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Medicina clínica y social

versão On-line ISSN 2521-2281


GONZALEZ-GONZALEZ, Abel et al. Morbimortality associated with dysphagy in patients hospitalized in a university hospital. Med. clín. soc. [online]. 2020, vol.4, n.3, pp.114-118. ISSN 2521-2281.


Dysphagia is an important associated morbidity and mortality in hospitalized patient.


Main; to describe the characteristics of patients admitted for dysphagia and secondary; quantify and analyze the prevalence of mortality and readmissions.


Cross-sectional study descriptive revenues by dysphagia during the year 2015 in a University General Hospital.


431 records were evaluated. The age of the patients was 83,21 (11.4), 52.5% women and 47.2% male; the average stay was 11.1 (7.99) days. In 71,2% of cases the dysphagia was involvement of the oropharyngeal phase. 80.51% of cases were diagnosed respiratory complications. The percentage distribution of these complications were: in 48.12% aspiration pneumonia due to fluids, in 40.05% chemical aspiration pneumonitis and in 11.81% aspiration pneumonia due to solids. The overall mortality associated with respiratory complications compared to the total of cases of dysphagia was 24.49%. 50.48% of patients diagnosed with aspiration pneumonia died. The main cause of dysphagia was neurological diseases (77.25%). Mortality was significantly higher in women - 42.3% of women compared with 7.8% of males - (p < 0.01) and this difference remained after adjusting the result by age: OR 9,937, 95% CI: 5,446; 18,131. 13.10% of patients re-entered at least on one occasion. Patients of geriatric unit that presented in greater number of readmissions by admissions.


neurological diseases were the main cause of dysphagia. Mortality was significantly higher in women

Palavras-chave : Dysphagia; oropharyngeal dysphagia; aspiration pneumonia.

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