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Although dysphagia is a significant risk factor for pneumonia pathogenesis, there is a paucity of data on dysphagia management in patients hospitalized with pneumonia. Therefore, we examined dysphagia service utilization rates and associated clinical factors for older adults hospitalized with pneumonia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We identified community\u2010acquired and aspiration pneumonia (CAP and Asp\u2010PNA) general care hospitalizations among older adults (age\u2009\u2265\u200960) between April 2022 and December 2023 using the Premier Healthcare Database. Factors that influenced utilization of three primary dysphagia services\u2014clinical evaluations, instrumental evaluations (e.g., videofluoroscopy), and therapy\u2014were examined in three generalized linear mixed models with a random effect for hospital and adjusted for patient demographics and hospital characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Our sample included 195,782 older adults (51.7% female; 19.3% ND; 15.7% Asp\u2010PNA) across 943 hospitals, and 23.6% received a clinical evaluation, 6.8% an instrumental evaluation, and 11.2% therapy. Generalized linear mixed models of clinical evaluations, instrumental evaluations, and therapy revealed significant associations of Asp\u2010PNA, neurodegenerative disease (ND), and their interaction. The association between Asp\u2010PNA and dysphagia services was greater in the non\u2010ND group (clinical: OR\u2009=\u20099.57; instrumental: OR\u2009=\u20099.67; therapy: OR\u2009=\u20098.66) and attenuated in the ND group (clinical: OR\u2009=\u20095.49; instrumental: OR\u2009=\u20094.66; therapy: OR\u2009=\u20094.20). Similarly, the association between ND and dysphagia services was greater for those with CAP (clinical: OR\u2009=\u20092.85; instrumental: OR\u2009=\u20092.03; therapy: OR\u2009=\u20093.11) and dampened for Asp\u2010PNA (clinical: OR\u2009=\u20091.64; instrumental: OR\u2009=\u20090.98; therapy: OR\u2009=\u20091.50).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Dysphagia services were provided to less than one quarter of older adults with pneumonia in our large U.S. cohort, although rates were higher among patients with Asp\u2010PNA and neurodegenerative disease. Future research should focus on using dysphagia screening tools to promote appropriate referrals to dysphagia services for pneumonia patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70119","type":"journal-article","created":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T08:35:58Z","timestamp":1758962158000},"page":"3484-3494","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Utilization of Dysphagia Services Among Older Adults Hospitalized With Pneumonia in a Large Sample of\n                    <scp>US<\/scp>\n                    Hospitals"],"prefix":"10.1111","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2985-0135","authenticated-orcid":false,"given":"Jordanna S.","family":"Sevitz","sequence":"first","affiliation":[{"name":"Laboratory for the Study of Upper Airway Dysfunction, Department of Biobehavioral Sciences, Teachers College Columbia University  New York New York USA"},{"name":"Department of Medicine University of Wisconsin\u2010Madison School of Medicine and Public Health (SMPH)  Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meggie","family":"Griffin","sequence":"additional","affiliation":[{"name":"BerbeeWalsh Department of Emergency Medicine University of Wisconsin\u2010Madison School of Medicine and Public Health  Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Rogus\u2010Pulia","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Wisconsin\u2010Madison School of Medicine and Public Health (SMPH)  Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Pulia","sequence":"additional","affiliation":[{"name":"BerbeeWalsh Department of Emergency Medicine University of Wisconsin\u2010Madison School of Medicine and Public Health  Madison Wisconsin USA"},{"name":"Department of Industrial and Systems Engineering University of Wisconsin\u2010Madison College of Engineering  Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,27]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.165.6.2103038"},{"key":"e_1_2_8_3_1","unstructured":"K. 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