Volume 22 Issue 8
Aug.  2024
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XIA Yan, XIA Jieqiong, GUO Honghua, ZHAO Ziran, LI Wen, ZHANG Caihong. Influencing factors of dysphagia in the elderly in nursing home: a meta-analysis[J]. Chinese Journal of General Practice, 2024, 22(8): 1287-1291. doi: 10.16766/j.cnki.issn.1674-4152.003618
Citation: XIA Yan, XIA Jieqiong, GUO Honghua, ZHAO Ziran, LI Wen, ZHANG Caihong. Influencing factors of dysphagia in the elderly in nursing home: a meta-analysis[J]. Chinese Journal of General Practice, 2024, 22(8): 1287-1291. doi: 10.16766/j.cnki.issn.1674-4152.003618

Influencing factors of dysphagia in the elderly in nursing home: a meta-analysis

doi: 10.16766/j.cnki.issn.1674-4152.003618
Funds:

 820RC779

 21A200061

 HYYS2021B05

  • Received Date: 2023-12-15
    Available Online: 2024-11-19
  •   Objective  To systematically evaluate the influencing factors of dysphagia in the elderly in nursing home and provide reference for targeted interventions.  Methods  Studies on influencing factors of dysphagia among the elderly in nursing home were searched from PubMed, Web of Science, the Cochrane Library, Ovid, Embase, CBM, CNKI, VIP and WanFang Database. The retrieval time was from inception to March 2023. Two researchers screened literature by following the inclusion and exclusion criteria independently, extracted data and evaluated the quality of literature. The influencing factors (including OR value and 95% CI) of dysphagia in the elderly in nursing home were outcome indicators. RevMan 5.3 software was used to conduct meta-analysis.  Results  The results included a total of 12 studies, including 32890 study subjects. The meta-analysis results showed that advanced age (P=0.010), eating time (long, P < 0.001), food take (less, P=0.007), assisted eating (P < 0.001), moderate to severe cognitive dysfunction (P < 0.001), cerebrovascular disease (P=0.040), cardiovascular disease (P < 0.001), history of pneumonia (P < 0.001), tooth loss (P < 0.001), chewing difficulties (P=0.020), and severe dependence (P < 0.001) were all risk factors for dysphagia in the elderly in nursing homes.  Conclusion  There are many risk factors for dysphagia among the elderly in nursing homes, and the staff of nursing homes should comprehensively assess the risk of dysphagia among the elderly.

     

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