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A CROSS-SECTIONAL STUDY ON SWALLOWING DIFFICULTY AND PILL DYSPHAGIA AMONG OLDER PEOPLE RESIDING IN NURSING HOMES IN SELANGOR, MALAYSIA | Malaysian Journal of Public Health Medicine
<!DOCTYPE html> <html lang="en-US" xml:lang="en-US"> <head> <meta charset="utf-8"> <meta name="viewport" content="width=device-width, initial-scale=1.0"> <title> A CROSS-SECTIONAL STUDY ON SWALLOWING DIFFICULTY AND PILL DYSPHAGIA AMONG OLDER PEOPLE RESIDING IN NURSING HOMES IN SELANGOR, MALAYSIA | Malaysian Journal of Public Health Medicine </title> <link rel="icon" href="http://mjphm.org/public/journals/1/favicon_en_US.png"> <meta name="generator" content="Open Journal Systems 3.3.0.15"> <link rel="schema.DC" href="http://purl.org/dc/elements/1.1/" /> <meta name="DC.Creator.PersonalName" content="Saliha Azlan"/> <meta name="DC.Creator.PersonalName" content="Puspa Maniam"/> <meta name="DC.Creator.PersonalName" content="Rulia Meilina"/> <meta name="DC.Creator.PersonalName" content="Janattul Ain Jamal"/> <meta name="DC.Creator.PersonalName" content="Mohd Shahezwan Abd Wahab"/> <meta name="DC.Date.created" scheme="ISO8601" content="2024-08-28"/> <meta name="DC.Date.dateSubmitted" scheme="ISO8601" content="2023-11-29"/> <meta name="DC.Date.issued" scheme="ISO8601" content="2024-09-17"/> <meta name="DC.Date.modified" scheme="ISO8601" content="2024-09-17"/> <meta name="DC.Description" xml:lang="en" content="Swallowing difficulty is prevalent among older people (OP). This study aims to identify the prevalence of swallowing difficulty and pill dysphagia among OP residing in nursing homes. It also aims to identify the factors associated with swallowing difficulty and explore the association between swallowing difficulty and pill dysphagia. The present study was a cross-sectional observational study conducted from June 20th to August 8th, 2022, in nursing homes in Selangor and Kuala Lumpur, Malaysia. Swallowing difficulty among eligible nursing home residents was identified using the Standardised Swallowing Assessment (SSA). The PILL-5 questionnaire was used to identify any indications of pill dysphagia. A total of 96 participants were recruited for the study. Of these, 50% were identified with swallowing difficulty. The use of medications with anticholinergic (AC) properties and an anticholinergic burden (ACB) score of ? 3 were significantly associated with swallowing difficulty. Approximately 11.5% (11/96) of all participants reported pills sticking in their throat, while a small minority (4.2%, 4/96) had a fear of swallowing pills. Additionally, 7.3% (7/96) mentioned the need to crush or coat their medication or use other forms of assistance to take their pills. Swallowing difficulties are common among OP residing in nursing homes, as well as being associated with the use of AC drugs and higher ACB scores. Some participants reported occasional problems with swallowing pills. These issues included pills getting stuck in the throat and the need for assistance and modifications in dosage forms."/> <meta name="DC.Format" scheme="IMT" content="application/pdf"/> <meta name="DC.Identifier" content="2502"/> <meta name="DC.Identifier.pageNumber" content="195-202"/> <meta name="DC.Identifier.URI" content="http://mjphm.org/index.php/mjphm/article/view/2502"/> <meta name="DC.Language" scheme="ISO639-1" content="en"/> <meta name="DC.Rights" content="Copyright (c) 2024 Malaysian Journal of Public Health Medicine"/> <meta name="DC.Rights" content=""/> <meta name="DC.Source" content="Malaysian Journal of Public Health Medicine"/> <meta name="DC.Source.ISSN" content="2590-3829"/> <meta name="DC.Source.Issue" content="2"/> <meta name="DC.Source.Volume" content="24"/> <meta name="DC.Source.URI" content="http://mjphm.org/index.php/mjphm"/> <meta name="DC.Subject" xml:lang="en" content="Dysphagia"/> <meta name="DC.Subject" xml:lang="en" content="older people"/> <meta name="DC.Subject" xml:lang="en" content="nursing home"/> <meta name="DC.Subject" xml:lang="en" content="swallowing difficulty"/> <meta name="DC.Subject" xml:lang="en" content="pill dysphagia"/> <meta name="DC.Title" content="A CROSS-SECTIONAL STUDY ON SWALLOWING DIFFICULTY AND PILL DYSPHAGIA AMONG OLDER PEOPLE RESIDING IN NURSING HOMES IN SELANGOR, MALAYSIA"/> <meta name="DC.Type" content="Text.Serial.Journal"/> <meta name="DC.Type.articleType" content="Articles"/> <meta name="gs_meta_revision" content="1.1"/> <meta name="citation_journal_title" content="Malaysian Journal of Public Health Medicine"/> <meta name="citation_journal_abbrev" content="MJPHM"/> <meta name="citation_issn" content="2590-3829"/> <meta name="citation_author" content="Saliha Azlan"/> <meta name="citation_author_institution" content="Department of Pharmacology and Pharmaceutical Chemistry, Faculty of Pharmacy, Universiti Teknologi MARA (UiTM) Cawangan Selangor, Kampus Puncak Alam, 42300, Puncak Alam, Selangor, Malaysia."/> <meta name="citation_author" content="Puspa Maniam"/> <meta name="citation_author_institution" content="Department of Otorhinolaryngology, Hospital Kuala Lumpur, 50586 Kuala Lumpur, Malaysia."/> <meta name="citation_author" content="Rulia Meilina"/> <meta name="citation_author_institution" content="Fakultas Ilmu Kesehatan, Universitas Ubudiyah Indonesia, 23231 Kota Banda Aceh, Indonesia"/> <meta name="citation_author" content="Janattul Ain Jamal"/> <meta name="citation_author_institution" content="Department of Clinical Pharmacy, Faculty of Pharmacy, Universiti Teknologi MARA (UiTM) Cawangan Selangor, Kampus Puncak Alam, 42300, Puncak Alam, Selangor, Malaysia."/> <meta name="citation_author" content="Mohd Shahezwan Abd Wahab"/> <meta name="citation_author_institution" content="Department of Clinical Pharmacy, Faculty of Pharmacy, Universiti Teknologi MARA (UiTM) Cawangan Selangor, Kampus Puncak Alam, 42300, Puncak Alam, Selangor, Malaysia."/> <meta name="citation_title" content="A CROSS-SECTIONAL STUDY ON SWALLOWING DIFFICULTY AND PILL DYSPHAGIA AMONG OLDER PEOPLE RESIDING IN NURSING HOMES IN SELANGOR, MALAYSIA"/> <meta name="citation_language" content="en"/> <meta name="citation_date" content="2024/08/28"/> <meta name="citation_volume" content="24"/> <meta name="citation_issue" content="2"/> <meta name="citation_firstpage" content="195"/> <meta name="citation_lastpage" content="202"/> <meta name="citation_abstract_html_url" content="http://mjphm.org/index.php/mjphm/article/view/2502"/> <meta name="citation_keywords" xml:lang="en" content="Dysphagia"/> <meta name="citation_keywords" xml:lang="en" content="older people"/> <meta name="citation_keywords" xml:lang="en" content="nursing home"/> <meta name="citation_keywords" xml:lang="en" content="swallowing difficulty"/> <meta name="citation_keywords" xml:lang="en" content="pill dysphagia"/> <meta name="citation_pdf_url" content="http://mjphm.org/index.php/mjphm/article/download/2502/796"/> <meta name="citation_reference" content="Roden DF, Altman KW. 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<h1 class="page_title"> A CROSS-SECTIONAL STUDY ON SWALLOWING DIFFICULTY AND PILL DYSPHAGIA AMONG OLDER PEOPLE RESIDING IN NURSING HOMES IN SELANGOR, MALAYSIA </h1> <div class="row"> <div class="main_entry"> <section class="item authors"> <h2 class="pkp_screen_reader">Authors</h2> <ul class="authors"> <li> <span class="name"> Saliha Azlan </span> <span class="affiliation"> Department of Pharmacology and Pharmaceutical Chemistry, Faculty of Pharmacy, Universiti Teknologi MARA (UiTM) Cawangan Selangor, Kampus Puncak Alam, 42300, Puncak Alam, Selangor, Malaysia. </span> </li> <li> <span class="name"> Puspa Maniam </span> <span class="affiliation"> Department of Otorhinolaryngology, Hospital Kuala Lumpur, 50586 Kuala Lumpur, Malaysia. </span> </li> <li> <span class="name"> Rulia Meilina </span> <span class="affiliation"> Fakultas Ilmu Kesehatan, Universitas Ubudiyah Indonesia, 23231 Kota Banda Aceh, Indonesia </span> </li> <li> <span class="name"> Janattul Ain Jamal </span> <span class="affiliation"> Department of Clinical Pharmacy, Faculty of Pharmacy, Universiti Teknologi MARA (UiTM) Cawangan Selangor, Kampus Puncak Alam, 42300, Puncak Alam, Selangor, Malaysia. </span> </li> <li> <span class="name"> Mohd Shahezwan Abd Wahab </span> <span class="affiliation"> Department of Clinical Pharmacy, Faculty of Pharmacy, Universiti Teknologi MARA (UiTM) Cawangan Selangor, Kampus Puncak Alam, 42300, Puncak Alam, Selangor, Malaysia. </span> </li> </ul> </section> <section class="item keywords"> <h2 class="label"> Keywords: </h2> <span class="value"> Dysphagia, older people, nursing home, swallowing difficulty, pill dysphagia </span> </section> <section class="item abstract"> <h2 class="label">Abstract</h2> <p>Swallowing difficulty is prevalent among older people (OP). This study aims to identify the prevalence of swallowing difficulty and pill dysphagia among OP residing in nursing homes. It also aims to identify the factors associated with swallowing difficulty and explore the association between swallowing difficulty and pill dysphagia. The present study was a cross-sectional observational study conducted from June 20<sup>th</sup> to August 8<sup>th</sup>, 2022, in nursing homes in Selangor and Kuala Lumpur, Malaysia. Swallowing difficulty among eligible nursing home residents was identified using the Standardised Swallowing Assessment (SSA). The PILL-5 questionnaire was used to identify any indications of pill dysphagia. A total of 96 participants were recruited for the study. Of these, 50% were identified with swallowing difficulty. The use of medications with anticholinergic (AC) properties and an anticholinergic burden (ACB) score of ? 3 were significantly associated with swallowing difficulty. Approximately 11.5% (11/96) of all participants reported pills sticking in their throat, while a small minority (4.2%, 4/96) had a fear of swallowing pills. Additionally, 7.3% (7/96) mentioned the need to crush or coat their medication or use other forms of assistance to take their pills. Swallowing difficulties are common among OP residing in nursing homes, as well as being associated with the use of AC drugs and higher ACB scores. Some participants reported occasional problems with swallowing pills. These issues included pills getting stuck in the throat and the need for assistance and modifications in dosage forms.</p> </section> <section class="item references"> <h2 class="label"> References </h2> <div class="value"> <p>Roden DF, Altman KW. Causes of dysphagia among different age groups: A systematic review of the literature. Otolaryngol Clin North Am 2013; 46(6): 965-87. </p> <p>Mehraban-Far S, Alrassi J, Patel R, et al. Dysphagia in the elderly population: A videofluoroscopic study. Am J Otolaryngol 2021; 42(2): 102854. </p> <p>Doan TN, Ho WC, Wang LH, et al. Prevalence and methods for assessment of oropharyngeal dysphagia in older adults: A systematic review and meta-analysis. J Clin Med 2022; 11(9): 2605. </p> <p>Baijens LW, Clavé P, Cras P, et al. European Society for Swallowing Disorders–European Union Geriatric Medicine Society white paper: Oropharyngeal dysphagia as a geriatric syndrome. Clin Interv Aging 2016; 11:1403-28. </p> <p>Barat I, Andreasen F, Damsgaard E. The consumption of drugs by 75-year-old individuals living in their own homes. Eur J Clin Pharmacol 2000; 56: 501-9. </p> <p>Charlson M, Szatrowski TP, Peterson J, et al. Validation of a combined comorbidity index. J Clin Epidemiol 1994; 47(11): 1245-51. </p> <p>Lisibach A, Benelli V, Ceppi MG, et al. Quality of anticholinergic burden scales and their impact on clinical outcomes: A systematic review. Eur J Clin Pharmacol 2021; 77: 147-62. </p> <p>The American Geriatrics Society 2019 updated AGS Beers Criteria® for potentially inappropriate medication use in older adults. J Am Geriatr Soc 2019; 67(4): 674-94. </p> <p>Abd Wahab MS, Ali AA, Karuppannan M, et al. The use of herbal and dietary supplements for COVID-19 prevention: A survey among the public in a Malaysian suburban town. J Herb Med 2023; 39: 100650. </p> <p>Perry L. Screening swallowing function of patients with acute stroke. Part one: Identification, implementation and initial evaluation of a screening tool for use by nurses. J Clin Nurs 2001; 10(4): 463-73. </p> <p>Nativ-Zeltzer N, Bayoumi A, Mandin VP, et al. Validation of the PILL-5: A 5-item patient reported outcome measure for pill dysphagia. Front Surg 2019; 6: 43. </p> <p>Pu D, Murry T, Wong MC, et al. Indicators of dysphagia in aged care facilities. J Speech Lang Hear Res 2017; 60(9): 2416-26. </p> <p>Brochier CW, Hugo FN, Rech RS, et al. Influence of dental factors on oropharyngeal dysphagia among recipients of long?term care. Gerodontology 2018; 35(4): 333-8. </p> <p>Chen S, Cui Y, Ding Y, et al. Prevalence and risk factors of dysphagia among nursing home residents in eastern China: A cross-sectional study. BMC Geriatr 2020; 20(1): 1-10. </p> <p>Streicher M, Wirth R, Schindler K, et al. Dysphagia in nursing homes - results from the NutritionDay project. J Am Med Dir Assoc 2018; 19(2): 141-7. e2. </p> <p>Castejón-Hernández S, Latorre-Vallbona N, Molist-Brunet N, et al. Association between anticholinergic burden and oropharyngeal dysphagia among hospitalized older adults. Aging Clin Exp Res 2021; 33: 1981-5. </p> <p>Nishtala PS, Salahudeen MS, Hilmer SN. Anticholinergics: Theoretical and clinical overview. Expert Opinion Drug Saf 2016; 15(6): 753-68. </p> <p>Chen LL, Tangiisuran B, Shafie AA, et al. Evaluation of potentially inappropriate medications among older residents of Malaysian nursing homes. Int J Clin Pharm 2012; 34: 596-603. </p> <p>Wahab MSA, Zaini MH, Ali AA, et al. The use of herbal and dietary supplement among community-dwelling elderly in a suburban town of Malaysia. BMC Complement Med Ther 2021; 21(1): 1-13. </p> <p>Punzalan C, Budnitz DS, Chirtel SJ, et al. Swallowing problems and dietary supplements: Data from US Food and drug administration adverse event reports, 2006–2015. Ann Intern Med 2019; 171(10): 771-3. </p> <p>Wahab MSA. The relevance of educating doctors, pharmacists and older patients about potentially inappropriate medications. Int J Clin Pharm 2015; 37(6): 971-4. </p> <p>Abd Wahab MS, Abd Malik NA, Sahudin S,et al. Exploring the factors associated with the intention to assess customers’ herbal and dietary supplement use by community pharmacists in Kuala Lumpur, Malaysia. J Appl Pharm Sci 2019; 9(12): 108-16. </p> <p>Schiele JT, Quinzler R, Klimm HD, et al. Difficulties swallowing solid oral dosage forms in a general practice population: Prevalence, causes, and relationship to dosage forms. Eur J Clin Pharmacol 2013; 69: 937-48. </p> <p>Stoschus B, Allescher HD. Drug-induced dysphagia. Dysphagia 1993; 8: 154-9. </p> <p>Wells KA, Losin WG. In vitro stability, potency, and dissolution of duloxetine enteric-coated pellets after exposure to applesauce, apple juice, and chocolate pudding. Clin Ther 2008; 30(7): 1300-8. </p> </div> </section> </div><!-- .main_entry --> <div class="entry_details"> <div class="item cover_image"> <div class="sub_item"> <a href="http://mjphm.org/index.php/mjphm/issue/view/65"> <img src="http://mjphm.org/public/journals/1/cover_issue_65_en_US.png" alt=""> </a> </div> </div> <div class="item galleys"> <h2 class="pkp_screen_reader"> Downloads </h2> <ul class="value galleys_links"> <li> <a class="obj_galley_link pdf" href="http://mjphm.org/index.php/mjphm/article/view/2502/796"> PDF </a> </li> </ul> </div> <div class="item published"> <section class="sub_item"> <h2 class="label"> Published </h2> <div class="value"> <span>2024-08-28</span> </div> </section> </div> <div class="item citation"> <section class="sub_item citation_display"> <h2 class="label"> How to Cite </h2> <div class="value"> <div id="citationOutput" role="region" aria-live="polite"> <div class="csl-bib-body"> <div class="csl-entry">Azlan, S., Maniam, P., Meilina, R., Jamal, J. A., & Abd Wahab, M. S. (2024). A CROSS-SECTIONAL STUDY ON SWALLOWING DIFFICULTY AND PILL DYSPHAGIA AMONG OLDER PEOPLE RESIDING IN NURSING HOMES IN SELANGOR, MALAYSIA. <i>Malaysian Journal of Public Health Medicine</i>, <i>24</i>(2), 195–202. 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