDHB, Greene i3, WDHB. Miles \u2010 Faculty of Speech Science, University of Auckland Auckland New Zealand"},{"name":"Waitemata District Health Board Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique","family":"Greene","sequence":"additional","affiliation":[{"name":"Waitemata District Health Board Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ismael","family":"Sabido","sequence":"additional","affiliation":[{"name":"Waitemata District Health Board Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Stretton","sequence":"additional","affiliation":[{"name":"Waitemata District Health Board Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3260-5824","authenticated-orcid":false,"given":"Anna","family":"Miles","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology WDHB, Greene i3, WDHB. Miles \u2010 Faculty of Speech Science, University of Auckland Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,7,17]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Principles of Deglutition: A Multidisciplinary Text for Swallowing and Its Disorders","author":"Belafsky PC","year":"2013"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/818979"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2009.02526.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glt099"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2010.129"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-018-3376-3"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-014-9543-8"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.2147\/CEOR.S165713"},{"key":"e_1_2_7_10_1","first-page":"205","article-title":"Malnutrition risk of older people across district health board community and residential care settings in New Zealand","volume":"36","author":"Wham C","year":"2017","journal-title":"J Nutr Aging"},{"issue":"4","key":"e_1_2_7_11_1","article-title":"Dysphagia onset in older adults during unrelated hospital admission: quantitative videofluoroscopic measures","volume":"3","author":"Jardine M","year":"2018","journal-title":"Geriatrics (Basel)"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/1747-0080.12385"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCO.0000000000000425"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm8010043"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940811701210"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2016.03.008"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.28194","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.28194","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.28194","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T02:20:40Z","timestamp":1694053240000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.28194"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,17]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,4]]}},"alternative-id":["10.1002\/lary.28194"],"URL":"https:\/\/doi.org\/10.1002\/lary.28194","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7,17]]},"assertion":[{"value":"2019-04-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-07-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-07-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}