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Objective: This study aimed to analyze the prevalence and nutritional status of patients with dysphagia using the National Health Insurance Claim database collected from all Koreans.

Methods: According to the claim data from the National Health Insurance Service from 2007 to 2017, we calculated the prevalence, comorbidity, and direct medical costs of dysphagia patients. We analyzed the difference in medical costs according to the malnutrition rate and presence of malnutrition.

Results: The prevalence of dysphagia was 635.4 per 100,000 population in 2007 but increased to 1031.6 in 2017. The proportions of type insurance showed an increasing trend in both health insurance and national free medical care, while nursing hospitals showed a significant increase of 8.46%. Esophageal and gastrointestinal disorders accounted for the highest number of diseases with dysphagia. The average medical expense per person for dysphagia was11,984,632 Korea Won (KRW), and the average length of hospital stay was 154.1 days. The malnutrition rate of patients with dysphagia was 686.8 out of 100,000 people in 2007 to 362.9 out of 100,000 people in 2017. The malnourished group had 70.7 more inpatient hospital stays and nine more outpatient visits than the non-malnourished group.

Conclusion: The proportion of nursing hospitals and medical expenses increased significantly in the number of patientswith dysphagia, and the length of hospital stay and medical costs were higher with malnutrition. As incidence of dysphagia patients may increase due to aging, active management of dysphagia is required to improve the patient’s prognosis and quality of life.

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기사명 저자명 페이지 원문 목차
연하장애 분야의 인공지능 적용 = Application of artificial intelligence in the area of dysphagia 이성재 p. 4-9

타액내 뮤신의 농도와 타액 점도의 상관관계 = Correlation between salivary mucin concentration and viscosity : an exploratory study in healthy people : 정상인에서의 탐색적 연구 김신후, 전희원, 최지수, 오병모, 서한길, 유병승, 한태륜 p. 65-71

파킨슨병에서 혀 압력과 연하 기능 및 삶의 질의 연관성 = Association of tongue pressure with swallowing function and quality of life in Parkinson's disease 김자영, 최경효, 송영진, 정선주, 박계원, 송경주, 손우철, 안혜준 p. 92-96

연하장애 환자들의 다양한 수술적 치료 방법들에 대한 고찰 = Current review of various surgical options for the treatment of dysphagia 박성준, 박영학 p. 10-19

두경부암 환자들에서 근치적 목적의 수술 후 발생하는 연하곤란증의 변형된 바륨 삼킴검사를 활용한 위험인자 분석 = Risk factor analysis of dysphagia after oncological surgery for patients with head and neck cancer using a modified barium swallowing study 박성준, 강하람, 박영학 p. 79-91

뇌졸중 환자의 구음장애와 흡인과의 상관관계 = Correlation between dysarthria and aspiration in patients with stroke 유은호, 문명훈, 민지홍, 김혜경, 신용일, 고현윤, 김소중, 고성화 p. 72-78

한국인 연하장애 환자 현황 및 영양불량에 따른 의료비용 분석 = Prevalence and medical cost under malnutrition in dysphagia patients of Korea : based on Health Insurance Review & Assessment Service (HIRA) data : 건강보험심사평가원 자료 이용 이보라, 임희숙 p. 97-106

전문가 설문조사 및 현장조사를 통한 국내 비디오투시연하검사 실시 현황 = Current status of videofluoroscopic swallowing study practice in Korea through surveying experts and conducting field study 윤다솜, 김돈규, 박형수, 범재원, 강시현, 서경묵 p. 56-64

High resolution manometry versus video fluorography for evaluating dysphagia in patients with inflammatory myopathy : a pilot study Minji Jung, Kyoung Hyo Choi, Kyeong Joo Song, Kee Wook Jeong, Yong-Gil Kim p. 107-112

Improvement of dysphagia in traumatic neurovascular compression : a case report and collective review Yong Kyun Kim, Yun Jung Lee, Yong Seob Jo, Jung Hyun Cha p. 123-129

Characteristics and risk factors of aspiration in lateral medullary infarction Ju Sun Kim, Hyun Jung Kim, Jun Yup Kim, Hyo Seon Choi, Juntaek Hong, Deog Young Kim p. 113-122

Tracheoesophageal fistula by chemoradiotherapy after a total laryngectomy in a laryngeal cancer patient : a case report Ji Hye Kang, Inn-Chul Nam, Min-Wook Kim p. 130-133

연하장애 치료의 조직공학적 접근 = Tissue engineering and cell-based therapies for dysphagia : personal experience of trial & errors : 개인적 경험과 한계 정은재 p. 20-30

Esophagostomy as an alternative to gastrostomy for dysphagia in muscular dystrophy : a case report Jin Seok Bae, Jong Keun Kim, Jong Youb Lim, Kang Jae Jung, Hyo Sik Park p. 134-137

Dysphagia as the first symptom of hyperthyroidism without goiter : a case report Jong Dae Eun, Yun-Hee Kim, Won Hyuk Chang p. 138-142

대한연하장애학회 구인두 연하장애 권고안 = The Korean dysphagia society (KDS) position statement for oropharyngeal dysphagia 최영아, 고성화, 김종문, 박은정, 박종범, 이경희, 이자호, 임상희, 조정해, 한은영, 김민욱 p. 31-46

연하장애 재활치료의 현황 및 실태조사 = Study on the status of dysphagia rehabilitation 서상민, 송영진, 우희순 p. 47-55

참고문헌 (30건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Korean Statistical Information Service. Demographic Structure by Age Group [cited by 2019 November 2]. Available from: http://kosis.kr/visual/populationKorea/PopulationByNumber/PopulationByNumberMain.do?mb=N&menuId=M_1_4&themaId=D01. 미소장
2 World Health Organization. “World health statistics 2016:Monitoring health for the SDGs, sustainable development goals” [cited by 2019 September 15]. Available from: http://www.who.int/iris/handle/10665/206498. 미소장
3 Korea Health Industry Development Institute. Health Industry Statistics Annual. 2017;11:246-249. 미소장
4 Choi KH. Epidemiology of Dysphagia. J of Korean Dysphagia Society. 2011;1:1-8. 미소장
5 Prevalence and Characteristics of Dysphagia Based on a Population-Based Survey. 네이버 미소장
6 Prevalence of and risk factors for dysphagia in the community dwelling elderly: A systematic review 네이버 미소장
7 Prevalence and risk factors for dysphagia: a USA community study. 네이버 미소장
8 Park SJ. Dysphagia Risk and Associated Factors among Community-Dwelling Elders. J Korean Soc Food Sci Nutr. 2015;44(1):49-56. 미소장
9 Squamous cell carcinoma of the esophagus. Natural history, incidence, etiology, and complications. 네이버 미소장
10 Clinical predictors of dysphagia and aspiration risk: Outcome measures in acute stroke patients 네이버 미소장
11 Risk Factors for Dysphagia Following a Cervical Fusion in a Trauma Population. 네이버 미소장
12 The mediating and moderating effects of meaning in life on the relationship between depression and quality of life in patients with dysphagia. 네이버 미소장
13 Kim SB, Lee SJ, Lee KW, Lee JH, Kim DW. Usefulness of Early Videofluoroscopic Swallowing Study in Acute Stroke Patients With Dysphagia. Ann Rehabil Med. 2018;42(1):42-51. 미소장
14 Kim JA. Introduction and utilization of the National Health Insurance data. The Korean Academy of Asthma, Allergy and Clinical Immunology News Letter. 2014 March. Available from: http://www.allergy.or.kr/e_letter/2014_03. html. 미소장
15 Korean Statistical Information Service. Korea National Statistical Office. [cited by 2019 September 22] Available at http://www.kosis.kr. 미소장
16 Park YJ, Kim JM, Lee BR, Kim TH, Lee EG. Annual prevalence and economic burden of genital warts in Korea:Health Insurance Review and Assessment (HIRA) service data from 2007 to 2015. Epidemiol Infect. 2018;146(2):177-186. 미소장
17 Korean Health Panel. Survey of medical charges paid by patients with health insurance in 2010. [cited by 2019October 16] Available at http://www.khp.re.kr. 미소장
18 Gehanno P. Dysphagia. Diagnostic guidelines and management. Rev Prat. 1989 1;39(25):2285-8. 미소장
19 25 Years of Dysphagia Rehabilitation: What Have We Done, What are We Doing, and Where are We Going? 네이버 미소장
20 Prevalence and associated factors of dysphagia in nursing home residents 네이버 미소장
21 Kim D, Lee KE. Nutrition Care Management Practices for In-Patients with Dysphagia in Korean Clinical Settings. Clin Nutr Res. 2019;8(4):272-283. 미소장
22 The prevalence of dysphagia among adults in the United States. 네이버 미소장
23 Alarm symptoms, risk factors for digestive tract cancer and readiness to participate in an endoscopic screening program 네이버 미소장
24 Prevalence and Clinical Spectrum of Gastroesophageal Reflux: A Population-Based Study in Asan-si, Korea 네이버 미소장
25 Critical Dysphagia is Common in Parkinson Disease and Occurs Even in Early Stages: A Prospective Cohort Study 네이버 미소장
26 Health Insurance Review & Assessment Service. National Health Insurance Statistical Yearbook. 2018:144-145. 미소장
27 How should dysphagia care of older adults differ? Establishing optimal practice patterns. 네이버 미소장
28 Prevalence and associated factors of dysphagia in nursing home residents 네이버 미소장
29 Lim Y, Kim C, Park H, Kwon S, Kim O, Kim H, Lee Y. Socio-demographic factors and diet-related characteristics of community-dwelling elderly individuals with dysphagia risk in South Korea. Nutr Res Pract. 2018;12(5):406-414. 미소장
30 Association between Oropharyngeal Dysphagia and Malnutrition in Dutch Nursing Home Residents: Results of the National Prevalence Measurement of Quality of Care 네이버 미소장

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