Dysphagia: In Search of a Unified Definition for the Aging Population

吞咽困难：寻找人口老龄化的统一定义

• 批准号: 10609225
• 负责人: Debra M Suiter
• 金额: $ 4.9万
• 依托单位: UNIVERSITY OF KENTUCKY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-12-15 至 2024-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10609225
• 关键词: Address; Adherence; Adult; Advocacy; Affect; Aging; Agreement; American; Area; Automobile Driving; Award; Biomedical Engineering; Caregivers; Caring; Childhood; Clinical; Code; Collaborations; Communication; Communities; Consensus; Critical Care; Data; Decision Making; Dedications; Deglutition; Deglutition Disorders; Dehydration; Diagnosis; Discipline; Discipline of Nursing; Disease; Elderly; Etiology; Evaluation; Family; Fostering; Funding; Gastroenterology; Gerontology; Goals; Government Officials; Guidelines; Health; Health Care Costs; Healthcare; Hospitalization; Incidence; Individual; Infrastructure; Institution; International; Intervention; Journals; Knowledge; Letters; Link; Literature; Lobbying; Malnutrition; Medical; Medical Records; Methods; Minority Groups; Modeling; Multi-site clinical study; Names; National Institute on Aging; Oral; Otolaryngology; Outcome Measure; Patients; Peer Review; Persons; Philosophy; Physiological; Pneumonia; Policies; Policy Maker; Population; Prevalence; Prevention; Public Health; Public Policy; Publications; Pulmonology; Quality of life; Research; Research Personnel; Resources; Science; Scientist; Services; Speech-Language Pathology; Testing; Third-Party Payer; Underrepresented Minority; United States National Institutes of Health; Validation; Work; aged; aging population; career; cost; diagnostic accuracy; evidence base; experience; falls; frailty; health care settings; improved; interest; lectures; medical specialties; member; minority scientist; multidisciplinary; nutrition; patient population; posters; psychosocial; screening; symposium; systematic review; targeted treatment

Abstract. Dysphagia is a significant health problem associated with aging, contributing to hospitalization for malnutrition, dehydration, frailty, falls, and pneumonia. By 2030, the US elderly population is anticipated to exceed 72 million with over 12 million of these individuals considered to be experiencing swallowing difficulties. Despite the high incidence and prevalence of dysphagia, particularly in the adult aging population, there is no uniform definition of adult dysphagia. Instead, heterogenous definitions in the extant literature pave the way for ambiguity and philosophical differences among dysphagia experts and other key stakeholders. Establishing an accepted and cogent definition for dysphagia is a critical step in quantifying the exact magnitude of disease in a specific population, and assuring accuracy and consistency across healthcare settings, researchers, third party payers, and other key stakeholders. The goal of this proposal is to convene two multidisciplinary conferences to develop and derive a cohesive definition for dysphagia in the aged population. This application is to request support for the Dysphagia: In Search of a Unified Definition for the Aging Population conference. This unique, multidisciplinary endeavor will leverage experts from numerous specialty areas, including gerontology, critical care, otolaryngology, gastroenterology, pulmonology, bioengineering, nursing, nutrition, and speech-language pathology, to converge and through evidence-based synthesis and discussion agree upon an accepted definition for dysphagia across the domains of screening, diagnosis, treatment, management and ongoing care. The specific aims of this conference are to engage experts and key stakeholders who work with older adults with dysphagia and to collaborate and develop a consensus validation for a unified definition of dysphagia and guidelines that can be applied for use in clinical patient populations, public health, and policy. This work is imperative and long overdue given the continued “greying of America”, and that the majority of the literature in swallowing and swallowing disorders is <40 years old. The culmination of this project will result in data driven consensus statement for evaluation, replication, and/or endorsement by international institutions. The resulting definition and guideline will also be employed to develop a multi-site clinical study (R01) incorporating this new definition to promote best care, and test adherence and coding accuracy within the medical record. This work will provide uniformity in the literature and throughout the healthcare landscape, driving informed decision making, diagnostic accuracy, targeted treatment, and early prevention of dysphagia in aged persons to reduce the burden of complications and in turn health care cost.

摘要：吞咽困难是与衰老相关的严重健康问题，导致患者住院。 到 2030 年，美国老年人口预计将面临营养不良、脱水、虚弱、跌倒和肺炎等问题。 超过 7200 万人，其中超过 1200 万人被认为患有吞咽困难。 尽管吞咽困难的发病率和患病率很高，特别是在成年人口中，但目前还没有 相反，现有文献中的不同定义为成人吞咽困难铺平了道路。 吞咽困难专家和其他主要利益相关者之间的模糊性和哲学差异。 吞咽困难的公认和令人信服的定义是量化疾病确切程度的关键一步 特定人群，并确保医疗保健环境、研究人员、第三者的准确性和一致性 该提案的目标是召集两个多学科人士。 会议制定并得出老年人吞咽困难的统一定义。 是请求对吞咽困难：寻找老龄化人口统一定义会议的支持。 这项独特的多学科努力将利用来自众多专业领域的专家，包括 老年病学、重症监护、耳鼻喉科、胃肠病学、肺病学、生物工程、护理学、营养学、 和言语病理学，通过基于证据的综合和讨论达成一致 根据筛查、诊断、治疗领域公认的吞咽困难定义， 这次会议的具体目标是吸引专家和关键人员的参与。 与患有吞咽困难的老年人一起工作并合作并达成共识的利益相关者 吞咽困难的统一定义和可应用于临床患者群体的指南， 鉴于美国持续的“老龄化”，这项工作势在必行，而且早就应该进行了。 大多数关于吞咽和吞咽障碍的文献都是 40 岁以下的。 该项目将产生数据驱动的共识声明，以供评估、复制和/或认可 由此产生的定义和指南也将用于开发多站点。 临床研究 (R01) 纳入了这一新定义，以促进最佳护理，并测试依从性和编码 这项工作将在文献和整个文献中提供一致性。 医疗保健景观，推动明智的决策、诊断准确性、有针对性的治疗，以及 及早预防老年人吞咽困难，以减轻并发症的负担，进而 医疗保健费用。