Spine Surgery and Related Research
Online ISSN : 2432-261X
ISSN-L : 2432-261X

This article has now been updated. Please use the final version.

Low Nutrition Before Injury Is A Risk Factor For Dysphagia In Older Patients With Cervical Spinal Cord Injury: Based On A Multicenter Data Of 707 Patients
Naoki Segi, Hiroaki Nakashima, Sadayuki Ito, Jun Ouchida, Noriaki Yokogawa, Takeshi Sasagawa, Toru Funayama, Fumihiko Eto, Kota Watanabe, Satoshi Nori, Takeo Furuya, Atsushi Yunde, Yoshinori Terashima, Ryosuke Hirota, Hideaki Nakajima, Tomohiro Yamada, Tomohiko Hasegawa, Kenichi Kawaguchi, Yohei Haruta, Ko Hashimoto, Yoshito Onoda, Kazuo Nakanishi, Kosuke Misaki, Shota Ikegami, Masashi Uehara, Hidenori Suzuki, Yasuaki Imajo, Hiroshi Uei, Hirokatsu Sawada, Hidetomi Terai, Koji Tamai, Akiyoshi Kuroda, Gen Inoue, Nobuyuki Suzuki, Kenji Kato, Koji Akeda, Norihiko Takegami, Yoichi Iizuka, Yasushi Oshima, Hitoshi Tonomura, Katsuhito Kiyasu, Haruki Funao, Toshitaka Yoshii, Masayuki Ishihara, Takashi Kaito, Shoji Seki, Kenichiro Kakutani, Hiroyuki Tominaga, Tetsuro Ohba, Daisuke Sakai, Bungo Otsuki, Masashi Miyazaki, Seiji Okada, Shiro Imagama, Satoshi Kato
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Keywords: dysphagia, cervical spinal cord injury, elderly patients, geriatric nutritional risk index, frailty index
JOURNAL OPEN ACCESS Advance online publication

Article ID: 2023-0227

The final version of this article is now available: Vol. 8 (2024), No. 5 pp. 473-479
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Abstract

Objectives

For older adults, dysphagia is a serious problem that can occur after spinal cord injury (SCI), but its risk factors are unclear. This study aimed to identify risk factors for dysphagia in elderly patients (≥65 years) with cervical SCI.

Methods

This multicenter study included 707 patients with cervical SCI (mean age 75.3 years). Univariate and multivariate analyses were conducted for patient characteristics and geriatric nutritional risk index (GNRI).

Results

Dysphagia occurred in 69 patients (9.8%). The significant factors were as follows: male sex (odds ratio [OR] 3.43), GNRI <92 (1.83), dementia (2.94), fracture (3.40), complete paralysis (3.61), anterior surgery (3.74), and tracheostomy (17.06). Age was not identified as a risk factor.

Conclusions

Low GNRI before injury was one of the independent risk factors for dysphagia after geriatric cervical SCI. GNRI represents the comprehensive nutritional status of the elderly and reflects feeding function and its recovery capacity.

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© 2024 The Japanese Society for Spine Surgery and Related Research.

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