Perioperative medicine & outcomes
Preoperative dysphagia and adverse postoperative outcomes in middle aged and older adults
Authors' conclusion
Patients with 3 months preoperative dysphagia with and without malnutrition had poor postoperative outcomes.
Study context
- Population
- Adults ≥50 years undergoing surgery not directly involving the swallowing mechanism, US N3C database, January 2020 to August 2023
- Participants
- 380,869 adults
- Exposure
- Preoperative dysphagia with or without malnutrition vs neither condition
- Outcome
- Postoperative outcomes (adjusted)
Methodological detailsobservational, multicentre electronic health record (EHR) database (N3C)
- Observational
- Multicentre EHR database (N3C)
Main finding
As reported in the abstract
Dysphagia with or without malnutrition vs Neither conditionOdds ratio (95 % CI)
1-year mortality
1.37(1.29–1.44)
90-day readmission
1.19(1.14–1.24)
Medical/surgical complications
1.35(1.28–1.42)
Observational data: associations, not effects.
Further findings
Prevalence of preoperative dysphagia and/or malnutrition (3 months)
%
- Dysphagia and/or malnutrition
- 7.9
- Dysphagia alone
- 3.0
- Malnutrition alone
- 3.8
- Both
- 1.1
Original publication
Preoperative dysphagia and adverse postoperative outcomes in middle aged and older adults. J Clin Anesth. Published 28 November 2024. doi:10.
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