Evidence map›Paper›PMID 41042350›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025

Speech language pathology evaluation is associated with decreased mortality in hip fracture patients with dysphagia.

Corinne Vennitti, Rohan Boyapati, Kathryn Riggs, Tina Daoud, Michael Hadeed

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Corinne VennittiDepartment of Orthopaedic Surgery, University of Virginia, Charlottesville, USA.
Rohan BoyapatiDepartment of Orthopaedic Surgery, University of Virginia, Charlottesville, USA.
Kathryn RiggsDepartment of Orthopaedic Surgery, University of Virginia, Charlottesville, USA.
Tina DaoudDepartment of Orthopaedic Surgery, University of Virginia, Charlottesville, USA.
Michael HadeedDepartment of Orthopaedic Surgery, University of Virginia, Charlottesville, USA. mmh2j@uvahealth.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDysphagia is prevalent within the geriatric hip fracture population and can lead to postoperative complications such as malnutrition, aspiration, and mortality. This study evaluates the impact of speech language pathology (SLP) evaluations and dietary changes in this population and their impact on mortality.

methodsA retrospective cohort study including patients ≥ 65 years old who underwent surgical treatment for hip fracture from January 2015 to December 2020 at an academic level 1 tertiary center was completed. The rate of dysphagia and its association with mortality were noted. Outcome measurements included the rate of SLP evaluation, the rate of diet modifications, and the effect of these interventions on mortality risk in the cohort of patients with dysphagia.

resultsWithin the cohort, 56% (347/617) patients had dysphagia, 29% (180/617) were on a dysphagia diet, and 44% (272/617) received a SLP evaluation. Of the patients with dysphagia, 46% (161/347) were on a dysphagia diet and 77% (266/347) received a SLP evaluation. Patients with dysphagia who received an SLP evaluation had lower mortality rates (7.1%) than those who did not have an SLP evaluation (15%) (OR 0.44, CI 0.21-0.96, p = 0.034). Patients with dysphagia who were on a dysphagia diet had no difference in mortality rates (OR 0.82, CI 0.39-1.7, p = 0.60) compared with those without a dysphagia diet.

conclusionIn this cohort, SLP evaluations for patients with dysphagia significantly reduced mortality, suggesting a role for routine early identification and intervention. This suggests that SLP evaluation and treatment improves outcomes, specifically mortality, in this population.

Indexed as

Deglutition DisordersHip FracturesPostoperative ComplicationsSpeech-Language PathologyAgedAged, 80 and overFemaleHumansMaleRetrospective StudiesComplicationsDysphagiaGeriatric fractureHip fractureMortalitySpeech language pathology

Identifiers

PMID41042350
PMCPMC12494601

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