{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T02:35:05Z","timestamp":1790562905535,"version":"4.1.0"},"reference-count":19,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2025,6,15]],"date-time":"2025-06-15T00:00:00Z","timestamp":1749945600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Trauma is a leading cause of death worldwide. Dysphagia and aspiration are potential sequelae of traumatic brain injury (TBI), yet these conditions are not always readily apparent. Fiberoptic endoscopic evaluation of swallowing (FEES) is a bedside procedure enabling real-time diagnosis of swallowing dysfunction. The aim of this study was to assess the incidence of dysphagia and aspiration in geriatric TBI patients, identify associated risk factors, and ultimately establish specific indications for FEES as a method of formal swallowing evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective review was completed on all geriatric (65 or older) trauma patients evaluated in our level I trauma center from July 2021 to July 2023 who had a TBI defined by Abbreviated Injury Scale (AIS) head \u22653. Rates of dysphagia and aspiration were collected in addition to risk factors and associated clinical characteristics. Univariate and multivariable analyses were performed with significance defined by a\n                      <jats:italic>P<\/jats:italic>\n                      -value &lt;0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In this study (n = 417), 21.8% of participants were found to have dysphagia and 6.9% aspirated. Both dysphagia and aspiration were associated with more hospital and ICU days, lower functional status at discharge (FSD), and lower likelihood of being discharged home. Glasgow Coma Scale (GCS) score less than 15 was an individual predictor of dysphagia as well as mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>By identifying factors associated with dysphagia and aspiration, we can risk stratify geriatric TBI patients to receive a standardized swallowing evaluation with FEES in an effort to prevent unnecessary morbidity and mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348251350995","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T01:26:57Z","timestamp":1750037217000},"page":"1244-1250","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Incidence of Aspiration and Dysphagia in Geriatric Trauma Patients"],"prefix":"10.1177","volume":"91","author":[{"given":"Bennett R.","family":"Auker","sequence":"first","affiliation":[{"name":"Department of Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6862-6243","authenticated-orcid":false,"given":"Julie M.","family":"Reichert","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Trauma and Acute Care Surgery, Penn Medicine Lancaster General Health, Lancaster, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xander A.","family":"Stone","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Trauma and Acute Care Surgery, Penn Medicine Lancaster General Health, Lancaster, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabella L.","family":"Filippone","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Trauma and Acute Care Surgery, Penn Medicine Lancaster General Health, Lancaster, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha K.","family":"LaRosa","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Trauma and Acute Care Surgery, Penn Medicine Lancaster General Health, Lancaster, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1930-1175","authenticated-orcid":false,"given":"Lindsey L.","family":"Perea","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Trauma and Acute Care Surgery, Penn Medicine Lancaster General Health, Lancaster, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric H.","family":"Bradburn","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Trauma and Acute Care Surgery, Penn Medicine Lancaster General Health, Lancaster, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,15]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"United States Census Bureau. America is getting older. Census.gov. June 22 2023. https:\/\/www.census.gov\/newsroom\/press-releases\/2023\/population-estimates-characteristics.html. Updated June 23 2023. Accessed January 12 2025."},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-020-00340-1"},{"key":"e_1_3_4_4_2","volume-title":"Behind the Knife: ABSITE Podcast Companion","author":"Bingham J","year":"2023","unstructured":"Bingham J, Clark N, Georgoff P, et al. Behind the Knife: ABSITE Podcast Companion. 3rd ed. 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Arch Phys Med Rehabil. 2025; InPress.","journal-title":"Arch Phys Med Rehabil"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/PL00009573"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21116"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2020.08.001"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0044-1782184"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2020.04.045"},{"issue":"10","key":"e_1_3_4_16_2","first-page":"4138222","article-title":"Will they aspirate? Predictive and protective factors for aspiration in acute trauma patients with tracheostomy","volume":"69","author":"Arif MS","year":"2024","unstructured":"Arif MS, Sullivan L, Hurley DM, Prest P. Will they aspirate? Predictive and protective factors for aspiration in acute trauma patients with tracheostomy. Respir Care. 2024;69(Suppl 10):4138222.","journal-title":"Respir Care"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-023-1935-8"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000001329"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.3390\/nu14091812"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-019-1191-0"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348251350995","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348251350995","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348251350995","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:37:58Z","timestamp":1777379878000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348251350995"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,15]]},"references-count":19,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1177\/00031348251350995"],"URL":"https:\/\/doi.org\/10.1177\/00031348251350995","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,15]]}}}