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Texture-modified food and fluids (TMF, Table S1) were first studied in people with stroke and non-progressive dysphagia but are now used commonly in dementia and residential aged care facilities. Management options for dysphagia are limited. 2, 3 Dysphagia is a major risk factor for poor outcomes including aspiration pneumonia, malnutrition, dehydration, reduced functional status, increased hospital length of stay, and hospital re-admissions. 1, 2 The mechanisms for dysphagia are multifactorial, and factors that influence swallowing are advancing age, apraxia, cognitive fluctuation, impulsivity, reduced physical mobility, poor dentition, and dependence for feeding and medications. Non-adherence: 10% in hospital, 43.5% in outpatient ( P=0.001)ĭysphagia is a common problem in older people and occurs in one half or more of people in residential aged care facilities and those living with dementia. Retrospective cohort study with outpatient follow-up and qualitative interview Hospital inpatients who were recommended for modified food or fluids after VFSS (South Korea) Sequential observational study before and after 2-month targeted intervention Non-adherence: 43% for thin fluids with chin down posture vs 27% for mildly thick fluids vs 19% for extremely thick fluids
Feed me oil sequel trial#
Non-blinded parallel randomized controlled trial with weekly measures of adherence over 3 months Hospital inpatients and residential care patients who aspirate on thin fluids and perform equally on all three interventions on VFSS (USA) Retrospective cohort study with 18-month follow-up Residential care patients and people at home who were recommended for modified food (59%) or fluids (93%) after VFSS (New Zealand)
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Dementia/or Delirium, Dementia, Amnestic, Cognitive Disorders/or Frontotemporal Dementia/or Dementia, Vascular/ģ6. or “Aged, 80 and over”/or Aged/or Health Services for the Aged/ġ4.