Dysphagia epidemiology and demographics

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Feham Tariq, MD [2]

Overview

Dysphagia is a common symptom seen in the elderly poplulation owing to senile physiological changes in the muscles involved in deglutition. It is also seen in other age groups, subsequent to other diseases such as esophageal webs, esophageal cancer, structural damage to the esophagus.

Epidemiology and Demographics

Incidence

  • The annual incidence of esophageal food impaction is 25 per 100,000 persons per year.[1][2]
  • The incidence is higher in males as compared to females.
  • The incidence progressively increases with age, reaching the peak around seventh decade of life.

Prevalance

  • Increased prevalance of dysphagia is found in post-stroke patients, acute care settings and nursing care facilities.

Age

  • Swallowing disorders can occur in all age groups, resulting from congenital abnormalities, structural damage, and/or medical conditions.[3]
  • Swallowing problems are a common complaint among older individuals, and the incidence of dysphagia is higher in the elderly,[4]
  • In patients who have had strokes,[5] and in patients who are admitted to acute care hospitals or chronic care facilities.


References

  1. Gretarsdottir HM, Jonasson JG, Björnsson ES (2015). "Etiology and management of esophageal food impaction: a population based study". Scand J Gastroenterol. 50 (5): 513–8. doi:10.3109/00365521.2014.983159. PMID 25704642.
  2. Sperry SL, Crockett SD, Miller CB, Shaheen NJ, Dellon ES (2011). "Esophageal foreign-body impactions: epidemiology, time trends, and the impact of the increasing prevalence of eosinophilic esophagitis". Gastrointest Endosc. 74 (5): 985–91. doi:10.1016/j.gie.2011.06.029. PMC 3951006. PMID 21889135.
  3. Logemann, Jeri A. (1998). Evaluation and treatment of swallowing disorders. Austin, Tex: Pro-Ed. ISBN 0-89079-728-5.
  4. Shamburek RD; Farrar JT. Disorders of the digestive system in the elderly. N Engl J Med 1990 Feb 15;322(7):438-43.
  5. Martino R, Foley N, Bhogal S, Diamant N, Speechley M, Teasell R. Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke. 2005 Dec;36(12):2756-63. Epub 2005 Nov 3.

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