ArticleSpine surgery and related research2025
Predicting the Onset of Dysphagia in Japanese Hospitalized Patients with Osteoporotic Vertebral Fractures Early after Admission: Lower SMI Is a Risk Factor for Dysphagia.
Article in Spine surgery and related research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: To predict the onset of dysphagia in hospitalized patients with osteoporotic vertebral fractures (OVF) early after admission and to investigate cutoff values for risk factors. Methods: The subjects were 341 hospitalized patients with OVF. We excluded 30 cases as the required data could not be measured, and 25 cases with conditions that could contribute to dysphagia, such as neurological or respiratory comorbidities. Gender, age, number and level of OVF, collapse rate (CR) of OVF, thoracolumbar kyphosis angle (KA), bone mineral density (BMD), systemic skeletal muscle mass index (SMI), and body mass index (BMI) were examined by dividing the patients into those with dysphagia (the P group) and others (the N group). Results: There were 26 cases in the P group and 260 cases in the N group, with no significant difference in the male-female ratio, number, and level of OVF. The mean values of CR (%), KA in the P group/the N group were 40.0/36.1, 16.7/17.8, and the mean values of age, BMD (%), SMI (kg/m Conclusions: A correlation was found between dysphagia and SMI in patients with OVF. For patients with SMI below the cutoff value, early swallowing evaluation and training intervention are considered important.
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