Impact of oropharyngeal dysphagia on healthcare cost and length of stay in hospital: a systematic review

dc.contributor.authorAttrill, Stacie Lorraine
dc.contributor.authorWhite, Sarahlouise
dc.contributor.authorMurray, Jo
dc.contributor.authorHammond, Sue
dc.contributor.authorDoeltgen, Sebastian
dc.date.accessioned2018-08-22T23:45:37Z
dc.date.available2018-08-22T23:45:37Z
dc.date.issued2018-08-02
dc.date.updated2018-08-20T03:18:54Z
dc.descriptionThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.description.abstractBackground Healthcare systems internationally are under an ever-increasing demand for services that must be delivered in an efficient, effective and affordable manner. Several patient-related and organisational factors influence health-care expenditure and utilisation, including oropharyngeal dysphagia. Here, we present a systematic review of the literature and meta-analyses investigating how oropharyngeal dysphagia influences healthcare utilisation through length of stay (LOS) and cost. Methods Using a standardised approach, eight databases were systematically searched for relevant articles reporting on oropharyngeal dysphagia attributable inpatient LOS and healthcare costs through June 2016. Study methodologies were critically appraised and where appropriate, extracted LOS data were analysed in an overall summary statistic. Results Eleven studies reported on cost data, and 23 studies were included reporting on LOS data. Descriptively, the presence of dysphagia added 40.36% to health care costs across studies. Meta-analysis of all-cause admission data from 13 cohort studies revealed an increased LOS of 2.99 days (95% CI, 2.7, 3.3). A subgroup analysis revealed that admission for stroke resulted in higher and more variable LOS of 4.73 days (95% CI, 2.7, 7.2). Presence of dysphagia across all causes was also statistically significantly different regardless of geographical location: Europe (8.42 days; 95% CI, 4.3; 12.5), North America (3.91 days; 95% CI, 3.3, 4.5). No studies included in meta-analysis were conducted in Asia. Conclusions This systematic review demonstrated that the presence of oropharyngeal dysphagia significantly increases healthcare utilisation and cost, highlighting the need to recognise oropharyngeal dysphagia as an important contributor to pressure on healthcare systems.en_US
dc.description.sponsorshipThe authors report no sources of funding for this research.en_US
dc.identifier.citationAttrill, S. L., White, S., Murray, J., Hammond, S. & Doeltgen, S., (2018). Impact of oropharyngeal dysphagia on healthcare cost and length of stay in hospital: a systematic review. BMC Health Services Research, 18(1):594.
dc.identifier.doihttps://doi.org/10.1186/s12913-018-3376-3
dc.identifier.issn1472-6963
dc.identifier.urihttp://hdl.handle.net/2328/38201
dc.language.isoenen
dc.oaire.license.condition.licenseCC-BY
dc.publisherBioMed Central
dc.rightsThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.rights.holderThe Author(s).
dc.subjectMeta-analysis
dc.subjectfinancial
dc.subjectswallowing
dc.subjectcosts
dc.subjectexpenditure
dc.titleImpact of oropharyngeal dysphagia on healthcare cost and length of stay in hospital: a systematic review
dc.typeArticleen
local.contributor.authorOrcidLookupAttrill, Stacie Lorraine: https://orcid.org/0000-0001-6194-8987en_US
local.contributor.authorOrcidLookupDoeltgen, Sebastian: https://orcid.org/0000-0002-6722-2666en_US
local.contributor.authorOrcidLookupMurray, Jo: https://orcid.org/0000-0003-2994-4155en_US
local.contributor.authorOrcidLookupHammond, Sue: http://orcid.org/0000-0002-9366-3721en_US
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