{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T08:16:44Z","timestamp":1787991404179,"version":"build-2784847793"},"reference-count":51,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To develop and validate a simple scoring system for dysphagia after fragility fracture or orthopedic surgery in older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective cohort study included a total of 934 participants aged \u2265\u200965\u2009years who were hospitalized due to fragility fractures or had undergone orthopedic surgery. The following outcomes were set: pneumonia during hospitalization, pneumonia\u2010related and dysphagia\u2010related mortalities (sum of pneumonia\u2010associated and choking\u2010associated deaths). The odds and hazard ratios were calculated for the candidate independent variables, and the risk factors for dysphagia were selected. Additionally, the weighted score of the scoring system was calculated using the odds and hazard ratios.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Pneumonia was diagnosed in 43 (4.6%) patients during hospitalization. During 2.0\u2009years follow up period, thirty\u2010eight (21.8%) and two (1.1%) patients died due to pneumonia and choking, respectively. Among the collected independent variables, male sex, &lt;\u2009800\u2009kcal\/day calorie intake, and poor form of rice or main dish were selected as risk factors for dysphagia. The weighted risk score was determined as follows: 1 point for male sex, &lt;\u2009800\u2009kcal\/day calorie intake, and when the dietary form was rice porridge or chopped main dish; 2 points when the dietary form was rice in a blender, main dish in a blender, tube feeding, and nothing by mouth. After adjusting for covariates, pneumonia\u2010related and dysphagia\u2010related mortalities were 2.67\u20133.84 times for 1 point, 7.08\u20139.82 times for 2 points, and 44.55\u201353.74 times higher for 3 or 4 points, in comparison to 0 points.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Early intervention is recommended for participants with score \u2265\u20091.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ggi.70741","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T08:34:21Z","timestamp":1785832461000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Developing and Validating a Simple Scoring System for Dysphagia After Fragility Fracture or Orthopedic Surgery in Older Adults"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9112-3862","authenticated-orcid":false,"given":"Koji","family":"Shibasaki","sequence":"first","affiliation":[{"name":"Department of Geriatric Medicine, Graduate School of Medicine The University of Tokyo  Tokyo Japan"},{"name":"Department of Rehabilitation Asahi Neurology and Rehabilitation Hospital  Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mari","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Asahi Neurology and Rehabilitation Hospital  Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuriko","family":"Tajima","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Chiba Medical Centre  Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akiko","family":"Ajima","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation 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