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

• Published in: Spine Surgery and Related Research 2024/09/27, Vol.8(5), pp.473-479
• Main Authors: Segi, Naoki, Nakashima, Hiroaki, Ito, Sadayuki, Ouchida, Jun, Yokogawa, Noriaki, Sasagawa, Takeshi, Funayama, Toru, Eto, Fumihiko, Watanabe, Kota, Nori, Satoshi, Furuya, Takeo, Yunde, Atsushi, Terashima, Yoshinori, Hirota, Ryosuke, Nakajima, Hideaki, Yamada, Tomohiro, Hasegawa, Tomohiko, Kawaguchi, Kenichi, Haruta, Yohei, Hashimoto, Ko, Onoda, Yoshito, Nakanishi, Kazuo, Misaki, Kosuke, Ikegami, Shota, Uehara, Masashi, Suzuki, Hidenori, Imajo, Yasuaki, Uei, Hiroshi, Sawada, Hirokatsu, Terai, Hidetomi, Tamai, Koji, Kuroda, Akiyoshi, Inoue, Gen, Suzuki, Nobuyuki, Kato, Kenji, Akeda, Koji, Takegami, Norihiko, Iizuka, Yoichi, Oshima, Yasushi, Tonomura, Hitoshi, Kiyasu, Katsuhito, Funao, Haruki, Yoshii, Toshitaka, Ishihara, Masayuki, Kaito, Takashi, Seki, Shoji, Kakutani, Kenichiro, Tominaga, Hiroyuki, Ohba, Tetsuro, Sakai, Daisuke, Otsuki, Bungo, Miyazaki, Masashi, Okada, Seiji, Imagama, Shiro, Kato, Satoshi
• Format: Article
• Language: English
• Subjects: cervical spinal cord injury; dysphagia; elderly patients; frailty index; geriatric nutritional risk index; Original
• ISSN: 2432-261X; 2432-261X
• DOI: 10.22603/ssrr.2023-0227

Introduction: 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