The influence of dysphagia on length of stay and health care expenditure: a systematic review of the literature

Sarahlouise White, Sebastian Doeltgen, Stacie Attrill, Joanne Murray, Sue Hammond

Research output: Contribution to conferencePaper

Abstract

Purpose: Patient length of stay (LOS) in hospital and health care costare influenced by many clinical factors. Due to its significant effectson health outcomes, impaired swallowing (dysphagia) may similarlybe associated with increased LOS and health care expenditure.

Method(s): A systematic review of the literature across eight medicaldata bases was undertaken of studies comparing LOS and dysphagia attributable cost in individuals with and without dysphagia in any setting. 4356 initial search results were dual-screened for relevance before 120 full texts were reviewed in detail. In total, 11 studies providing relevant cost data and 22 studies providing LOS data were included.

Result(s): In all seven cohort and four cross-sectional studies across various settings (stroke, head and neck cancer, cervical spine surgery and Alzheimer’s disease), health care costs were significantly higher for those presenting with dysphagia (mean difference in US$: 7409;34.2% higher than no-dysphagia). LOS was significantly longer in those with all cause dysphagia (excluding stroke) in all 17 cohort studies, 4 cross sectional studies and 2 case series. For dysphagia following stroke, 4/6 studies demonstrated significantly increased LOS.
Original languageEnglish
Pages464-465
Number of pages2
DOIs
Publication statusPublished - 2018
EventDysphagia Research Society 26th Annual Meeting -
Duration: 1 Jan 2018 → …

Conference

ConferenceDysphagia Research Society 26th Annual Meeting
Period1/01/18 → …

Keywords

  • Dysphagia
  • Health care expenditure
  • Health care costs
  • Systematic review

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