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

doi:10.22603/ssrr.2023-0227

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 HashimotoYoshito 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

^*Corresponding author for this work

Orthopaedic Surgery

Research output: Contribution to journal › Article › peer-review

Abstract

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 <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.

Original language	English
Pages (from-to)	473-479
Number of pages	7
Journal	Spine Surgery and Related Research
Volume	8
Issue number	5
DOIs	https://doi.org/10.22603/ssrr.2023-0227
State	Published - 2024

Keywords

cervical spinal cord injury
dysphagia
elderly patients
frailty index
geriatric nutritional risk index

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine
Clinical Neurology

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10.22603/ssrr.2023-0227

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Segi, N., Nakashima, H., Ito, S., Ouchida, J., Yokogawa, N., Sasagawa, T., Funayama, T., Eto, F., Watanabe, K., Nori, S., Furuya, T., Yunde, A., Terashima, Y., Hirota, R., Nakajima, H., Yamada, T., Hasegawa, T., Kawaguchi, K., Haruta, Y., ... Kato, S. (2024). 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. Spine Surgery and Related Research, 8(5), 473-479. https://doi.org/10.22603/ssrr.2023-0227

@article{4685a6d0f7f8445baf2218c41610d045,

title = "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",

abstract = "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 <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.",

keywords = "cervical spinal cord injury, dysphagia, elderly patients, frailty index, geriatric nutritional risk index",

author = "Naoki Segi and Hiroaki Nakashima and Sadayuki Ito and Jun Ouchida and Noriaki Yokogawa and Takeshi Sasagawa and Toru Funayama and Fumihiko Eto and Kota Watanabe and Satoshi Nori and Takeo Furuya and Atsushi Yunde and Yoshinori Terashima and Ryosuke Hirota and Hideaki Nakajima and Tomohiro Yamada and Tomohiko Hasegawa and Kenichi Kawaguchi and Yohei Haruta and Ko Hashimoto and Yoshito Onoda and Kazuo Nakanishi and Kosuke Misaki and Shota Ikegami and Masashi Uehara and Hidenori Suzuki and Yasuaki Imajo and Hiroshi Uei and Hirokatsu Sawada and Hidetomi Terai and Koji Tamai and Akiyoshi Kuroda and Gen Inoue and Nobuyuki Suzuki and Kenji Kato and Koji Akeda and Norihiko Takegami and Yoichi Iizuka and Yasushi Oshima and Hitoshi Tonomura and Katsuhito Kiyasu and Haruki Funao and Toshitaka Yoshii and Masayuki Ishihara and Takashi Kaito and Shoji Seki and Kenichiro Kakutani and Hiroyuki Tominaga and Tetsuro Ohba and Daisuke Sakai and Bungo Otsuki and Masashi Miyazaki and Seiji Okada and Shiro Imagama and Satoshi Kato",

note = "Publisher Copyright: {\textcopyright} 2024 The Japanese Society for Spine Surgery and Related Research.",

year = "2024",

doi = "10.22603/ssrr.2023-0227",

language = "英語",

volume = "8",

pages = "473--479",

journal = "Spine Surgery and Related Research",

issn = "2432-261X",

publisher = "Japanese Society for Spine Surgery and Related Research",

number = "5",

}

Segi, N, Nakashima, H, Ito, S, Ouchida, J, Yokogawa, N, Sasagawa, T, Funayama, T, Eto, F, Watanabe, K, Nori, S, Furuya, T, Yunde, A, Terashima, Y, Hirota, R, Nakajima, H, Yamada, T, Hasegawa, T, Kawaguchi, K, Haruta, Y, Hashimoto, K, Onoda, Y, Nakanishi, K, Misaki, K, Ikegami, S, Uehara, M, Suzuki, H, Imajo, Y, Uei, H, Sawada, H, Terai, H, Tamai, K, Kuroda, A, Inoue, G, Suzuki, N, Kato, K, Akeda, K, Takegami, N, Iizuka, Y, Oshima, Y, Tonomura, H, Kiyasu, K, Funao, H, Yoshii, T, Ishihara, M, Kaito, T, Seki, S, Kakutani, K, Tominaga, H, Ohba, T, Sakai, D, Otsuki, B, Miyazaki, M, Okada, S, Imagama, S & Kato, S 2024, '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', Spine Surgery and Related Research, vol. 8, no. 5, pp. 473-479. https://doi.org/10.22603/ssrr.2023-0227

TY - JOUR

T1 - Low Nutrition before Injury Is a Risk Factor for Dysphagia in Older Patients with Cervical Spinal Cord Injury

T2 - Based on a Multicenter Data of 707 Patients

AU - Segi, Naoki

AU - Nakashima, Hiroaki

AU - Ito, Sadayuki

AU - Ouchida, Jun

AU - Yokogawa, Noriaki

AU - Sasagawa, Takeshi

AU - Funayama, Toru

AU - Eto, Fumihiko

AU - Watanabe, Kota

AU - Nori, Satoshi

AU - Furuya, Takeo

AU - Yunde, Atsushi

AU - Terashima, Yoshinori

AU - Hirota, Ryosuke

AU - Nakajima, Hideaki

AU - Yamada, Tomohiro

AU - Hasegawa, Tomohiko

AU - Kawaguchi, Kenichi

AU - Haruta, Yohei

AU - Hashimoto, Ko

AU - Onoda, Yoshito

AU - Nakanishi, Kazuo

AU - Misaki, Kosuke

AU - Ikegami, Shota

AU - Uehara, Masashi

AU - Suzuki, Hidenori

AU - Imajo, Yasuaki

AU - Uei, Hiroshi

AU - Sawada, Hirokatsu

AU - Terai, Hidetomi

AU - Tamai, Koji

AU - Kuroda, Akiyoshi

AU - Inoue, Gen

AU - Suzuki, Nobuyuki

AU - Kato, Kenji

AU - Akeda, Koji

AU - Takegami, Norihiko

AU - Iizuka, Yoichi

AU - Oshima, Yasushi

AU - Tonomura, Hitoshi

AU - Kiyasu, Katsuhito

AU - Funao, Haruki

AU - Yoshii, Toshitaka

AU - Ishihara, Masayuki

AU - Kaito, Takashi

AU - Seki, Shoji

AU - Kakutani, Kenichiro

AU - Tominaga, Hiroyuki

AU - Ohba, Tetsuro

AU - Sakai, Daisuke

AU - Otsuki, Bungo

AU - Miyazaki, Masashi

AU - Okada, Seiji

AU - Imagama, Shiro

AU - Kato, Satoshi

PY - 2024

Y1 - 2024

N2 - 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 <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.

AB - 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 <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.

KW - cervical spinal cord injury

KW - dysphagia

KW - elderly patients

KW - frailty index

KW - geriatric nutritional risk index

UR - http://www.scopus.com/inward/record.url?scp=85205248756&partnerID=8YFLogxK

U2 - 10.22603/ssrr.2023-0227

DO - 10.22603/ssrr.2023-0227

M3 - 学術論文

AN - SCOPUS:85205248756

SN - 2432-261X

VL - 8

SP - 473

EP - 479

JO - Spine Surgery and Related Research

JF - Spine Surgery and Related Research

IS - 5

ER -

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

Abstract

Keywords

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