{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T12:59:15Z","timestamp":1788785955209,"version":"build-2803163510"},"reference-count":58,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T00:00:00Z","timestamp":1703808000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["1K76AG068590"],"award-info":[{"award-number":["1K76AG068590"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["8K00AG076123"],"award-info":[{"award-number":["8K00AG076123"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P01AG027296"],"award-info":[{"award-number":["P01AG027296"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite research demonstrating the risks of using feeding tubes in persons with advanced dementia, they continue to be placed. The natural history of dysphagia among patients with advanced dementia has not been examined. We conducted a secondary analysis of a national cohort of persons with advanced dementia staying at a nursing home stay before hospitalization to examine (1) pre\u2010hospitalization dysphagia prevalence and (2) risk of feeding tube placement during hospitalization based on preexisting dysphagia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study consisting of all nursing home (NH) residents (\u226566\u2009years) with advanced dementia (Cognitive Function Scale score \u22652), a hospitalization between 2013\u20132017, and a Minimum Data Set (MDS) 3.0 assessment within 120\u2009days before hospitalization. Pre\u2010hospitalization dysphagia status and surgically placed feeding tube insertion during hospitalization were determined by MDS 3.0 swallowing items and ICD\u20109 codes, respectively. A multivariate logistic model clustering on hospital was used to examine the association of dysphagia with percutaneous endoscopic gastrostomy (PEG) feeding tube placement after adjustment for confounders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Between 2013 and 2017, 889,983 persons with NH stay with advanced dementia (mean age: 84.5, SD: 7.5, and 63.5% female) were hospitalized. Pre\u2010hospitalization dysphagia was documented in 5.4% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200947,574) and characterized by oral dysphagia (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200921,438, 2.4%), pharyngeal dysphagia (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200924,257, 2.7%), and general swallowing complaints\/pain (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200914,928, 1.7%). Overall, PEG feeding tubes were placed in 3529 patients (11.2%) with pre\u2010hospitalization dysphagia, whereas 27,893 (88.8%) did not have pre\u2010hospitalization dysphagia according to MDS 3.0 items. Feeding tube placement risk increased with the number of dysphagia items noted on the pre\u2010hospitalization MDS (6 vs. 0 dysphagia variables: OR\u2009=\u20095.43, 95% CI: 3.19\u20139.27).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Based on MDS 3.0 assessment, only 11% of PEG feeding tubes were inserted in persons with prior dysphagia. Future research is needed on whether this represents inadequate assessment or the impact of potentially reversible intercurrent illness resulting in feeding tube placement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.18729","type":"journal-article","created":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T08:13:13Z","timestamp":1703837593000},"page":"778-790","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["<scp>Pre\u2010hospitalization<\/scp>\n                    dysphagia and feeding tube placement in nursing home residents with advanced dementia"],"prefix":"10.1111","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4750-0769","authenticated-orcid":false,"given":"Raele Donetha","family":"Robison","sequence":"first","affiliation":[{"name":"Department of Medicine University of Wisconsin\u2010Madison School of Medicine and Public Health (SMPH)  Madison Wisconsin USA"},{"name":"Center for Health Disparities Research University of Wisconsin\u2010Madison  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sweta","family":"Patel","sequence":"additional","affiliation":[{"name":"School of Public Health Brown University  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Bunker","sequence":"additional","affiliation":[{"name":"School of Public Health Brown University  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James L.","family":"Rudolph","sequence":"additional","affiliation":[{"name":"Center of Innovation in Long Term Services and Supports (LTSS\u2010COIN) Providence VA Medical Center  Providence Rhode Island USA"},{"name":"Warren Alpert Medical School of Brown University  Providence Rhode Island USA"},{"name":"Center for Gerontology and Healthcare Research Brown University School of Public Health  Providence Rhode Island USA"},{"name":"Geriatric Research Education and Clinical Center William S. 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