Table 3:
Prevalence of Dysphagia by ACG Frailty* and Surgical Procedure.
| ACG Frailty and Dysphagia Group | No Frailty | Frailty | Total |
|---|---|---|---|
| Weighted N | N=3,160,450 | N=138,385 | N=3,298,835 |
| Peripheral arterial bypass | |||
| N | 77,785 | 6,420 | 84,205 |
| Dysphagia | 660 (0.8%) | 240 (3.7%) | 900 (1.1%) |
| No Dysphagia | 77,125 (99.2%) | 6,180 (96.3%) | 83,305 (98.9%) |
| Cardiac surgery | |||
| N | 380,260 | 21,445 | 401,705 |
| Dysphagia | 7,035 (1.9%) | 2,040 (9.5%) | 9,075 (2.3%) |
| No Dysphagia | 373,225 (98.1%) | 19,405 (90.5%) | 392,630 (97.7%) |
| CEA | |||
| N | 132,175 | 2,945 | 135,120 |
| Dysphagia | 3,280 (2.5%) | 455 (15.4%) | 3,735 (2.8%) |
| No Dysphagia | 128,895 (97.5%) | 2,490 (84.6%) | 131,385 (97.2%) |
| AAA | |||
| N | 7,320 | 1,205 | 8,525 |
| Dysphagia | 165 (2.3%) | 115 (9.5%) | 280 (3.3%) |
| No Dysphagia | 7,155 (97.7%) | 1,090 (90.5%) | 8,245 (96.7%) |
| Total/partial/revision hip | |||
| N | 559,525 | 12,350 | 571,875 |
| Dysphagia | 1,745 (0.3%) | 345 (2.8%) | 2,090 (0.4%) |
| No Dysphagia | 557,780 (99.7%) | 12,005 (97.2%) | 569,785 (99.6%) |
| Total/revision knee | |||
| N | 1,104,925 | 15,850 | 1,120,775 |
| Dysphagia | 2,675 (0.2%) | 175 (1.1%) | 2,850 (0.3%) |
| No Dysphagia | 1,102,250 (99.8%) | 15,675 (98.9%) | 1,117,925 (99.7%) |
| Cervical fusion | |||
| N | 152,530 | 4,835 | 157,365 |
| Dysphagia | 9,055 (5.9%) | 970 (20.1%) | 10,025 (6.4%) |
| No Dysphagia | 143,475 (94.1%) | 3,865 (79.9%) | 147,340 (93.6%) |
| Large bowel surgery | |||
| N | 157,265 | 36,250 | 193,515 |
| Dysphagia | 1,700 (1.1%) | 1,480 (4.1%) | 3,180 (1.6%) |
| No Dysphagia | 155,565 (98.9%) | 34,770 (95.9%) | 190,335 (98.4%) |
| Liver resection | |||
| N | 11,490 | 950 | 12,440 |
| Dysphagia | 50 (0.4%) | 20 (2.1%) | 70 (0.6%) |
| No Dysphagia | 11,440 (99.6%) | 930 (97.9%) | 12,370 (99.4%) |
| Pancreas resection | |||
| N | 18,465 | 4,790 | 23,255 |
| Dysphagia | 115 (0.6%) | 80 (1.7%) | 195 (0.8%) |
| No Dysphagia | 18,350 (99.4%) | 4,710 (98.3%) | 23,060 (99.2%) |
| Nephrectomy | |||
| N | 79,725 | 2,760 | 82,485 |
| Dysphagia | 380 (0.5%) | 115 (4.2%) | 495 (0.6%) |
| No Dysphagia | 79,345 (99.5%) | 2,645 (95.8%) | 81,990 (99.4%) |
| Cystectomy | |||
| N | 16,350 | 1,855 | 18,205 |
| Dysphagia | 160 (1.0%) | 40 (2.2%) | 200 (1.1%) |
| No Dysphagia | 16,190 (99.0%) | 1,815 (97.8%) | 18,005 (98.9%) |
| General surgery | |||
| N | 406,785 | 23,470 | 430,255 |
| Dysphagia | 3,690 (0.9%) | 1,155 (4.9%) | 4,845 (1.1%) |
| No Dysphagia | 403,095 (99.1%) | 22,315 (95.1%) | 425,410 (98.9%) |
| Pneumonectomy | |||
| N | 2,400 | 305 | 2,705 |
| Dysphagia | 40 (1.7%) | 35 (11.5%) | 75 (2.8%) |
| No Dysphagia | 2,360 (98.3%) | 270 (88.5%) | 2,630 (97.2%) |
| Lobectomy/segmental resection | |||
| N | 53,450 | 2,955 | 56,405 |
| Dysphagia | 690 (1.3%) | 200 (6.8%) | 890 (1.6%) |
| No Dysphagia | 52,760 (98.7%) | 2,755 (93.2%) | 55,515 (98.4%) |
*
The 10-item ACG is the Johns Hopkins Adjusted Clinical Groups (ACG) frailty-defining diagnosis indicators and is a binary frail yes/no variable. Note similar findings of increasing dysphagia prevalence among frail vs prefrail vs non-frail patients based on the Frailty Risk Score were noted across all surgical categories.