Evidence map›Paper›PMID 41843352›Full record

Observational studyEuropean geriatric medicine2026

Dysphagia in hospitalized older patients: the Report-AGE project.

P Balietti, M Fedecostante, M Di Rosa, E Zengarini, G Dell'Aquila, L Soraci, J Sabbatinelli, G Fava, L Iacoviello, R Liperoti and 5 more

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in European geriatric medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

P Balietti *Geriatria, Accettazione geriatrica e Centro di ricerca per l'invecchiamento, IRCCS INRCA, Ancona, Italy. p.balietti@inrca.it.ORCID http://orcid.org/0009-0002-7642-438X
M Fedecostante *Geriatria, Accettazione geriatrica e Centro di ricerca per l'invecchiamento, IRCCS INRCA, Ancona, Italy.
M Di RosaCentre for Biostatistics and Applied Geriatric Clinical Epidemiology, IRCCS INRCA, Contrada Muoio Piccolo, 87100 Cosenza CS, Italy.
E ZengariniGeriatria, Accettazione geriatrica e Centro di ricerca per l'invecchiamento, IRCCS INRCA, Ancona, Italy.
G Dell'AquilaGeriatria, Accettazione geriatrica e Centro di ricerca per l'invecchiamento, IRCCS INRCA, Ancona, Italy.
L SoraciUnit of Geriatric Medicine, Italian National Research Center of Aging (IRCCS INRCA), Cosenza, Italy.
J SabbatinelliDepartment of Clinical and Molecular Sciences (DISCLIMO), Università Politecnica delle Marche, Ancona, Italy.
G FavaUOSD Gastroenterologia ed Endoscopia Digestiva, IRCCS INRCA, Ancona, Italy.
L IacovielloResearch Unit of Epidemiology and Prevention, IRCCS Neuromed, Pozzilli, IS, Italy.
R LiperotiUniversità Cattolica del Sacro Cuore, Rome, Italy.
P Rovere QueriniInternal Medicine Unit, IRCCS San Raffaele Scientific Institute, 20132, Milan, Italy.
Y RosatiPneumologia, IRCCS INRCA, 60027, Osimo, Italy.
F OlivieriDepartment of Clinical and Molecular Sciences (DISCLIMO), Università Politecnica delle Marche, Ancona, Italy.
A CorsonelloUnit of Geriatric Medicine, Italian National Research Center of Aging (IRCCS INRCA), Cosenza, Italy.
A CherubiniGeriatria, Accettazione geriatrica e Centro di ricerca per l'invecchiamento, IRCCS INRCA, Ancona, Italy.

Funding

Age-It - Ageing well in an ageing society PE0000015National Recovery and Resilience Plan (NRRP) C2National Recovery and Resilience Plan (NRRP) Intervention 1.3National Recovery and Resilience Plan (NRRP) PE8 - Mission 4
6 · The paper itself

Abstract

purposeOur study aimed at estimating the prevalence of dysphagia in hospitalized older patients and the association of this condition and related nutritional management on in-hospital mortality and functional changes.

methodsData from the Report-AGE Study, an observational longitudinal study of older patients admitted to the National Institute of Health and Science on Ageing hospitals in Italy, were analyzed. Patients were recruited if older than 64 years and hospitalized for at least 24 h. All patients underwent a standardized comprehensive geriatric assessment, using the Inter-RAI Minimum Data Set acute care. Functional changes during the hospital stay were evaluated by comparing the activities of daily living at admission and at discharge.

results3169 patients, admitted from July 2011 to October 2021, were recruited and analyzed (mean age 86.0 ± 6.4 years; 58.3% women). Dysphagia was identified in 1135 patients (35.8%): 805 were managed with diet texture modifications and 330 with artificial nutrition. Patients in artificial nutrition had an increased mortality after adjustment for all covariates, with the highest risk estimated for patients in parenteral nutrition (hazard ratio 3.39; 95% confidence interval 2.03-5.66). Functional improvement occurred in 535 patients (18.3% of survivors). Patients with dysphagia were less likely to have functional improvement, confirmed after adjustment for all covariates (hazard ratio 0.43; 95% confidence interval 0.33-0.57).

conclusionIn our study, one-third of hospitalized older patients had dysphagia and this condition was associated with higher mortality and lower functional improvement during in-hospital stay, particularly in patients managed with artificial nutrition.

Indexed as

Deglutition DisordersHospitalizationActivities of Daily LivingAgedAged, 80 and overFemaleGeriatric AssessmentHospital MortalityHumansItalyLongitudinal StudiesMalePrevalenceArtificial nutritionDisabilityDysphagiaFunctional improvementMortalityTexture-modified diet

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.