{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T18:15:38Z","timestamp":1789064138207,"version":"build-2803163510"},"reference-count":35,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2021,1,25]],"date-time":"2021-01-25T00:00:00Z","timestamp":1611532800000},"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":[[2021,11]]},"abstract":"<jats:sec><jats:title>Objective\/Hypothesis<\/jats:title><jats:p>Elderly individuals account for one\u2010third of all hospitalizations. The goal of this study was to evaluate the prevalence of dysphagia in elderly patients admitted to a tertiary care center. It also sought to investigate how dysphagia is identified, how it covaries with malnutrition and other conditions, and how it impacts hospital stay.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Case Series.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective chart review was performed. All patients &gt;65\u2009years admitted to a tertiary care center in January and February 2016 were included. Patients with primary psychiatric diagnoses and patients with upper aerodigestive tract malignancy or surgery were excluded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 655 patients were identified. Mean age was 76.6\u2009years. Twenty\u2010four percent (155 patients) had dysphagia while 43% (282 patients) had malnutrition. Thirteen percent (84 patients) had both dysphagia and malnutrition. Fifty percent of patients who had malnutrition were seen by speech language pathology (SLP). One hundred percent of malnourished patients that saw SLP were identified as having dysphagia. Three hundred and eighty\u2010two patients (58%) were seen by the dietician but not by SLP. Multiple logistic regression indicated that the presence of dysphagia was positively associated with age, presence of malnutrition, admission to either cardiology or neurology service as compared to medicine service, and history of stroke.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>One\u2010quarter of elderly patients admitted to our tertiary care center had dysphagia. Dysphagia, especially when linked with malnutrition, has poorer outcomes and increased healthcare costs. Our data suggests a possible disconnect between malnutrition diagnosis and dysphagia identification. This is an important area of intervention that has the potential to improve the treatment and outcomes of these patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 131:2441\u20132447, 2021<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.29329","type":"journal-article","created":{"date-parts":[[2021,1,25]],"date-time":"2021-01-25T22:34:16Z","timestamp":1611614056000},"page":"2441-2447","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Comorbid Dysphagia and Malnutrition in Elderly Hospitalized Patients"],"prefix":"10.1002","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0856-3011","authenticated-orcid":false,"given":"Laura","family":"Bomze","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Loma Linda University Health  Loma Linda California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salem","family":"Dehom","sequence":"additional","affiliation":[{"name":"School of Nursing Loma Linda University  Loma Linda California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilson P.","family":"Lao","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Loma Linda University Health  Loma Linda California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan","family":"Thompson","sequence":"additional","affiliation":[{"name":"School of Medicine Loma Linda University  Loma Linda California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Lee","sequence":"additional","affiliation":[{"name":"School of Medicine Loma Linda University  Loma Linda California 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