Spine Surgery and Related Research (Sep 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
- 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
Affiliations
- Naoki Segi
- Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine
- Hiroaki Nakashima
- Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine
- Sadayuki Ito
- Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine
- Jun Ouchida
- Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine
- Noriaki Yokogawa
- Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa University
- Takeshi Sasagawa
- Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa University
- Toru Funayama
- Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba
- Fumihiko Eto
- Department of Orthopaedic Surgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba
- Kota Watanabe
- Department of Orthopaedic Surgery, Keio University School of Medicine
- Satoshi Nori
- Department of Orthopaedic Surgery, Keio University School of Medicine
- Takeo Furuya
- Department of Orthopaedic Surgery, Graduate school of Medicine, Chiba University
- Atsushi Yunde
- Department of Orthopaedic Surgery, Graduate school of Medicine, Chiba University
- Yoshinori Terashima
- Department of Orthopaedic Surgery, Sapporo Medical University
- Ryosuke Hirota
- Department of Orthopaedic Surgery, Sapporo Medical University
- Hideaki Nakajima
- Department of Orthopaedics and Rehabilitation Medicine, Faculty of Medical Sciences University of Fukui
- Tomohiro Yamada
- Department of Orthopaedic Surgery, Hamamatsu University School of Medicine
- Tomohiko Hasegawa
- Department of Orthopaedic Surgery, Hamamatsu University School of Medicine
- Kenichi Kawaguchi
- Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University
- Yohei Haruta
- Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University
- Ko Hashimoto
- Department of Orthopaedic Surgery, Tohoku University Graduate School of Medicine
- Yoshito Onoda
- Department of Orthopaedic Surgery, Tohoku University Graduate School of Medicine
- Kazuo Nakanishi
- Department of Orthopedics, Traumatology and Spine Surgery, Kawasaki Medical School
- Kosuke Misaki
- Department of Orthopedics, Traumatology and Spine Surgery, Kawasaki Medical School
- Shota Ikegami
- Department of Orthopaedic Surgery, Shinshu University School of Medicine
- Masashi Uehara
- Department of Orthopaedic Surgery, Shinshu University School of Medicine
- Hidenori Suzuki
- Department of Orthopaedic Surgery, Yamaguchi University Graduate School of Medicine
- Yasuaki Imajo
- Department of Orthopaedic Surgery, Yamaguchi University Graduate School of Medicine
- Hiroshi Uei
- Department of Orthopaedic Surgery, Nihon University Hospital
- Hirokatsu Sawada
- Department of Orthopaedic Surgery, Nihon University School of Medicine
- Hidetomi Terai
- Department of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine
- Koji Tamai
- Department of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine
- Akiyoshi Kuroda
- Department of Orthopaedic Surgery, Kitasato University School of Medicine
- Gen Inoue
- Department of Orthopaedic Surgery, Kitasato University School of Medicine
- Nobuyuki Suzuki
- Department of Orthopaedic Surgery, Nagoya City University Graduate School of Medical Sciences
- Kenji Kato
- Department of Orthopaedic Surgery, Nagoya City University Graduate School of Medical Sciences
- Koji Akeda
- Department of Orthopaedic Surgery, Mie University Graduate School of Medicine
- Norihiko Takegami
- Department of Orthopaedic Surgery, Mie University Graduate School of Medicine
- Yoichi Iizuka
- Department of Orthopaedic Surgery, Gunma University, Graduate School of Medicine
- Yasushi Oshima
- Department of Orthopaedic Surgery, The University of Tokyo Hospital
- Hitoshi Tonomura
- Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine
- Katsuhito Kiyasu
- Department of Orthopaedic Surgery, Kochi Medical School, Kochi University
- Haruki Funao
- Department of Orthopaedic Surgery, School of Medicine, International University of Health and Welfare
- Toshitaka Yoshii
- Department of Orthopaedic Surgery, Tokyo Medical and Dental University
- Masayuki Ishihara
- Department of Orthopaedic Surgery, Kansai Medical University Hospital
- Takashi Kaito
- Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine
- Shoji Seki
- Department of Orthopaedic Surgery, Faculty of Medicine, University of Toyama
- Kenichiro Kakutani
- Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine
- Hiroyuki Tominaga
- Department of Orthopaedic Surgery, Graduate School of medical and Dental Sciences, Kagoshima University
- Tetsuro Ohba
- Department of Orthopaedic Surgery, University of Yamanashi
- Daisuke Sakai
- Department of Orthopedics Surgery, Surgical Science, Tokai University School of Medicine
- Bungo Otsuki
- Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University
- Masashi Miyazaki
- Department of Orthopaedic Surgery, Faculty of Medicine, Oita University
- Seiji Okada
- Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine
- Shiro Imagama
- Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine
- Satoshi Kato
- Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa University
- DOI
- https://doi.org/10.22603/ssrr.2023-0227
- Journal volume & issue
-
Vol. 8,
no. 5
pp. 473 – 479
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
- dysphagia
- cervical spinal cord injury
- elderly patients
- geriatric nutritional risk index
- frailty index
